Less than half of victims who develop return of spontaneous circulation (ROSC) survive to leave the hospital alive, and the cause of death is anoxic brain injury in most patients with ROSC who die within one month of the cardiac arrest.
Inducing mild therapeutic hypothermia in selected patients surviving out-of-hospital sudden cardiac arrest has a major impact on long-term neurologically intact survival and may prove to be one of the most important clinical advancements in the science of resuscitation.
Targeted temperature management (TTM), previously known as mild therapeutic hypothermia, in selected patients surviving out-of-hospital sudden cardiac arrest can significantly improve rates of long-term neurologically intact survival and may prove to be one of the most important clinical advancements in the science of resuscitation.
Once a doctor has been suspended they are not allowed to legally practise as a doctor.
Three phases of TTM include induction, maintenance, and rewarming.
Rewarming can be begun 24 hours after the time of initiation of cooling, with avoidance of hyperthermia.
Nonetheless, the defensibility of the contention that someone can be better off dead has been the subject of extensive philosophical deliberation.
Those who claim that a person can be better off dead believe this to be true when the life that remains in prospect for that person has no positive value for her (a possibility which is discussed by e.g., Foot, 1977; Mc Mahan 2002, ch.