The next thing you'll see are two different mega code videos, you'll see an in hospital mega code and an out of hospital mega code. But either way, they both provide you with the same information, pay attention to the different algorithms that we're going to go through. Focus on post cardiac arrest care. And that's going to include a brand new set of vital signs, you want bloodwork X ray, a chest X ray to make sure that the tube is still in the right place, post arrest EKG, but one of the main things that they're going to discuss is inducing hypothermia in the post cardiac arrest phase. So they're going to call it targeted temperature management or hypothermia. But regardless what the what the goal is, is to calm the patient down, we want to slow down their metabolism.

So here's how we do it, as long as they're intubated, and as long as they're comatose. We want to make them cold. You can use cold sailing You can use cooling blankets, you can use the Arctic sun, whatever resources you have our job is to cool the patient down to a target temperature range of 32 to 36 degrees Celsius for at least 24 hours, want to cool them down, let their brain have a chance to relax. And then after that 24 hour period, the intensivist or the neurologist is going to do brain scans and things like that to see if there were any deficits. And if there were, how bad are they? So inducing hypothermia should be considered.

Now there's also a main contraindication to inducing hypothermia. And that's going to be if your patient is responding to verbal commands, keeping in mind that the only way that we can induce hypothermia is if your patient is comatose and intubated. So if your patient has responded to verbal commands, are they comatose? Nope. So that was going to be a contraindication to inducing hypo thermia.