Remove Hyperthermia / Hypothermia Remove Research Remove Resuscitation
article thumbnail

Targeted Temperature Management in Paediatric Traumatic Brain Injury

Don't Forget the Bubbles

Targeted temperature management (TTM) is the induction of varying degrees of patient temperature targeting within Paediatric Intensive Care Unit (PICU): Therapeutic hypothermia- induction of varying degrees of hypothermia. What are the potential complications of therapeutic hypothermia? It can also increase blood pressure.

article thumbnail

Grand Rounds Recap 3.20.24

Taming the SRU

Predictions scores such as the HOPE score can be used to guide treatment.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

The Latest in Critical Care, 1/22/24 (Issue #26)

PulmCCM

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival. Read on for details.

article thumbnail

Rethinking the Role of TXA: Are We Asking Too Much?

RebelEM

This balance is upset in trauma by loss of blood and factors, acidosis, hypothermia and the inflammatory cascade. The PATCH-trauma researchers sought to address this critique. This should continue to make TXA part of standard trauma resuscitation while additional studies are performed.

Outcomes 105
article thumbnail

The Science on Targeted Temperature Management

ACEP Now

Targeted temperature management (TTM) for patients following cardiac arrest resuscitation has gone through several dosing iterations in the past two decades. Finally, the guidelines support active temperature management’s (though not necessarily hypothermia) role in improving post-arrest outcomes. degrees Celsius. Click to enlarge.

article thumbnail

Grand Rounds Recap 11.1.23

Taming the SRU

Despite research assessing interventions at various points along the coagulation cascade/inflammatory pathways, there remains no consensus for best treatment and treating the underlying cause is recommended Clinical Decision Rules: Head and C spine Imaging WITH Drs. The ISTH tool on MDcalc can be used to assess the presence of overt DIC.

article thumbnail

Brain Trauma Guidelines for Emergency Medicine

ACEP Now

These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations. The GCS must be obtained through interaction with the patient (i.e.,