• Out-of-hospital cardiac arrest (OHCA) patients with return of spontaneous circulation (ROSC)

• Post-resuscitation patients receiving targeted temperature management (TTM)

• Families of post-resuscitation patients

• Domestic and international medical institutions for exchange visits

NTUH's Post-Resuscitation Care Team, established in 1997 in the Emergency ICU, specializes in integrated care for out-of-hospital cardiac arrest survivors. Nine core innovative processes include: TTM integrated protocol (therapy initiation within 25 minutes), standardized shivering control, precise medication titration, 24-hour EEG monitoring, automated pupillometry for outcome prediction, multimodal imaging assessment, and shared decision-making (SDM). A Recovery Plan provides follow-up at 1, 3, 6, and 12 months post-discharge; a patient support group 'Fu Gui Ming' was established in 2024. ROSC rate: 50.4-60.6% (vs. AHA 29%); time-to-target temperature reduced from 348 to 211-238 minutes; care completeness: 99.7%. Experience shared with 21 hospitals domestically and 5 countries internationally, and included in the Taiwan Resuscitation Care Society clinical manual (Chapter 8.5).

• Innovation 1: TTM integrated protocol, therapy within 25 minutes

• Innovation 2: Standardized shivering monitoring (hourly)

• Innovation 3: Precise medication titration (standardized rewarming)

• Innovation 4: Triple-temperature (blood/esophageal/water) monitoring

• Innovation 6: 24-hour continuous EEG monitoring (aEEG+BIS)

• Innovation 7: Automated pupillometry (NPi) for neurological prognosis

• Innovation 9: Recovery plan + patient support group 'Fu Gui Ming'

• SDM implementation tracked annually 2020–2024

• Recovery plan follow-up at 1/3/6/12 months post-discharge

• Domestic sharing: 21 hospitals, over 1,000 attendees

• International exchange: Korea, China, USA, Japan, Singapore, Vietnam

• Included in Taiwan Resuscitation Care Society clinical manual (Ch. 8.5)

• ROSC rate: 50.4–60.6% (AHA benchmark: 29%)

• Time-to-target temperature: reduced from 348 to 211–238 min (>110 min reduction)

• TTM care completeness (31 items): improved from 92.7% to 99.7%

• BI dashboard: 193 tracked cases (171 ROSC, 2 deceased, 0 withdrawal)

• 31 TTM care quality indicators continuously monitored

• Zero-tolerance policy for infections and pressure injuries

• Real-time BI dashboard for care quality tracking

• Systematic SDM initiation (palliative care, organ donation, discharge planning)

• Patient support group 'Fu Gui Ming' established Jun 2024; regular birthday celebrations

• Evidence-based family education handbook (image-centered)

• Line chatbot: accessible anytime, anywhere for care information

• VR teaching system: innovative nursing education tool

• Contributed to Taiwan Resuscitation Care Society clinical manual (Ch. 8.5)

• International exchange: Korea, China, USA, Japan, Singapore, Vietnam

• Multiple domestic and international nursing innovation awards

• Temperature precision superior to TTM2 trial (±1.0°C) and Hyperion trial

• Established nursing standards and benchmarks for post-resuscitation care in Taiwan

• Nine systematic innovations replicable across hospitals

• Long-term recovery tracking improves patient and family quality of life

• Patient group promotes social reintegration and psychological support

• Promotes ethical decision-making for organ donation and palliative care