Virtual Journal Club February 2014: Target Temperature Management at 33 degrees C vs. 36 degrees C After Cardiac Arrest

This Month's Virtual Journal Club was a TAG TEAM EFFORT by: 

Scott "The Crusher" 

Jumpin' Jeff 

Joe "Baby Face" 

Here is a like to the original article from the New England Journal: http://www.nejm.org/doi/full/10.1056/NEJMoa1310519


Here is a summary:

Here are the questions: (For answers and CME Follow the SABA link below)

1.  A conclusion that can be made from this study includes

a.) No difference was noted between cooling to 33 versus 36 degrees in the study population.

b.) The rate of cooling is important in the overall survival of cardiac arrest patients

c.) The lower the temperature the more benefit was found with cooling in this study.

d.) Intravascular cooling is superior to external methods in terms of survival.

2. True or False: This study gives more evidence for the benefit of therapeutic hypothermia for out of hospital cardiac arrest?

3. The results of this study could be summarized as

a.) Showing a benefit to therapeutic hypothermia in cardiac arrest patients

b.) Showing no benefit to therapeutic hypothermia in cardiac arrest patients

c.) Showing no difference in outcomes to patients cooled to 33 C versus 36 C

d.) Showing a significant improvement in outcomes for patient cooled to 33 C versus 36 C

4. The 2005 AHA guidelines recommend:

a.) Cooling all cardiac arrest patients to a target temperature of 36 C

b.) Cooling patients with persistent altered mental status after cardiac arrest with vfib/vtach as a presenting rhythm to 36 C

c.) Cooling patients with persistent altered mental status after cardiac arrest with vfib/vtach as a presenting rhythm to 32-34 C

d.) Using catheter based systems as the primary mode of cooling for all cardiac arrest patients

5. This study population included

a.) only men age 18 or greater suffering out of hospital cardiac arrest

b.) patients with out of hospital cardiac arrest of all ages including children

c.) patients with out of hospital cardiac arrest limited to patients suffering from vfib/vtach or shockable rhythms

d.) patients with cardiac arrest age 18 or greater that suffered out of hospital cardiac arrest

SABA LINK: https://training.sabanow.net/Saba/Web/Main/goto/RegisterLaunchCatalog?offeringId=dowbt000000000037712