I would like to obtain information related to the management of out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA) and the approach to targeted temperature management (TTM) in patients admitted to Maidstone and Tunbridge Wells NHS Trust following sudden cardiac arrest.
1) Can you please describe what guidelines are currently used in NHS Acute Trust Name for the management of OHCA and IHCA? Please attach a copy of Trust’s protocols for the management of OHCA.
2) Has Maidstone and Tunbridge Wells NHS Trust incorporated the European Resuscitation Council Guidelines for Resuscitation 2015 into Trust’s post cardiac arrest care protocols?
3) Can you please confirm if TTM is incorporated as part of the OHCA management in Maidstone and Tunbridge Wells NHS Trust? If yes, can you please confirm:
a. what is the target temperature?
b. what method or equipment is currently used to ensure that the target temperature is achieved and maintained?
c. which staff members are currently responsible for delivering TTM as part of OHCA management?
d. What proportion of OHCA that arrive at Maidstone and Tunbridge Wells NHS Trust that receive TTM
4) Can you confirm whether TTM is part of the OHCA training curriculum for the members of the resuscitation and advanced life support team and critical care team at Maidstone and Tunbridge Wells NHS Trust? Please include any relevant training materials and checklist currently in use.
5) Please provide data on outcomes for patients who had suffered OHCA and have been treated in Maidstone and Tunbridge Wells NHS Trust. Can you please tell us the number of patients who suffered OHCA and were admitted to Maidstone and Tunbridge Wells NHS Trust for the period from 2014 to 2019 (please include yearly breakdown where available) that:
a. have resulted in a poor outcome, such as severe neurological disability, persistent vegetative state or death (CPC scores 3, 4, or 5);
b. have been discharged with a good neurological outcome (CPC 1 or 2).