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The S.P.A.R.C Network Insert sparc logo here The Facts… 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 Why????? – 10% – First 72 hours – Potential How it works… 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 Patient cooled to 32-34ºC – Methods used up to the discretion of each hospital 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… Crushed Ice (Bags) Cold Saline Infusions Cooling Blanket ThermoSuit™ Arctic Sun® Neural Cooling Device The S.P.A.R.C. Network is… 43 Hospitals Up to date evidence reviews Standardized Protocols Implementation Tools Collaboration Data Collection and Feedback Knowledge Translation 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”