@article{JECCM5598,
author = {Leong Gen Yap and Nur Shahidah and Sohil Pothiawala and Kenneth Boon Kiat Tan and Aaron Sung Lung Wong and Duu Wen Sewa and Eric Tien Siang Lim and Chee Tang Chin and Weiting Huang and Marcus Eng Hock Ong},
title = {Novel wearable cooling device for early initiation of targeted temperature management in the Emergency Department},
journal = {Journal of Emergency and Critical Care Medicine},
volume = {4},
number = {0},
year = {2020},
keywords = {},
abstract = {Background: Targeted temperature management (TTM) is an important component of post-cardiac arrest care. Studies have suggested that cooling is associated with better outcomes. The aim of this study was to evaluate the cooling efficacy of a protocol including a novel cooling device in the Emergency Department.
Methods: This was a single-center, pre-post cohort study of post-cardiac arrest patients with return of spontaneous circulation (ROSC), for whom TTM was initiated at a tertiary hospital between April 2010 and December 2017. A surface cooling device which uses a graphite cooling material in an insulating suit was introduced in July 2015. The target temperature was 34.0 °C with TTM continued in the ICUs. The primary outcome was time from ROSC to target temperature (TT).
Results: Of 124 patients included, 40 were in the intervention period and 84 in the control period. Time from ROSC to TT was significantly lower in the intervention period at 119 [interquartile range (IQR), 65–250] minutes versus 482 (IQR, 356–596) minutes (P},
issn = {2521-3563}, url = {https://jeccm.amegroups.org/article/view/5598}
}