Targeted Temperature Management After Cardiac Arrest Due to Drowning: “Frequentist” and “Bayesian” Decision Making*

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Now, whenever we care for comatose survivors of out-of-hospital cardiac arrest (OHCA), we must decide the target for body temperature. Whether to select normothermia or hypothermia as the target in pediatric cases was recently reviewed by the International Liaison Committee on Resuscitation (ILCOR) and the American Heart Association (AHA) (1, 2). The recommendations (class IIa, moderate; level of evidence B-“Randomized”) provide us with two choices: 1) 5 days of targeting temperature 36–37.5°C (normothermia) or 2) 2 days of targeting temperature 32–34°C, followed by 3 days of normothermia.

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