Richard Hoang

ALT The ILCOR guidelines came to similar conclusions as this review comparing hypothermia to normothermia or fever prevention: No difference in survival to hospital discharge No difference in favorable neurological outcome at hospital discharge or 30 days No difference in survival to 90 or 180 days No difference in favorable neurologic outcome at 90 or 180 days ILCOR recommendations and suggestions: Suggest actively prevent fever by targeting a temperature ≤ 37.5 for those patients who remain comatose after ROSC from cardiac arrest (weak recommendation, low certainty evidence). Whether subpopulations of cardiac arrest patients may benefit from targeting hypothermia at 32-34oC remains uncertain. Recommend against the routine use of prehospital cooling with rapid infusion of large volumes of cold IV fluid. Suggest active prevention of fever for at least 72 hours in post-cardiac arrest patients who remain comatose...