Time to aMend TTM? A literature review on the practice of targeted hypothermia in post-cardiac arrest comatose patients

Pharmacist CE: This 2-hour, print or online monograph is a learning activity on Targeted Temperature Management (TTM). It is a cooling process utilized after cardiac arrest to slow metabolic processes, ischemia, and tissue damage after achieving return of spontaneous circulation (ROSC). While early studies found beneficial outcomes from this practice, more recent studies have not confirmed these results and have demonstrated harms associated with induced hypothermia. This article reviews the historical and current practice of TTM, associated benefits and risks, recent trials questioning the ongoing role of TTM in medical practice, and potential changes to post-cardiac arrest care.

Speaker/Author

Kelcy Sorensen, PharmD

PGY2 Critical Care Pharmacy Resident, Avera McKennan & University Health Center

Content Reviewer:

Nicole Newton, PharmD

Avera McKennan & Unversity Health Center

Fee

$20.00

CE Hours

2.00

CE Units

0.200

Activity Type

Knowledge

Target Audience(s)

Pharmacists

Accreditation(s)

Accreditation Information | The South Dakota State University College of Pharmacy and Allied Health Professions is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education

Requirements for CE Credit

To receive 2.0 contact hours (0.20 continuing education units) of continuing education credit, participants will read the provided article, answer the test questions and complete the course evaluation. If a score of 70% (4/5) is not achieved on the first attempt, participants can complete one retest at no additional charge. Credit upload to a participant's e-Profile account will be completed automatically following successful completion of this course. Please verify your NABP e-Profile ID and date of birth (month/day) are correct under your learner profile in Learning Express prior to submitting your evaluation.

This activity consists of information from pharmacist experts in the field. Partiipants must participate in the activity in its entirety to claim continuing pharmacy education credit. Follow the link online to complete the evaluation, learning assessment questions, and claim credit. Once credit is claimed, please allow two business days to check NABP to see the credit applied to your E-Profile ID number for completing this activity. Per ACPE requirements, CPE credit must be claimed within 60 days of being earned. After the 60-day deadline, South Dakota State University College of Pharmacy and Allied Health Professions will not be able to report your credit for this activity.

Pharmacists Learning Objectives:

1. Review current treatment guide.

2. Discuss the targeted temperature management (TTM) process.

3. Evaluate the risks and benefits of TTM.

4. Analyze literature that influences current TTM practices.

5. Predict how TTM may change in the future.

Technology and System Requirements for Preceptor Training:

The College of Pharmacy and Allied Health Professions offers both live and home study continuing pharmacy education programs. These programs are delivered in a variety of ways including in person live sessions, webinars, recorded videos and text-based activities.

Home study continuing education programs are hosted on the South Dakota State University website. Access to these activities does require an Internet connection. Recommended technology to view content on the website includes:

Operating Systems: Windows 10 or later, iOS (current), macOS, Android (current)

Browsers: Latest versions of Chrome, Safari, Firefox, Microsoft Edge (No longer supported - Microsoft Internet Explorer)

Minimum hardware requirements:

Processor: Minimum 1 GHz; Recommended 2 GHz or more
Ethernet connection (LAN) or a wireless adapter (Wi-Fi)
Hard drive: Minimum 32 GB; Recommended 64 GB or more
Memory (RAM): Minimum 1 GB; Recommended 4 GB or above
Sound card with speakers

Recommended sustained connection speed for videos: 2.5 Mbps

Webinar and video continuing education activities will also require speakers or headphones to listen to the audio.

Relevant Financial Relationship Disclosure: In accordance ACPE's Standard of Integrity and Independence in Accredited Continuing Education, South Dakota State University College of Pharmacy and Allied Health Professions requires that all individuals in control of content disclose all financial relationships with ineligible companies. An individual has a relevant financial relationship if they have had a financial relationship with an ineligible company in any dollar amount in the past 24 months and the educational content that the individual controls is related to the business lines of products of the ineligible company. An ineligible company is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by or used on patients. The presence of absence of relevant financial relationships will be disclosed to the activity audience.

Education Disclaimer: The author(s) of this continuing education activity have made reasonable efforts to ensure that all information contained herein is accurate in accordance with the latest available scientific evidence of the time of publication. However, becauswe information regarding medications, treatment guidelines, and other healthcare information is subject to constant change, the participant is advised to always confirm practice resources applying any learned information in practice. Activities produced by South Dakota State University College of Pharmacy and Allied Health Professions are intended solely to supplement health care professionals' knowledge. The opinions expressed in this educational activity are those of the author(s) and do not necessarily represent the views of South Dakota University College of Pharmacy and Allied Health Professions.