The therapeutic hypothermia after resuscitated cardiac arrest caused by ventricular fibrillation: a retrospective study in Saint Pierre University Hospital
Bibliographic record
Abstract
Background: Therapeutic hypothermia is recommended as soon as possible for the neurological protection of comatose patients after cardiorespiratory arrest (CA) caused by pulseless ventricular fibrillation (VF) or tachychardia (VT). This retrospective study evaluates the adherence to the hypothermia protocol in Emergency Department and Intensive Care Units of Saint Pierre University Hospital (SPUH). Methods: Retrospective analyses of the database records from the 1st January 2005 to the 31st December 2010 concerning all the out-of-hospital arrests due to ventricular fibrillation admitted alive in the hospital. Transferred or NTBR patients were excluded. Results: Of the 72 patients studied, 68% were discharged alive from the hospital, of which 84% were free of neurological sequelae. Hypothermia was used in 44 patients, unjustified in 5 cases. There were also 5 cases for which it was needed, but not applied. Hypothermia (32°C – 34°C) was achieved in a median time of 9.5 hours (range: 1.5 hours – 39 hours) and lasted a median 21 hours (range: 7 hours – 31 hours). Hypothermic patient survival was 72.7%, with 81% good neurological outcome. Conclusion: The protocol application in our small study gives as good figures as previous studies. Few errors of inclusion and exclusion are still present. Implementation of a common protocol for Emergency Medical Service (EMS), Emergency Department (ED) and Intensive Care Unit (ICU) would shorten the time to obtain the target temperature. The creation and implementation of a specific register with CA patients who received hypothermia would lead to a better medical follow-up for the patient and improve the current knowledge related to this technique.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".