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* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Appendix A. Survey text. Please provide the following information. We will not share your contact information. Name: _________________________________________________ Hospital name: __________________________________________ Hospital city/town: _______________________________________ Hospital ZIP code: _______________________________________ Your position/title: ________________________________________ Your email address: ______________________________________ Your phone number: ______________________________________ Which of the following best describes your hospital’s cardiac catheterization capabilities? □ No cardiac catheterization lab □ Diagnostic catheterization lab only □ Interventional catheterization lab with limited hours □ 24/7 Interventional catheterization lab 3. Does your hospital have a therapeutic hypothermia protocol for adult patients who are comatose following cardiac arrest? □ Yes □ No □ I don’t know 4. When was your therapeutic hypothermia protocol introduced? □ Before 2009 □ 2009 □ 2010 □ 2011 □ I don’t know 6. To which of the following rhythm(s) does your protocol apply? □ Ventricular fibrillation/ventricular tachycardia (VF/VT) □ Pulseless electrical activity (PEA) □ Asystole □ Other □ I don’t know 6. In 2010, approximately how many out-of-hospital cardiac arrest patients that were treated in your emergency department had return of spontaneous circulation (pulses) such that they were admitted or transferred to another facility? □ None □ 1-5 patients □ 6-10 patients □ 11-20 patients □ 21-40 patients □ 41-60 patients □ >60 patients □ I don’t know 7. In 2010, approximately how many out-of-hospital cardiac arrest patients who were treated in your emergency department received therapeutic hypothermia? □ None □ 1-5 patients □ 6-10 patients □ 11-20 patients □ 21-40 patients □ 41-60 patients □ >60 patients □ I don’t know 8. Which of the following best describes your hospital’s intensive care unit (ICU)? □ No ICU □ ICU, no intensivist □ ICU with intensivist, limited in-house coverage □ ICU with 24/7 in-house intensivist coverage 9. Does your hospital have a cardiac arrest team including emergency medicine, nursing, cardiology, neurology, and critical care personnel? □ Yes □ No 10. May we contact you at the email address and phone number you provided if we need additional information related to this project? □ Yes □ No