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Don't have snow on the ground where you live? 
Perhaps it's been a minute since you reviewed the lit? Those unfamiliar w/ hypothermic arrests underestimate true survival; brief review...
1/5 #MedTwitter
Perhaps it's been a minute since you reviewed the lit? Those unfamiliar w/ hypothermic arrests underestimate true survival; brief review...1/5 #MedTwitter
ACLS should be modified, less defib d/t less responsive heart & less meds d/t decreased metabolism 
ESC & AHA guidelines differ, so best to know which protocol your hospital follows
2/5 #MedTwitter @American_Heart @escardio
ESC & AHA guidelines differ, so best to know which protocol your hospital follows 2/5 #MedTwitter @American_Heart @escardio
VA-ECMO is standard of care for hypothermic arrests w/ two scores developed to estimate survival probability - neither of which use initial presenting rhythm 
i.e. asystole is NOT an exclusion criteria for VA-ECMO in hypothermic arrests
3/5 #MedTwitter
i.e. asystole is NOT an exclusion criteria for VA-ECMO in hypothermic arrests
3/5 #MedTwitter
The HOPE score has less publication bias than the ICE score by removing case reports & it performs better than K+ alone
Model available here: https://www.hypothermiascore.org
4/5 #MedTwitter
Model available here: https://www.hypothermiascore.org
4/5 #MedTwitter
Hospitals will differ in their protocols; here is what is used @TamingtheSRU 
hypothermia w/o trauma: http://www.tamingthesru.com/clinical-practice-guidelines
Stay warm, friends
#MedTwitter 5/5
hypothermia w/o trauma: http://www.tamingthesru.com/clinical-practice-guidelinesStay warm, friends
#MedTwitter 5/5
