A presentation for EMS personnel about prehospital cooling of patients with return of spontaneous circulation in the field post cardiac arrest; research and application

1. Iced Saline in the field Mast pants of 2009, or here to stay? Paul Davidson M.D. Centura EMS

6. Colorado Rule 500 update *Effective 4/30/09

7. In case you missed it…

10. Newsweek, July 2007

11. European study 2002

12. Neurological outcome/mortality at 6 months--Europe 56/137(41%) 76/138(55%) Death 75/136(55%) 54/137(39%) Favorable neurologic outcome HYPOTHER- MIA NORMO-THERMIA OUTCOME

13. Australia study 2002

15. Sterz, 1991 results

18. Kuboyama-data

21. Nozari, data

25. Abella, 2004

26. Abella, 2004

29. Boddicker, 2005

30. Boddicker 2005

31. Boddicker, 2005

34. 38 Bucks at Target

35. 20 Bucks at Target

36. About $3 online

37. Cooler experiment

38. Cooler experiment

42. Cool fast-90 min to 33 degrees C

44. Wake County EMS data

45. Survival – All Rhythms 4.6% 7.3% 8.2% 11.6% * when compared with baseline P<0.05*

46. Comparison of Outcomes Hypothermia vs. Baseline * P <0.05 when compared with baseline * * * *

54. Colorado Rule 500 update *Effective 4/30/09

56. Cooling and STEMI Coma Pts. 0.15 83% 97% Favorable neuro outcome for survivors 0.075 47% 65% Survival at D/C P-value Cooling only non STEMI Cooling +cath lab STEMI

60. Kim’s fridge, Seattle 2007

63. Fridge in supervisor’s SUV

64. Blue ice/ice-28-30F for 30 hours

69. Colorado Springs

71. Esophageal probes $10 each disposable, or $60 reusable, cidex

72. Esophageal thermometer $130