Paper: Targeted Temperature Management
Therapeutic hypothermia or mild induced hypothermia has been shown to have great benefits for comatose survivors of cardiac arrest. It significantly reduces mortality and improves neurologic recovery. Not all centers currently use it, but those that do have fantastic results. One of the best centers in the world which has been using this method for quite some time is the Vienna General Hospital. Dr. Michael Holzer works in the Department of Emergency Medicine of this hospital and has published an interesting paper in the latest issue of the New England Journal of Medicine (NEJM) titled “Targeted Temperature Management for Comatose Survivors of Cardiac Arrest”. It is a great introductory paper for everyone wishing to learn more about this subject, because it is written in a clear language, and apart from mentioning some aspects of pathophysiology, it is mainly focused on clinical use. It even starts with a case presentation of a hypothetic comatose survivor of cardiac arrest, whose treatment by cooling is then described by the author backed up by the most recent evidence and personal experience.
“Targeted Temperature Management for Comatose Survivors of Cardiac Arrest” paper can be accessed for free on NEJM website.