1. The S.P.A.R.C Network Insert sparc logo here

2. The Facts… 52-58 arrests/ 100,000 people 52-58 arrests/ 100,000 people 60% of CA patients die in-hospital 60% of CA patients die in-hospital High temperatures after an arrest lead to less neurological recovery High temperatures after an arrest lead to less neurological recovery Induced Hypothermia beneficial in reducing unfortunate neurological outcomes Induced Hypothermia beneficial in reducing unfortunate neurological outcomes

3. What is the Standard of Care…

4. Post-Resuscitation Care Why????? Why????? –10% –First 72 hours –Potential

5. How it works… Decreases the metabolic rate by 6% to 7% for every decrease in 1 o C in temperature Decreases the metabolic rate by 6% to 7% for every decrease in 1 o C in temperature Prevents Reperfusion injury Prevents Reperfusion injury Suppresses free radical injury Suppresses free radical injury Suppresses excitatory amino acid release Suppresses excitatory amino acid release Decreases intracranial pressure Decreases intracranial pressure

6. Therapeutic Hypothermia Defined Patient cooled to 32-34ºC Patient cooled to 32-34ºC –Methods used up to the discretion of each hospital Within 6 hours of arrival at ED Within 6 hours of arrival at ED Maintained for 24 hours Maintained for 24 hours Hourly temperature monitoring Hourly temperature monitoring Sedation, Paralytics and Neuromuscular blockades Sedation, Paralytics and Neuromuscular blockades Passive re-warming after 24hrs Passive re-warming after 24hrs Neurological Checks Neurological Checks

7. Cooling Methods… Crushed Ice (Bags) Crushed Ice (Bags) Cold Saline Infusions Cold Saline Infusions Cooling Blanket Cooling Blanket ThermoSuit™ ThermoSuit™ Arctic Sun® Arctic Sun® Neural Cooling Device Neural Cooling Device

8. The S.P.A.R.C. Network is… 43 Hospitals 43 Hospitals Up to date evidence reviews Up to date evidence reviews Standardized Protocols Standardized Protocols Implementation Tools Implementation Tools Collaboration Collaboration Data Collection and Feedback Data Collection and Feedback

9. Knowledge Translation Standardized Protocols Standardized Protocols Order Sets Order Sets Reminders Reminders Educational Sessions Educational Sessions Data Audit & Feedback Data Audit & Feedback Networking with other sites Networking with other sites Large Network meetings Large Network meetings

10. Questions????? Questions?????

11. Become a Cooling “Champion” ”Never doubt that a group of thoughtful, committed people can change the world. Indeed, it is the only thing that ever has.” - Margaret Mead

12. Lets “Get Cool”