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Cardiology Corner - Temperature Management Post-ROSC

Anand Swaminathan, MD FAAEM and Amal Mattu, MD FAAEM
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13:29
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Nurses Edition Commentary

Kathy Garvin, RN and Lisa Chavez, RN
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01:20

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EMRAP 2019 03 March Written Summary 434 KB - PDF

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prestwig1 -

DR Mattu The study did not establish that cooling is ineffective. However, the normal temperature is 37C. So are we to believe that a 1-degree temperature drop makes a significant difference? That strains credulity. Also one would assume that the investigators had as much difficulty maintaining 36 degrees as anyone else. I think that your off the cuff statement is likely the truth. Avoidance of fever is the likely benefit of cooling. But avoidance of fever is distinctly different than the need to cool.

Amal M., M.D. -

Thanks for your comment. I don't believe anyone on the podcast stated that cooling is ineffective.

Also, my statement wasn't actually off-the-cuff, but what I always state in other lectures as well, based on what limited data we have on the topic. I think we are saying the same thing...there's no magic in cooling EXCEPT that when you cool patients, you are taking control of the patient's body temperature and preventing fevers. And fevers are deadly.
So as I said, it appears to me that the main benefit of cooling is that it very effectively prevents fevers.

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EM:RAP 2019 March Full episode audio for MD edition 207:41 min - 289 MB - M4AEM:RAP 2019 March German Edition Deutsche 90:57 min - 125 MB - MP3EM:RAP 2019 March Aussie Edition Australian 34:56 min - 48 MB - MP3EM:RAP 2019 March Farsi Edition Farsi 64:12 min - 88 MB - MP3EM:RAP 2019 March French Edition Français 22:38 min - 31 MB - MP3EM:RAP 2019 March Spanish Edition Español 78:59 min - 108 MB - MP3EM:RAP 2019 March Canadian Edition Canadian 18:22 min - 25 MB - MP3EMRAP_2019 03 March Board Review Answers_V2 135 KB - PDFEMRAP_2019 03 March Board Review Questions_V2 96 KB - PDFEMRAP 2019 03 March Individual MP3 229 MB - ZIPEMRAP_2019_03_March_Individual_Written 601 KB - ZIPEMRAP 2019 03 March Spanish Written 1 MB - PDFEMRAP 2019 03 March Written Summary 434 KB - PDF

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