Hypothermia for Heart Attack Victims | allnurses

Hypothermia for Heart Attack Victims

  1. 0 Since ACLS guidelines now recommends hypothermia for stemi patients that are unconscious with return of spontaneous circulation, then shouldn't all emergency rooms have the capability to initiate therapeutic hypothermia ?

    Like many rural EDs, my ED is only 18 bed and doesn't have a hypothermic unit. That seems like bad news for anyone having a heart attack that gets transported to a rural ED.
    Last edit by docomo on Jul 3, '13
  2. 6 Comments so far...

  3. Visit  JenRN55 profile page
    That's my hospital policy. We have a special cooling kit and protocol setup for spontaneous circulation.
  4. Visit  Sun0408 profile page
    Our ED placed tons of ice packs on these pts, once in the ICU we applied the cooling system and started the protocol..
  5. Visit  thelema13 profile page
    I'd love to get the equipment, we have to fight with PACU for our BAIR huggers.
  6. Visit  MunoRN profile page
    While it's highly preferable to use a purpose-built cooling system, there have been times where I've had more luck with wet towels and a fan in both getting a patient to temp and keeping them in range, so it is possible to do with what you have at any facility.
  7. Visit  turnforthenurse profile page
    We have cooling blankets with a rectal thermometer probe. Along with that, we place tons of ice packs on the patient to help cool them down.
  8. Visit  BrnEyedGirl profile page
    We use the cool guard,...but I'm in a larger level I trauma ED,...like someone else stated there is always ice bags and a temp foley!