Title: Be Bold and Make Inpatients Cold
题目：要积极对住院（心脏骤停）病人降温
Author 作者: Haney Mallemat

Therapeutic hypothermia (TH) following out-of-hospital cardiac arrest (OHCA) has increasingly been utilized since it was first described. TH following in-hospital cardiac arrest (IHCA), on the other hand, is not as commonplace or consistent despite a recommendation by the American Heart Association (AHA).
院外心脏骤停（OHCA）后的低温治疗（TH）自从提出后应用越来越广泛。相反的，尽管美国心脏协会（AHA）已有规范，但TH在院内心脏骤停的应用还不普及或标准。
A recent prospective multi-center cohort-study demonstrated that of 67,498 patients with return of spontaneous circulation (ROSC) following IHCA only 2.0% of patients had TH initiated; of those 44.3% did not even achieve the target temperature (32-34 Celsius).
一个最近发表的前瞻性多中心研究发现，在67,498个IHCA抢救后有自主循环恢复（ROSC）的病人中，只有2.0%进行了TH，但其中有44.3%的病人没有达到目标体温（32－34C）。
The factors found to be most associated with instituting TH were:
与进行TH最相关的因素有：
• Younger patients
• 年轻的病人
• Admission to non-ICU units
• 收到非ICU病房
• Arrests occurring Monday through Friday (as compared to weekends)
• 骤停发生在从星期一到星期五（与周末相比）
• Arrests within teaching hospitals (as compared to non-teaching institutions)
• 骤停发生在教学医院（与非教学医院相比）

Bottom-line: Hospitals should consider instituting and adhering to local TH protocols for in-house cardiac arrests.
结论：医院要对院内心脏骤停病人严格按照TH实施方案进行TH。
References参考文献：
Mikkelsen, M. et al. Use of Therapeutic Hypothermia After In-Hospital Cardiac Arrest. Crit Care Med 2013 Jun;41(6):1385-1395