Hypothermic Arrest [Adult] – European Resus Council Guidance 2021

True Hypothermic Arrest is thankfully rare in the UK. However, when it does happen it is resource intense and prolonged. The ERC 2021 guidance has introduced a new decision step HOPE score to the algorithm, once the Initial phase of resuscitation has been completed without ROSC.

If the is HOPE score is <0.1  the team may which to consider terminating CPR [Warning: Adults ONLY Children have better survival]

ECMO/ECLS would be ideal for those who score >0.1 – However, it tis not generally available locally, so we will generally rely on warming blankets, warm fluid, warm wash outs etc..


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