Reports of therapeutic hypothermia’s death are greatly exaggerated

I expect you’re completely #FOAMed out by the post-publication frenzy stirred up by the TTM Trial. If not, you’ve come to the right place! Mike collated the explosion of initial FOAM responses in All in a lather over TTM and there have since been notable additions such as Scott Aberegg’s Chill Out: Homeopathic Hypothermia after Cardiac Arrest… and ICN’s interview with TTM investigators Niklas Nielsen and Anders Aneman one week after TTM. Soon after, Charles Bruen came with his fascinating blogpost/podcast putting the latest studies in historical perspective: Therapeutic hypothermia: The history of general refrigeration.  Meanwhile I’ve been involved in discussions via Google Hangouts, reading what the big brains on the CCM-L listserv have written, been asking questions of one of the authors, and generally trying to get to grips with the strengths, weakness and implications of this study. So, have we entered the age of ‘homeopathic hypothermia’ as Scott Aberegg suggests tongue-in-cheekily? Or is there still life in therapeutic hypothermia post-arrest? I’ll start with the bottom line: If T36C is good enough for Stephen Bernard, it’s good enough for me too (plus he’s my boss) Screenshot from Twitter of Stephen Bernard speaking at the recent ACEM annual scientific meeting (via @HawkmoonHEMS) Here is the summary of the TTM trial from the newly updated LITFL CCC page on this topic: MCRCT, stratified accordi...
Source: Life in the Fast Lane - Category: Emergency Medicine Doctors Authors: Tags: Emergency Medicine Evidence Based Medicine Featured Health Intensive Care Resuscitation Bernard critical appraisal HACA Nielsen Targeted Temperature Management Therapeutic Hypothermia TTM Source Type: blogs