Emergency Medicine: Open Access
Open Access
ISSN: 2165-7548
ISSN: 2165-7548
Guillermo Rey González
Spain
Research Article
Prehospital Immediate Therapeutic Hypotermia in Galicia: Results and Next Steps
Author(s): Luis Sánchez-Santos, Carmen López Unanua, Maria del Pilar Pavón Prieto, Maria Elena Arce Fariña, Guillermo Rey González, Antonio Rodríguez Núñez and Antonio Iglesias VázquezLuis Sánchez-Santos, Carmen López Unanua, Maria del Pilar Pavón Prieto, Maria Elena Arce Fariña, Guillermo Rey González, Antonio Rodríguez Núñez and Antonio Iglesias Vázquez
Introduction: Despite mild therapeutic hypothermia (TH) being recommended as a post-resuscitation care by current international resuscitation guidelines, recent evidences have questioned its role. Our objective was to assess the results of immediate TH at the pre hospital level by the Galicia’s Emergencies Medical Service (GEMS) in order to know the potential impact on patient’s outcome. Methods: Observational retrospective study. Patients older than 18 years with a witnessed out-of-hospital cardiac arrest (OHCA), and with recovering of spontaneous circulation (ROSC) after advanced cardiopulmonary resuscitation (CPR) provided by sanitary personnel of the GEMS, between 2005 and 2013 were eligible. The survival and brain function at hospital discharge and one year after OHCA were assessed comparing the patients treated with immediate after ROSC pre hospital mild TH with pati.. View More»
DOI:
10.4172/2165-7548.1000216