User:Snleung/sandbox

The following are proposed edits to the "Drowning" article.

To "First Aid", third paragraph:

“Treatment for hypothermia may also be necessary. Previously, it was thought that maintaining post-cardiac arrest patients in a hypothermic state (32°C - 36°C) would result in better survival outcomes. However, according to the 2015 American Heart Association guidelines, targeted temperature management is advised against in the pre-hospital environment due to risk of further harm with no significant proven benefits. However, in those who are unconscious, it is recommended their temperature not be increased above 34 degrees C.[11] ”

To end of "Medical Care", first paragraph:

Targeted temperature management between 32°C - 36°C for at least 24 hours is indicated in comatose drowning patients post-cardiac arrest if return of spontaneous circulation (ROSC) has been achieved (Class I, LOE B-R for VF/pVT OHCA; Class I, LOE C-EO for non-VF/pVT (ie, “nonshockable”) and in-hospital cardiac arrest). This is important to improve neurological recovery.

Comments
Thank you for sharing your proposed article improvements. You did a nice job inserting your citation. I added in a Wikilink to American Heart Association. JenOttawa (talk) 21:19, 15 November 2018 (UTC)

Suggest changing the wording of the second sentence: "targeted temperature management is advised against" as this is hard to understand. Perhaps use the words "not recommended" or "the 2015 American Heart Association guidelines do not recommend targeted temperature management due to risk of further harm with no proven benefits." Is this recommendation just for pre-hospital TTM or TTM in all settings? HeatherMurray Queen&#39;s (talk) 18:31, 18 November 2018 (UTC)