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

Hypothermia and drowning

Don't Forget the Bubbles

Elsa was found face down in the family pool 20 minutes after last visual contact and was picked up without resuscitation. She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. d) Hypothermia As you ponder these options, the matron hands you the repeat gas.

Insiders

Sign Up for our Newsletter

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

Trending Sources

article thumbnail

Neonatal Resuscitation Tips

ACEP Now

Neonatal resuscitation is common; 10 percent of the four million newborns in the U.S. 2 These rare scenarios are difficult to prepare for; resuscitation guidelines are not strictly followed in more than 90 percent of cases. Neonatal resuscitation is common; 10 percent of the four million newborns in the U.S. 3 Click to enlarge.

article thumbnail

Hypothermia & Non-Freezing Cold Injury

EM Ottawa

Mark McKinney’s Grand Round Summary from March 2020 (Parts 1 and 2) for a comprehensive literature review on the topic of resuscitating hypothermic patients. In this blog post, I’ll go into a more in-depth review of the staging of hypothermia and how to manage this problem in the field.

article thumbnail

Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

Hypothermic Arrest In general, hypothermic patients in cardiac arrest should be aggressively resuscitated. Patients can have excellent outcomes despite prolonged resuscitation. 2,3 If the patient meets criteria for resuscitation, they generally are not declared dead until their core temperature is above 32℃ (“warm and dead”).

article thumbnail

How long should CPR be performed for non-shockable cardiac arrests in the hospital?

PulmCCM

An index to all posts in the series can be found here: Introduction Although cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. This results in a wide variation in practice—25% of unsuccessful resuscitations are stopped before 15 minutes, while an equal number go longer than 30 minutes.

CPR 52
article thumbnail

Neurogenic Shock in Children

Pediatric EM Morsels

Shunting of blood to the extremities results in thermal dysregulation and subsequent hypothermia. While we may allow permissive hypotension in damage control resuscitation of hemorrhagic shock, in neurogenic shock you should maintain an age-appropriate blood pressure. Unopposed vagal tone leads to bradycardia.

Shock 304