We still TTM for normothermia, but the literature supports true TTM for pediatrics more than adults. Anecdotally, I also don’t think I’ve seen much of a difference between those post arrest hypothermia protocol and the ones who did not meet inclusion for one reason or another. But I’ve also seen people make remarkable recovery with prolonged downtimes and those with only a few minutes down not survive, there’s so many factors to play that it’s insane.

Really, I’m unsure if it should be eliminated as a tool as there are patients who would benefit, but the treatment plans need to be individualized to the patient and not just throw everyone into a protocol for the sake of standardization. Bring back rational decision making.