Survey of the use of therapeutic hypothermia after cardiac arrest in UK paediatric emergency departments. Issue 1 (2nd March 2012)

• Record Type: Journal Article
• Authors: Scholefield, Barnaby R; Lyttle, Mark D; Berry, Kathleen; Duncan, Heather P; Morris, Kevin P
• Is Part Of: Emergency medicine journal. Volume 30:Issue 1(2013)
• Page Start: 24
• Page End: 27
• Publication Date: 2012-03-02
• Subjects: Paediatrics -- emergency medicine -- cardiac arrest -- hypothermia -- paediatric emergency medicine -- resuscitation -- research -- clinical care -- emergency department; Emergency medicine -- Periodicals; 616.02505
• DOI: 10.1136/emermed-2011-200348
• Languages: English
• ISSNs: 1472-0205

Abstract

Abstract : Objectives: To ascertain current use of therapeutic hypothermia (TH) after paediatric cardiac arrest in UK emergency departments (EDs), and views on participating in a UK randomised controlled trial (RCT) incorporating early induction of TH in ED. Design: Anonymous web-based survey of 77 UK Emergency Medicine (EM) consultants from 28 UK EDs that see children during the period April–June 2010. Results: 62% (48/77) of surveyed consultants responded from 21/28 (75%) EDs. All managed children post cardiac arrest. 90% (43/48) were aware of the literature concerning TH after cardiac arrest in adults. However, 63% (30/48) had never used TH in paediatric practice. All departments had at least one method of inducing TH (surface cooling; air/water blankets; intravenous cold fluid or catheters). Reasons stated for not inducing TH included no equipment available (26%; 11/42), TH not advocated by the local PICU (24%; 10/42) and not enough evidence for its use (24%; 10/42). TH was considered based on advice from the local Paediatric Intensive Care Units (68%; 17/25) or likelihood of recovery after arrest (32%; 8/25). There was strong support for a UK RCT of TH versus normothermia (85%; 40/47). The proposed RCT was felt to be ethical (87%; 40/48) with use of deferred consent acceptable (74%; 34/46). Conclusion: UK EM consultants are aware of TH but infrequently initiate the therapy in children for a number of reasons. Their involvement would enable early induction of TH in EDs after paediatric cardiac arrest during a UK RCT. The authors have demonstrated the availability of suitable equipment and EM consultant support for participation in such a RCT.