Indications and Contraindications for Targeted Temperature Management in Comatose Patients after Cardiac Arrest

Targeted temperature management should be implemented in the context of a broader strategy of critical care for a comatose patient with the post-cardiac arrest syndrome.

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FOUR Score for Comatose Patients

 Eye response

4 = eyelids open or opened, tracking, or blinking to command

3 = eyelids open but not tracking

2 = eyelids closed but open to loud voice

1 = eyelids closed but open to pain

0 = eyelids remain closed with pain

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