11th International Consensus Conference
Therapeutic Hypothermia – To Cool or Not To Cool?

To further examine the potential utility and optimization of therapeutic hypothermia, the Society of Critical Care Medicine (SCCM) is hosting the 11th International Consensus Conference (ICC), Therapeutic Hypothermia – To Cool or Not To Cool? During this two-day conference, experts from various disciplines will present scientific evidence and provide answers to the following questions:
1. What is mild therapeutic hypothermia?
2. Where is the clinical evidence supporting the use of mild therapeutic hypothermia?
3. Who else might we cool?
4. How should we cool? The devil is in the details!
5. Why we should not cool?

Discussions will address topics such as the effectiveness of various cooling techniques; management of patients with fever and abnormalities using temperature control; effects of hypothermia on drug metabolism, coagulation and infection; and optimal methods for re-warming patients.
At the end of the conference, a jury panel of 11 critical care experts will meet, review the evidence and presentations, and prepare a consensus statement on the issues raised.
The use of hypothermia for therapeutic purposes represents a technique with increasing levels of application. Evaluate the latest scientific information available so you can effectively utilize this exciting treatment to improve your patients’ outcomes.

Updated Agenda (as of December 17, 2008)

Thursday, April 23, 2009
7:30 a.m. – 8:00 a.m. Registration and Continental Breakfast
8:00 a.m. – 8:15 a.m. Introduction
Patrick M. Kochanek, MD, FCCM
Fritz Sterz, MD
Session 1: What Is Mild Therapeutic Hypothermia?
8:15 a.m. – 8:55 a.m. What Are Definitions and Physiological Effects of Mild Hypothermia?
David S. Warner, MD
8:55 a.m. – 9:35 a.m. Molecular Biology of Mild Hypothermia in Central Nervous System Injury: What Does It Effect?
Patrick M. Kochanek, MD, FCCM
9:35 a.m. – 9:50 a.m. Break
Session 2: Where Is the Clinical Evidence Supporting the Use of Mild Therapeutic Hypothermia?
9:50 a.m. – 10:30 a.m. In Ventricular Fibrillation Cardiac Arrest in Adults?
Wilhelm Behringer, MD
10:30 a.m. – 11:10 a.m. In Non-Ventricular Fibrillation Cardiac Arrest in Adults?
Michael Holzer, MD
11:10 a.m. – 11:50 a.m. In Perinatal Asphyxia?
Seetha Shankaran, MD
11:50 a.m. – 12:30 p.m. In Traumatic Brain Injury Patients – Does It Help with Intracranial Pressure Control?
Donald W. Marion, MD
12:30 p.m. – 1:30 p.m. Lunch
Session 3: Who Else Might We Cool?
1:30 p.m. – 2:10 p.m. Patients with Myocardial Ischemia?
Simon R. Dixon, MD
2:10 p.m. – 2:50 p.m. Patients with Stroke?
Stefan Schwab, MD
2:50 p.m. – 3:30 p.m. Patients with Pediatric Central Nervous System Insults?
Jamie S. Hutchison, MD
3:30 p.m. – 3:45 p.m. Break
3:45 p.m. – 4:25 p.m. Patients with Other Critical Care Medicine-Relevant Conditions?
Samuel A. Tisherman, MD, FCCM
4:25 p.m. – 5:05 p.m. Patients with Fever and Abnormalities in Temperature Control in the ICU?
Michael N. Diringer, MD, FCCM

Friday, April 24, 2009
7:30 a.m. – 8:00 a.m. Registration and Continental Breakfast
Session 4: How Should We Cool? The Devil Is in the Details!
8:00 a.m. – 8:40 a.m. With Intravenous Fluid Cooling?
Francis Kim, MD
8:40 a.m. – 9:20 a.m. With Surface Cooling?
Kjetil Sunde, MD, PhD
9:20 a.m. – 10:00 a.m. With Invasive Cooling?
Ken Nagao, MD
10:00 a.m. – 10:15 a.m. Break
10:15 a.m. – 10:50 a.m. At What Temperature Should We Monitor?
Fritz Sterz, MD
10:50 a.m. – 11:30 a.m. When Should We Initiate Cooling and for How Long?
Nicholas Deye, MD
11:30 a.m. – 12:30 p.m. What Drugs Should We Use to Supplement in Cardiac Arrest, Traumatic Brain Injury and Stroke?
W. Dalton Dietrich, PhD
12:30 p.m. – 1:30 p.m. Lunch
1:30 p.m. – 2:10 p.m. How Do We Re-Warm? Pathophysiology and Clinical Approaches
John T. Povlishock, PhD
Patrick M. Kochanek, MD, FCCM
Session 5: Why We Should Not Cool?
2:10 p.m. – 2:50 p.m. Implications of Hypothermia on Coagulation and Infection
Larry M. Gentilello, MD
2:50 p.m. – 3:30 p.m. Implications of Hypothermia on Drug Metabolism and Interactions
Samuel M. Poloyac, PharmD, PhD
Special Presentation
3:30 p.m. – 4:00 p.m. Traumatic Brain Injury: Trial Results
Peter Andrews, MD

Continuing Education

Target Audience
This continuing medical education offering is intended to meet the needs of nurses, pharmacists, physicians, respiratory therapists, and other providers who care for critically ill patients in the area of hypothermia.
Learning Objectives
At the conclusion of this conference, participants should be able to:
1. Define therapeutic hypothermia
2. Identify the diseases in critical care in which therapeutic hypothermia should be used
3. Identify the pros and cons of different cooling techniques and protocols, and define their appropriateness
4. Describe the physiological effects of therapeutic hypothermia on drug metabolism, coagulation and infection, and characterize other potential side effects
5. Identify additional diseases in critical care in which therapeutic hypothermia may have potential utility
6. Describe current recommendations for the prevention of fever in critically ill patients in neurocritical care

Credit Designations
Nurses – This activity has been approved by the California Board of Registered Nursing (provider #8181) for up to 14.25 contact hours.

Osteopathic Physicians – Complete the AOA Category 1-B form, which can be found online, to apply for credit individually.

Pharmacists – SCCM is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing education. This conference will provide up to 14.25 contact hours of continuing education credit (236-000-09-200-L01-P). Pharmacists must complete the online verification form. Upon submitting the form, a statement of credit can be downloaded.

Physicians/Physician Assistants – Accreditation Statement: SCCM is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Designation Statement: SCCM designates this educational activity for a maximum of 14.25 AMA PRA Category 1 Credits™. Physicians should claim credit commensurate with the extent of their participation in the activity.

For additional information, please call SCCM at +1 847 827-6869 or email education@sccm.org.