Cardiac Arrest Care

TTM at our Cardiac Arrest Center

At the Charité-Universitätsmedizin Berlin TTM has for many years been an established part of standard therapy after resuscitation. The therapy follows a regularly revised, written Standard Operating Procedure (SOP), which spells out in detail all steps of the therapy as well as possible complications and their therapy. You will find the download of our SOP in the right-hand column in order to gain a detailed insight into the sequence of our therapy. Several times a year a regular training for beginners takes place as well as refresher courses for physicians and nurses. In addition key persons have been designated as contact individuals and multipliers. In this way it is insured that every patient receives this standard therapy in accordance with the most up-to-date results of clinical research and the guidelines of the medical associations. An integral component of the SOP is a process of establishing the prognosis after resuscitation and TTM. It is known that  previously applied biomarkers and functional testing can be influenced by TTM and thus must be interpreted differently (for example threshold values).
The prognosis algorithms are constantly revised and adapted to the current research.  This represents a further constituent for a secure and valid prognosis assessment at the Charité-Universitätsmedizin Berlin.

Within the framework of our quality control the therapy outcomes are pseudonymously archived and can be retrieved from a data bank.

Until now more than 600 patients have been treated with TTM at the Charité.
With a click on the pie charts they can be enlarged.

After introduction of TTM at the Charité the neurological outcome of our patients has significantly improved in comparison with a historical control group. A confounder in the neurological evaluation is the so-called “self-fulfilling prophecy”, that is, a poor outcome is expected due to unfavorable examination results or the circumstance of a long duration of cardiac arrest and thus the prophecy occurs due to an unconscious withdrawal of therapy. In order to avoid this phenomenon our patients are initially treated for at least one week at the Intensive Care Unit and neurological examinations at various time points are made.