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Comment & Response |

Prehospital Therapeutic Hypothermia in Patients With Out-Of-Hospital Cardiac Arrest

Antonio Maria Dell’Anna, MD1; Fabio Silvio Taccone, MD1
[+] Author Affiliations
1Department of Intensive Care, Erasme Hospital, Brussels, Belgium
JAMA. 2014;311(21):2233. doi:10.1001/jama.2014.2670.
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To the Editor Dr Kim and colleagues1 investigated the benefits of prehospital therapeutic hypothermia in patients successfully resuscitated from out-of-hospital cardiac arrest when compared with standard in-hospital cooling. Although this study confirmed2 that prehospital cooling is effective in reducing patients’ temperature and in achieving the target of 34°C earlier, Kim et al1 found no differences either in survival rates or in intact neurological outcomes between the 2 strategies. Some important issues should be further discussed to better interpret the results.


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June 4, 2014
Francis Kim, MD; Charles Maynard, PhD; Graham Nichol, MD, MPH
1Department of Medicine, University of Washington, Seattle
2Department of Health Services, University of Washington, Seattle
JAMA. 2014;311(21):2233-2234. doi:10.1001/jama.2014.2679.
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