It was reported that a patient was insufficiently cooling while receiving therapy on the arctic sun device, sn# (b)(4), on (b)(6) 2019.
The patient was placed on the arctic sun device following a code event while waiting for a procedure.
The patient¿s temperature was 34.
8c while the target temperature was 33c.
The water temperature was 30c and the flow rate was 2.
2l/min with a large set of pads and a universal pad.
It was confirmed that there was an alert 113 (reduced water temperature control).
The (b)(6) female patient was transferred to another icu floor in order to be put on a different arctic sun device.
The patient was placed on arctic sun device sn# (b)(4), while arctic sun device sn# (b)(4) was sent to biomed for evaluation.
The patient continued therapy on the second device and was in the rewarming phase when the family decided to put a dnr (do not resuscitate) in place and withdraw care.
Before the arctic sun device was removed, the patient¿s heart rate decreased and the patient expired before care could be withdrawn.
The cause of death was listed as natural causes on the death certificate.
The nurse stated that cause of death was due to the patient¿s condition and was not device related.
The patient had been admitted with a rash all over her body and several tests were performed to rule out possible diseases including measles.
The patient was maxed out on vasopressors as well as receiving continuous renal replacement therapy.
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