Survey of the use of therapeutic hypothermia after cardiac arrest in UK paediatric emergency departments

Scholefield, Barnaby R.; Lyttle, Mark D.; Duncan, Heather P.; Scholefield, Barnaby. R.; Lyttle, Mark; Duncan, Heather. P.; Berry, Kathleen; Morris, Kevin P.

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.

• Journal Article Type: Article
• Publication Date: Jan 1, 2013
• Journal: Emergency Medicine Journal
• Print ISSN: 1472-0205
• Electronic ISSN: 1472-0213
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 30
• Issue: 1
• Pages: 24-27
• DOI: https://doi.org/10.1136/emermed-2011-200348
• Keywords: therapeutic hypothermia, cardiac arrest, UK paediatric, emergency departments
• Public URL: https://uwe-repository.worktribe.com/output/936336
• Publisher URL: http://dx.doi.org/10.1136/emermed-2011-200348