Prehospital Resuscitation Intranasal Cooling Effectiveness Survival Study 2

Inclusion Criteria

• •1. Adult out-of-hospital cardiac arrest patients with initial shockable rhythm
• •2. Unconsciousness defined as Glasgow Coma Scale \< 8
• •3. Inclusion within 20 minutes from EMS arrival
• •1. Age ≥ 80 years
• •2. Obvious non-cardiac causes to cardiac arrest
• •3. Obvious already hypothermic
• •4. Obvious barrier to placing intra nasal catheters
• •5. Have a known Do Not Attempt to Resuscitate (DNAR) order or other limitations in care
• •6. Have a known terminal disease
• •7. Known or clinically apparent pregnancy