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Intact neurological status after induced therapeutic hypothermia in cardiac arrest
Muhammad Mubashir Zahid1, Rabia Shahzad Siddiqui1, Abdel H. Noureldin2
1Emergency Medicine Resident, Tawam Hospital, Al Ain, United Arab Emirates.
2Program Director Emergency Medicine, Tawam Hospital, Al Ain, United Arab Emirates.

Article ID: 100005CRINTMZ2014
doi:10.5348/crint-2014-5-CR-3

Address correspondence to:
Muhammad Mubashir Zahid
P.O. Box 15258, Tawam Hospital, Emergency Department
Khalifa Ibn Zayed Street
Al Maqam, Al Ain, Abu Dhabi
United Arab Emirates
Phone: 00971555806487
Email: drmubashirzahid@hotmail.com

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How to cite this article:
Zahid MM, Siddiqui RS, Noureldin AH. Intact neurological status after induced therapeutic hypothermia in cardiac arrest. Case Rep Int 2014;3:10–13.


Abstract
Introduction: Cardiac arrest patients in whom return of spontaneous circulation (ROSC) is achieved after resuscitation frequently develop irreversible neurological impairments owing to hypoxic injury and reperfusion induced cell death. Therapeutic hypothermia has become a standard strategy in specific unconscious adult patients with ROSC after out-of-hospital cardiac arrest (OHCA) as per American Heart Association (AHA) guidelines.
Case Report: A 48-year-old South Asian male arrived to our emergency department with 20 minutes duration of OHCA with no basic life support (BLS) measures en route to hospital. His initial rhythm was ventricular fibrillation and he had ROSC after 13 minutes of cardiopulmonary resuscitation (CPR) and subsequently underwent therapeutic hypothermia for 24 hours and recovered completely without neurological impairment after eight days of incident.
Conclusion: Therapeutic hypothermia in eligible cardiac arrest patients is an important component of the post-cardiac arrest care in the AHA chain of survival. The AHA chain of survival is a chain of five interdependent links for cardiac arrest and comprises early recognition, early CPR, early defibrillation, early advanced cardiac life support and post-cardiac arrest care. It has substantial benefits on patient outcome. The ease of administration and positive clinical outcome should encourage other medical professionals to avail this modality.

Keywords: Therapeutic hypothermia, Hypertrophic obstructive cardiomyopathy, Cardiac arrest


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Author Contributions
Muhammad Mubashir Zahid – Substantial contributions to conception and design of this manuscript, Acquisition of data with analysis and interpretation of data, Drafting of this manuscript and revising it for important intellectual content, Final approval of the version to be published.
Rabia Shahzad Siddiqui – Contributed to conception and design of this manuscript, Acquisition of data with analysis and interpretation of data, Drafting of this manuscript, Final approval of the version to be published.
Abdel H. Noureldin – Substantial contributions to conception of this manuscript, Drafting and revising it for important intellectual content, Final approval of the version to be published.
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Muhammad Mubashir Zahid et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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