Hypothermia Protocols

Each link below will open a file containing the therapeutic hypothermia protocol from the institution shown. Members of the providing institutions have agreed to share their work for the sake of improving post-resuscitation care. Check back often, as we hope to add new protocols frequently. We now also have a protocol in Spanish, from the Hospital Rafael Ángel Calderón Guardia in Costa Rica.

Please note that these protocols, while endorsed by the home institution, are not formal guidelines endorsed by any national organization. These protocols may not be directly applicable to other institutions, and therefore should be evaluated carefully. Finally, while attempts will be made to update these protocols periodically, there are no guarantees that these are completely up-to-date.

Last Updated: February 7, 2020

• University of Pennsylvania Post-Cardiac Arrest TTM Guidelines Current as of 2/7/2020
• University of Pennsylvania Post-Cardiac Arrest Nursing Check List Current as of 2/7/2020

• Children's Hospital of Pennsylvania Cooling Protocol
• Albany Medical Center Hypothermia Orders and Protocol
• Albert Einstein Medical Center Hypothermia Order Set and Protocol Current as of 11/9/12
• Alegent Health Therapeutic Hypothermia 9/13/2010
• Allegheny General Hospital Hypothermia Protocol
• Aspirus Wausau Hospital Therapeutic Hypothermia Order Set 9/20/11
• Baptist Health South Florida Hypothermia Protocol Current as of 6/4/09
• Barnes-Jewish Hospital/Washington University School of Medicine Hypothermia Protocol Current as of 12/15/08
• Bay Health Medical Center ICU Hypothermia Protocol Current as of 8/6/10
• Bay Health Medical Center ED Hypothermia Protocol Current as of 8/6/10
• Baylor College of Medicine: St. Luke's Hospital Hypothermia Protocol
• Bronson Methodist Hospital Therapeutic Cooling Critical Care Protocol Current as of 7/21/11
• Central Maine Medical Center Therapeutic Hypothermia Guideline Current as of 11/21/11
• Chesapeake Regional Medical Center Therapeutic Hypothermia Protocol Current as of 10/27/11
• Chester County Hospital Hypothermia Protocol Current as of 7/12
• Chicago Advocate Christ Hospital Hypothermia Protocol
• Community Memorial Health Hypothermia Order Set Current as of 10/26/10
• Community Memorial Health Hypothermia Policy Current as of 10/26/10
• Crozer Keystone Health System Hypothermia Protocol (Upland, PA) Current as of 4/13
• Crozer Keystone Health System Nursing Flow Sheets (Upland, PA) Current as of 4/11
• Davie Fire Rescue Hypothermia Protocol Current as of 1/26/11
• Davie Fire Rescue Hypothermia Flow Chart Current as of 1/26/11
• Deborah Heart and Lung Center Hypothermia Protocol Current as of 2/4/11
• Deborah Heart and Lung Center Hypothermia Order Set Current as of 2/4/11
• Dignity Health Hypothermia Protocol Current as of 12/4/2013 [doc]
• Dignity Health Hypothermia Order Set  Current as of 12/4/2013
• Ellis Medicine Hypothermia Protocol Current as of 5/16/11
• Ellis Medicine Hypothermia Protocol ED Current as of 5/15/11
• Ellis Medicine Hypothermia Protocol with Coag Changes Current as of 5/16/11
• Erie County Medical Center Corporation Post-Cardiac Arrest/Induced Hypothermia Order Set Current as of 7/16/09
• Erie County Medical Center Corporation Post-Cardiac Arrest/Induced Hypothermia Policy and Procedure Current as of 7/16/09
• Fort Belvoir Community Hospital Hypothermia Protocol Current as of 3/21/12
• Fox Chase Cancer Center Therapeutic Hypothermia Order Set Current as of 9/2/11
• Fox Chase Cancer Center Standard of Practice for Therapeutic Hypothermia Current as of 2/13
• Fire Department New York City 09/13/10
• Gundersen Lutheran Medical Center Adult ICU Hypothermia protocol Current as of 4/11/12
• Gundersen Lutheran Medical Cetner Adult TEC Hypothermia protocol Current as of 4/11/12
• Hammersmith Hospital, Imperial College Healthcare NHS Hypothermia Protocol (London, UK)
• Henrico Doctor's Hospital - Forest Campus Hypothermia ED Order Set Current as of 8/3/11
• Henrico Doctor's Hospital - Forest Campus Hypothermia Bridge Order Set Current as of 8/3/11
• Henrico Doctors' Hospital - Forest Campus Hypothermia Maintenance Order Set Current as of 8/3/11
• Hospital Rafael Ángel Calderón Guardia (In Spanish) Current as of 11/4/09
• Jackson Health System Hypothermia Protocol (Miami, FL) Current as of 3/25/09
• Jefferson Regional Medical Center TH Care Plan Current as of 10/27/11
• Jefferson Regional Medical Center Orders Current as of 10/27/11
• Jefferson Regional Medical Center TH Policy Curent as of 10/27/11
• JFK Medical Center (Atlantis, FL) Hypothermia Order Set Current as of 12/22/10
• JFK Medical Center Inclusion Criteria Current as of 12/22/10
• Lake Health Medical Center Current as of 4/4/11
• Longmount United Hospital Protocol Current as of 3/25/14
• Longmount United Hospital Order Set Current as of 3/25/14
• Maine Medical Center Hypothermia Protocol Current as of 1/13
• Massachusetts General Hospital Hypothermia Protocol Current as of 3/14
• Memorial Hospital at Gulfport Hypothermia Procedure Current as of 2/28/11
• Memorial Hospital at Gulfport Hypothermia Inclusion Criteria Current as of 2/28/11
• Memorial Hospital at Gulfport Hypothermia Induction Order Set Current as of 2/28/11
• Miami Dade Joint EMS Induced Hypothermia Protocol Current as of 3/25/09
• Minneapolis Heart Institute at Abbott Northwestern Hospital -
  • Referring physician work up
  • Phase I orders (upon arrival)
  • Phase II orders (ICU care) Current as of 12/16/09
• Mount Auburn Hospital Current as of 12/22/09 
• Mount Sinai School of Medicine Hypothermia Protocol
• New York Presbyterian/Weill Cornell Medical College Hypothermia Protocol
• North Austin Medical Center, Hypothermia Protocol Current as of 12/2012 
• North Hawaii Community Hospital, Hypothermia Protocol Current as of 1/23/13 
• Ochsner Medical Center Hypothermia Protocol (New Orleans, LA)
• Ohio State University - Wexner Medical Center Protocol Current as of 2/14 
• Parkland Hospital (Dallas, TX) -
  • Neonatal protocol/procedures
  • Cooling orders
  • Rewarming worksheet
  • Rewarming orders Current as of 9/16/09
• Pennsylvania Hospital TTM Policy Current as of 7/18/12 
• Pennslyvania Hospital Hypothermia Quick Reference Sheet Current as of 7/18/12
• Penn Presbyterian Medical Center Current as of 1/14 
• Richmond Ambulance Authority Current as of 08/17/10 
• Saline Memorial Hospital Protocol for Cardiac Arrest Current as of 09/16/13
• Saline Memorial Hospital Protocol Flow Chart Current as of 09/16/13 
• Sparrow Health System/Michigan State University Hypothermia Orders (Lansing, MI) 
• Spartanburg Regional Medical Center Hypothermia Order Set (Spartanburg, SC) 
• Spartanburg Regional Medical Center Emergency Department Hypothermia Orders (Spartanburg, SC) 
• St. Bernards Medical Center Hypothermia Protocol Current as of 12/7/09 
• St. David's Medical Center Current as of 10/12/10 
• St. David's South Medical Center Current as of 10/12/10 
• St. Francis Hospital Hypothermia Protocol Current as of 1/23/13
• St. Joseph's Hospital Hypothermia Orders Current as of 4/20/11
• St. Mary's Medical Center Hypothermia Protocol Current as of 2/2012 
• St. Mary's Medical Center Nursing Protocol Current as of 2/2012 
• St Mary's Medical Center Hypothermia Appendix Curent as of 2/2012 
• St. Rose Hospital Hypothermia Protocol Current as of 11/9/12 
• Sumner Regional Medical Center Current as of 12/16/09
• Tallahassee Memorial Healthcare Cooling Order Set Current as of 3/23/11 
• Tallahassee Memorial Healthcare Rewarming Order Set Current as of 3/23/11
• The Good Samaritan Hospital Current as of 12/16/09 
• The Ohio State University Medical Center Hypothermia Protocol Current as of 5/27/10 
• The Ohio State University Medical Center Hypothermia Flowsheet Current as of 5/727/10
• Torrance Memorial Medical Center Hypothermia Protocol Current as of 3/28/11 
• Trinitas Regional Medical Center Hypothermia Initial Order Set Current as of 10/25/12 
• Trinitas Regional Medical Center Hypothermia ICU Order Set Current as of 10/25/12 
• University of California San Francisco Hypothermia Protocol Current as of 9/24/08 
• University of California San Francisco Post-Arrest Hypothermia Reference Current as of 2/20/13 
• University of Chicago Hypothermia Protocol and Order Set Current as of 10/28/09 
• University of Medicine and Dentistry of New Jersey Therapeutic Hypothermia Protocol Current as of 11/21/11
• University of Pittsburgh Hypothermia Protocol and Post-Cardiac Arrest Care Plan Current as of 10/28/09 
• University of Virginia Medical Center Hypothermia Protocol Current as of 5/17/2016 
• University of Texas Hypothermia Protocol
• University of Washington Hypothermia Protocol 
• University of Wisconsin Hospital Current as of 9/2014
• Valley Hospital Medical Center ED Hypothermia Protocol Current as of 1/27/11 
• Vanguard Baptist Health System Hypothermia Order Set Current as of 8/6/2010 
• Virginia Beach Emergency Medical Services Current as of 11/9/10 
• Virtua Memorial Hospital Current as of 11/22/10 
• Wake County EMS Hypothermia Protocol Current as of 10/27/08
• Walter Reed Medical Center Hypothermia Protocol Current as of 3/21/12 
• Wake Hospital Hypothermia Protocol Current as of 8/13 
• Washington Hospital Center Current as of 7/21/10 
• Waukesha Memorial Hospital Surface Hypothermia Protocol Current as of 12/1/10 
• Waukesha Memorial Hospital Catheter Hypothermia Protocol Current as of 1/14 
• Wentworth-Douglass Hospital Hypothermia Protocol Current as of 11/9/12 
• Western Regional Emergency Medical Advisory Committee Therapeutic Hypothermia Protocol Current as of 12/3/08
• Winthrop University Hospital Hypothermia Protocol Current as of June 14, 2011