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dc.contributor.authorBoyce, R
dc.contributor.authorHayes, K
dc.contributor.authorMitchell, M
dc.contributor.authorCzamanski, J
dc.contributor.authorJudge, C
dc.date.accessioned2017-05-03T13:51:34Z
dc.date.available2017-05-03T13:51:34Z
dc.date.issued2011
dc.date.modified2012-08-20T23:00:27Z
dc.identifier.issn1036-7314
dc.identifier.doi10.1016/j.aucc.2010.12.038
dc.identifier.urihttp://hdl.handle.net/10072/46453
dc.description.abstractIntroduction: Out of Hospital Cardiac Arrest (OOHCA) is associated with high mortality and morbidity (65-95%) and early active hypothermia protects the brain from further ischemic injury. Guidelines for early hypothermia are available, however, adherence and related issues are not known. Aim: This project aimed to identify issues with the implementation of OOHCA clinical Guidelines. Methods: A retrospective chart audit was conducted for a 12-month period on all patients presenting at the Emergency Department following OOHCA. Ethical approval was received. Results: 42 patients met the inclusion criteria. Of these 33 were admitted to ICU. At 'target time' (2 h), 4 patients were 'at goal'. Forty-five percent of patients had cooling initiated within 1 h of admission; however, 51% were not cooled at all. The most frequent cooling method was a cooling blanket, followed by cooling hat or vest. Fifty-five percent had a target temperature documented but only 27% of these were in line with the Guidelines. Discussion: The Guidelines were not well adhered to and the issues were interdisciplinary. At times, orders were inconsistent with the Guidelines and cooling resources, (such as fluids) were underutilised. Improvements to adherence should be directed to interdisciplinary education thereby increasing awareness of this important intervention. Adequate resources are essential and need to be readily available. Conclusion: This audit highlighted a lack of adherence to Gold Standard patient hypothermia Guidelines with only 12% at the 2 h target. The identified issues were interdisciplinary and centre on awareness and accurate, timely implementation.
dc.description.publicationstatusYes
dc.languageEnglish
dc.publisherElsevier
dc.publisher.placeUnited States
dc.publisher.urihttps://www.sciencedirect.com/science/article/pii/S1036731410001980?via%3Dihub
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofconferencenameThe 35th Australian and New Zealand Annual Scientific Meeting on Intensive Care
dc.relation.ispartofconferencetitleAUSTRALIAN CRITICAL CARE
dc.relation.ispartofdatefrom2010-10-14
dc.relation.ispartofdateto2010-10-16
dc.relation.ispartoflocationMelbourne, Australia
dc.relation.ispartofpagefrom67
dc.relation.ispartofpageto68
dc.relation.ispartofissue1
dc.relation.ispartofvolume24
dc.rights.retentionY
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchAcute care
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode420501
dc.titleOut of Hospital Cardiac Arrest - Are we cooling enough?
dc.typeConference output
dc.type.descriptionE3 - Conferences (Extract Paper)
dc.type.codeE - Conference Publications
gro.date.issued2011
gro.hasfulltextNo Full Text
gro.griffith.authorMitchell, Marion L.


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    Contains papers delivered by Griffith authors at national and international conferences.

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