Therapeutic hypothermiaThe use of therapeutic hypothermia for the treatment of patients with potential ischemia has been around for approximately 70 years. After rising and falling in popularity over the past half-century, therapeutic hypothermia has re-emerged as a cutting-edge, life-saving tool in the fight against potentially hypoxic brain injury. Although the evidence supporting this treatment is accumulating, additional research is needed to decide whether this treatment will become the new standard of care for these patients, or whether it will be abandoned. Over the past 25 years, EMS has undergone radical changes in the way we treat patients, with state-of-the-art emergency medicine and state-of-the-art equipment and with months of detailed and extensive training, the paramedic d Today is well equipped to handle every medical emergency. they can meet. But even though all of this progress has been made, the chances of a patient making a full recovery after an out-of-hospital cardiac arrest are extremely low. It is generally known that the brain does not respond well to hypoxic events. , in almost all situations the 5-7 minute "point of no return rule" is still recognized, but a large part of the problem is that brain damage will continue to occur for several hours after resuscitation , simply because the heart begins to beat. again, this does not mean that the ischemia has stopped. One study shows that while 17 to 25% of cardiac arrest patients survived to hospital admission, only 4 to 9% (Bernard) left the hospital neurologically intact. Some research, however, has shown that therapeutic hypothermia can help increase the chances that these patients will regain 100% of their neurological function by the time they leave the hospital...... middle of article..... . immune system response, hypoglycemia, hyperkalemia, generally lower cardiac index, high risk of nosocomial pneumonia secondary to decreased immune system response, altered clotting factors, and patient shivering which could negate the treatment itself. The role of EMS in therapeutic hypothermia is one of many important ones, who is the first to arrive on scene with these patients? Nine times out of ten, EMS is at the patient's side within minutes and who better than paramedics to start this therapy. The use of hypothermic fluids should generally continue for at least 12 hours after a sudden cardiac arrest. And given that the powerful effects of therapeutic hypothermia can be diminished by suspending treatment for even a few minutes, the EMS is by far in the best position to begin treatment in the field, before arriving at the 'hospital..