TO COOL OR NOT TO COOL
Does not satisfy criteria for therapeutic hypothermia
Satisfies criteria for therapeutic hypothermia
Qualifying Criteria
Is the Gestational age ≥ 35 weeks
Is the birth weight > 1800 gms
Criteria A
Apgar ≤ 5 @ 10 minutes
Cord or first hour arterial gas base excess ≥ 16
IPPV ≥ 10 minutes
Cord or first hour arterial gas pH ≤ 7
Criteria B
Decreased level of consciousness
Decreased or no spontaneous activity
Abnormal posture
Decreased Tone
Weakness in any primitive reflexes ( Moro or suck )
Constricted or variable pupils
Bradycardia or variable heart rate
Shallow breathing or apnea
Seizure