Transcript The SPARC Network - Emergency Medicine

The S.P.A.R.C Network
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The Facts…
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52-58 arrests/ 100,000 people
60% of CA patients die in-hospital
High temperatures after an arrest lead
to less neurological recovery
Induced Hypothermia beneficial in
reducing unfortunate neurological
outcomes
What is the Standard of
Care…
Post-Resuscitation Care
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Why?????
– 10%
– First 72 hours
– Potential
How it works…
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Decreases the metabolic rate by 6% to
7% for every decrease in 1oC in
temperature
Prevents Reperfusion injury
Suppresses free radical injury
Suppresses excitatory amino acid
release
Decreases intracranial pressure
Therapeutic Hypothermia
Defined
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Patient cooled to 32-34ºC
– Methods used up to the discretion of each hospital
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Within 6 hours of arrival at ED
Maintained for 24 hours
Hourly temperature monitoring
Sedation, Paralytics and Neuromuscular blockades
Passive re-warming after 24hrs
Neurological Checks
Cooling Methods…
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Crushed Ice (Bags)
Cold Saline Infusions
Cooling Blanket
ThermoSuit™
Arctic Sun®
Neural Cooling Device
The S.P.A.R.C. Network
is…
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43 Hospitals
Up to date evidence reviews
Standardized Protocols
Implementation Tools
Collaboration
Data Collection and Feedback
Knowledge Translation
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Standardized Protocols
Order Sets
Reminders
Educational Sessions
Data Audit & Feedback
Networking with other sites
Large Network meetings
 Questions?????
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
Lets “Get Cool”