Key messages

• Cerebral resuscitation after cardiac arrest in patients should include reperfusion with a hypertensive bout, continued normotension, or mild hypertension; it might include mild hypothermia to a nasopharyngeal or tympanic membrane temperature of about 34 °C, as rapidly as possible, for 12 to 24 h.

• Cerebral resuscitation after severe brain trauma with coma in patients might include moderate hypothermia (30-32 °C) for 12 to 24 h.

• Hypothermia can be controlled by head-neck-trunk surface cooling or, more rapidly, by intraperitoneal or intravascular methods.

• Hyperthermia must be prevented and seizure activity suppressed.

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