Ethical Challenges Related to Therapeutic Hypothermia and Discussions About Prognosis
Studies have shown that therapeutic hypothermia, also known as Targeted Temperature Management (TTM), has proven beneficial by improving outcomes in unconscious survivors of out-of-hospital cardiac arrest. While administering this therapy it is difficult for clinicians to provide clear prognostication to families; in fact, determination of neurological prognosis is unreliable before at least 72 hours post-rewarming. The clinician’s prognosis for survival, awakening from coma or future quality of life can strongly influence decisions regarding the continuation of life-sustaining treatments. This poses ethical challenges for clinicians.
Physicians, Physician Assistants, Nurse Practitioners, Respiratory Therapists, Medical Students and other interested healthcare professionals.
- Explain how Targeted Temperature Management (TTM) can affect the ability to prognosticate patient outcomes.
- Utilize an effective communication approach to explain prognosis uncertainty to legal decision makers.
- Recognize the limitations that the TTM process brings regarding decisions to appropriate withdrawal of life-prolonging interventions.
Eduardo Martinez-Dubouchet, M.D.
Associate Medical Director of eICU
Baptist Health South Florida
Eduardo Martinez-Dubouchet, M.D., indicated that neither he nor his spouse/partner has relevant financial relationships with commercial interest companies, and he will not include off-label or unapproved product usage in his presentation or discussion.
Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.
Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 AMA PRA Category 1 Credit™
- 1.00 General certificate of attendance
- 1.00 Nurse Practitioners
- 1.00 Florida Board of Respiratory Therapy
This site is supported on the most recent stable releases of the following browsers:
This site is supported on the following mobile devices:
If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.