Is the policy of “no active re-warming in the emergency department” adequate for therapeutic hypothermia after cardiac arrest

Is the policy of “no active re-warming in the emergency department” adequate for therapeutic hypothermia after cardiac arrest

“…The National Institute for Health and Clinical Excellence (NICE) recommend that after out of hospital cardiac arrest (OHCA) in patients with return of spontaneous circulation (ROSC), therapeutic hypothermia is induced "as soon as possible" to maintain core body temperature at 32-34°C for 12-24 hours. [1] Surface or internal cooling techniques are technically challenging in the Emergency Department (ED), instead we have a policy of 'No active re-warming' in our department. This study aimed to assess the adequacy of this policy.…”