The S.P.A.R.C The S.P.A.R.C NetworkNetwork

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The Facts…The Facts…

52-58 arrests/ 100,000 people52-58 arrests/ 100,000 people 60% of CA patients die in-hospital60% of CA patients die in-hospital High temperatures after an arrest High temperatures after an arrest

lead to less neurological recoverylead to less neurological recovery Induced Hypothermia beneficial in Induced Hypothermia beneficial in

reducing unfortunate neurological reducing unfortunate neurological outcomesoutcomes

What is the Standard What is the Standard of Care…of Care…

Post-Resuscitation Post-Resuscitation Care Care

Why?????Why?????

– 10% 10% – First 72 hoursFirst 72 hours– PotentialPotential

How it works…How it works…

Decreases the metabolic rate by Decreases the metabolic rate by 6% to 7% for every decrease in 6% to 7% for every decrease in 11ooC in temperatureC in temperature

Prevents Reperfusion injuryPrevents Reperfusion injury Suppresses free radical injurySuppresses free radical injury Suppresses excitatory amino acid Suppresses excitatory amino acid

release release Decreases intracranial pressureDecreases intracranial pressure

Therapeutic Hypothermia Therapeutic Hypothermia DefinedDefined

Patient cooled to 32-34Patient cooled to 32-34ºCºC– Methods used up to the discretion of each hospitalMethods used up to the discretion of each hospital

Within 6 hours of arrival at EDWithin 6 hours of arrival at ED Maintained for 24 hours Maintained for 24 hours Hourly temperature monitoringHourly temperature monitoring Sedation, Paralytics and Neuromuscular Sedation, Paralytics and Neuromuscular

blockadesblockades Passive re-warming after 24hrsPassive re-warming after 24hrs Neurological Checks Neurological Checks

Cooling Methods…Cooling Methods…

Crushed Ice (Bags)Crushed Ice (Bags) Cold Saline InfusionsCold Saline Infusions Cooling BlanketCooling Blanket ThermoSuitThermoSuit™™ Arctic SunArctic Sun®® Neural Cooling Device Neural Cooling Device

The S.P.A.R.C. Network The S.P.A.R.C. Network is… is… 43 Hospitals43 Hospitals Up to date evidence reviewsUp to date evidence reviews Standardized ProtocolsStandardized Protocols Implementation ToolsImplementation Tools CollaborationCollaboration Data Collection and FeedbackData Collection and Feedback

Knowledge TranslationKnowledge Translation

Standardized ProtocolsStandardized Protocols Order SetsOrder Sets RemindersReminders Educational SessionsEducational Sessions Data Audit & FeedbackData Audit & Feedback Networking with other sitesNetworking with other sites Large Network meetings Large Network meetings

Questions?????Questions?????

Become a Cooling Become a Cooling “Champion”“Champion”

””Never doubt that a group of Never doubt that a group of thoughtful, committed people can thoughtful, committed people can

change the world.change the world.

Indeed, it is the only thing Indeed, it is the only thing that ever has.”that ever has.”

- - Margaret MeadMargaret Mead

Lets “Get Cool”