Hypothermia therapy in the setting of cardiac arrest has made significant strides by eV6T5Z



Contact: Ryan Gerds
         Public Information Officer
         Munroe Regional Medical Center
         Phone: (352) 402-5206 x0
         E-Mail: ryangerds@mrhs.org

Wednesday, September 16, 2009

   Munroe Regional Medical Center Implementing “Code Chill” On
              Sudden Cardiac Arrest Patients to Save Lives

           Munroe is the first in the region to offer this innovative,

                            non-invasive technology

Ocala, FL, September 16, 2009 – Munroe Regional Medical Center is pleased
to announce that it will be launching, effective October 1st, 2009, an innovative
program to treat patients who are experiencing sudden cardiac arrest with
hypothermia therapy. This program has been developed in partnership with
Marion County Fire Rescue and Ocala Fire Rescue and is the first in the region
with this innovative, non-invasive technology.

The Arctic Sun is a temperature management system developed by Medivance,
Inc. and is the first non-invasive patient cooling system that quickly and easily
controls, monitors, and precisely maintains core body temperature in a
therapeutic range. The therapy can be used for patients who experience cardiac
arrest and remain in a comatose state.

“By implementing a “Code Chill” with induced hypothermia, we can
dramatically improve the lives of patients presenting with cardiac arrest –
previously a dismal outcome,” said Lon McPherson, MD, Sr. VP, Medical
Affairs and Chief Quality Officer at Munroe Regional Medical Center. “We
are excited to partner with our local EMS providers, Emergency Department
physicians, and intensivists to provide this level of advanced care at

“Hypothermia therapy in the setting of cardiac arrest has made significant
strides to improve neurological outcomes. There is a growing body of
research using this therapy to improve patient outcomes. Currently in the
Unites States, a patient has a 3-6 percent chance of return of spontaneous
circulation (ROSC) after suffering a cardiac arrest. In Marion County,
through the efforts of Ocala Fire Rescue, Marion County Fire Rescue and
the community hospitals we have improved that rate to 13-18 percent (three
times the state and national average),” said Frank A. Fraunfelter, MD,
Medical Director Marion County Fire Rescue/Ocala Fire Rescue.
“Ultimately, 40 percent of these patients have some type of neurological
deficit, likely related to cell mediated death. Hypothermia protocols look to
improve the neurological outcomes of this subset of patients. The results
of instituting these protocols in other areas of the country has been
nothing short of remarkable. EMS will begin cooling in the field
coordinating care with the receiving hospital, ultimately improving the
patients chances of surviving neurologically intact.”

The Arctic Sun is a cutting-edge device that cools the body to around 91 degrees
Fahrenheit, causing mild hypothermia to slow down brain activity. Lowering the
body temperature in this way decreases the amount of oxygen the brain uses,
thus protecting the brain and limiting permanent brain damage. The American
Heart Association recommends inducing moderate cooling of the body within 6
hours after cardiac arrest and sustaining that temperature, followed by gradual
warming, increases the patient’s chances to survive with improved neurological
function. During that period of time, the patient receives medication to prevent
shivering, which is the body's normal response to a lowered body temperature.
The patient's temperature is monitored continuously using a temperature probe
inserted into the bladder, esophagus or rectum. The emergency department,
intensive care units and Munroe’s intensivist physicians, who specialize in the
treatment for critically ill patients, work together to coordinate the cooling

The market leading Arctic Sun features a comprehensive approach to
temperature management. The system consists of two components: a set of
pads that cover portions of the patient’s skin (torso and legs), and a control
system that circulates temperature-controlled water. The ArcticGelTM Pads
feature hydrogel, which emulates water immersion (the most immediate and
effective means to reduce core body temperature), ensures direct contact with
the skin to maximize performance and ensure patient safety. Arctic Sun’s
patented feedback control system precisely manages the patient’s temperature in
all phases of the treatment (induction, maintenance, and re-warming).
For more information please contact Ryan Gerds, Public Information Officer, at
(352) 402-5206 or by email at ryangerds@mrhs.org.

Munroe Regional Medical Center is a 421-bed not-for-profit acute care hospital
whose mission is to improve the health of our community by delivering
compassionate innovative care through exceptional people doing extraordinary

Munroe is located at 1500 SW 1st Ave, Ocala, Florida. Website address is
www.MunroeRegional.com. Main telephone number is (352) 351-7200.

Munroe Regional Medical Center’s Emergency Center at TimberRidge is located
at 9521 SW State Road 200, Ocala, Florida. Telephone number is: (352) 351-


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