the s.p.a.r.c network insert sparc logo here. the facts… 52-58 arrests/ 100,000 people 52-58...
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The S.P.A.R.C The S.P.A.R.C NetworkNetwork
Insert sparc logo hereInsert sparc logo here
The Facts…The Facts…
52-58 arrests/ 100,000 people52-58 arrests/ 100,000 people 60% of CA patients die in-hospital60% of CA patients die in-hospital High temperatures after an arrest High temperatures after an arrest
lead to less neurological recoverylead to less neurological recovery Induced Hypothermia beneficial in Induced Hypothermia beneficial in
reducing unfortunate neurological reducing unfortunate neurological outcomesoutcomes
What is the Standard What is the Standard of Care…of Care…
Post-Resuscitation Post-Resuscitation Care Care
Why?????Why?????
– 10% 10% – First 72 hoursFirst 72 hours– PotentialPotential
How it works…How it works…
Decreases the metabolic rate by Decreases the metabolic rate by 6% to 7% for every decrease in 6% to 7% for every decrease in 11ooC in temperatureC in temperature
Prevents Reperfusion injuryPrevents Reperfusion injury Suppresses free radical injurySuppresses free radical injury Suppresses excitatory amino acid Suppresses excitatory amino acid
release release Decreases intracranial pressureDecreases intracranial pressure
Therapeutic Hypothermia Therapeutic Hypothermia DefinedDefined
Patient cooled to 32-34Patient cooled to 32-34ºCºC– Methods used up to the discretion of each hospitalMethods used up to the discretion of each hospital
Within 6 hours of arrival at EDWithin 6 hours of arrival at ED Maintained for 24 hours Maintained for 24 hours Hourly temperature monitoringHourly temperature monitoring Sedation, Paralytics and Neuromuscular Sedation, Paralytics and Neuromuscular
blockadesblockades Passive re-warming after 24hrsPassive re-warming after 24hrs Neurological Checks Neurological Checks
Cooling Methods…Cooling Methods…
Crushed Ice (Bags)Crushed Ice (Bags) Cold Saline InfusionsCold Saline Infusions Cooling BlanketCooling Blanket ThermoSuitThermoSuit™™ Arctic SunArctic Sun®® Neural Cooling Device Neural Cooling Device
The S.P.A.R.C. Network The S.P.A.R.C. Network is… is… 43 Hospitals43 Hospitals Up to date evidence reviewsUp to date evidence reviews Standardized ProtocolsStandardized Protocols Implementation ToolsImplementation Tools CollaborationCollaboration Data Collection and FeedbackData Collection and Feedback
Knowledge TranslationKnowledge Translation
Standardized ProtocolsStandardized Protocols Order SetsOrder Sets RemindersReminders Educational SessionsEducational Sessions Data Audit & FeedbackData Audit & Feedback Networking with other sitesNetworking with other sites Large Network meetings Large Network meetings
Questions?????Questions?????
Become a Cooling Become a Cooling “Champion”“Champion”
””Never doubt that a group of Never doubt that a group of thoughtful, committed people can thoughtful, committed people can
change the world.change the world.
Indeed, it is the only thing Indeed, it is the only thing that ever has.”that ever has.”
- - Margaret MeadMargaret Mead
Lets “Get Cool”