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Optimizing Therapy in Post-Cardiac Arrest Care

Targeted temperature management (TTM) is the recommended standard of care for most post-cardiac arrest patients. Recent evidence supports its role in improving overall survival and brain function after resuscitation, but questions still persist: Which patients are ideal candidates for cooling? When should they be cooled? What’s the ideal temperature and method? What other therapies are important in post-cardiac arrest care? Join Dr. Frank Brodkey, Clinical Assistant Professor in Pulmonary & Critical Care Medicine at the University of Wisconsin School of Medicine and Public Health, for a fascinating discussion on TTM and other post-cardiac arrest care modalities.

Frank Brodkey, MD
Clinical Assistant Professor Department of Medicine Division of Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health Madison, WI
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Presentations
Frank Brodkey, MD
Clinical Assistant Professor Department of Medicine Division of Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health Madison, WI
(182)
17 Comments
Frank Brodkey, MD
Clinical Assistant Professor Department of Medicine Division of Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health Madison, WI
(258)
36 Comments
Frank Brodkey, MD
Clinical Assistant Professor Department of Medicine Division of Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health Madison, WI
(239)
150 Comments
Frank Brodkey, MD
Clinical Assistant Professor, Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI
(45)
10 Comments
Latest Comments
"This is a fairly classical presentation. It is too often missed by "casual" readings by a "fly-by-night" radiologist and ER-physician.

The major clue is patients age and the absence of "geographical" markers - It underscores the necessity of reading the CT yourself and keeping the clinical picture in mind.  - Very Good case.  Dr. Sackett did not live in vain (I only met him early in his Wisconsin career - and in the very easy days of CT in Madison)

Lesson: Always compare the clinical and the graphics."
Svend Gothgen, MD
36 Comments
"Great presentation Dr. Brodkey!  One additional method for temperature management that may be worth including (I do have a conflict of interest) is core temperature control through esophageal heat transfer.  A device designed to do just this (mimicking gastric lavage to some extent, but without relying on actual instillation of free liquid into the GI tract) is the Esophageal Cooling/Warming Device.  A growing body of literature is emerging showing quite good performance and ease of use, making it perhaps a solution for a number of sites that would prefer to initiate core cooling without needing large capital purchases (since the device utilizes existing water blanket chillers).  More details can be found at the link below."
Erik Kulstad, MD
Emergency Practitioner, Advocate Christ Medical Center
150 Comments
 

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