Critical Care

official impact factor 4.60

Commentary

Number needed to treat = six: therapeutic hypothermia following cardiac arrest – an effective and cheap approach to save lives

Bernd W Böttiger*, Andreas Schneider and Erik Popp

Author Affiliations

Department of Anaesthesiology, University of Heidelberg, Germany

For all author emails, please log on.

Critical Care 2007, 11:162 doi:10.1186/cc6100

Published: 31 August 2007

Abstract

In 2005, the European Resuscitation Council (ERC) guidelines stated: Unconscious adult patients with spontaneous circulation after out-of-hospital ventricular fibrillation cardiac arrest should be cooled to 32 to 34°C for 12 to 24 hours. Patients with cardiac arrest from a non-shockable rhythm, in-hospital patients and children may also benefit from hypothermia. There is no argument to wait. We have to treat the next unconscious cardiac arrest patient with hypothermia.