Laboratory research like Dr. Alam's has helped to provide answers to some of these questions and demonstrated the feasibility of rapidly inducing hypothermia for exsanguinating trauma. Assuming that the pilot trial and follow-up studies are successful, EPR-CAT could be instituted into a small subset of trauma centers — busy ones, Dr. Tisherman said. “Doing something that takes this kind of effort for only one or two cases a year won’t be successful,” he said. “You need interested trauma surgeons and cardiac surgeons and perfusionists who are willing and able to help.”

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