Cooling Candidacy Calculator
Clinical information Inclusion/Exclusion Criteria
Gestation
Weight
Presence of Life-Threatening or Major

Congenital Anomalies or Imperforated Anus
Age of the Baby

at which exam was done (hours)
Cord / Arterial Blood gas (1st hour of life)
Acute perinatal event (If multiple choose most severe event)
Apgar score at 10 minute
Resuscitation after delivery
Neurological Exam
Did The Patient Have any episodes Seizures
Encephalopathy score

Note : If the Clinical Signs mentioned blow - Moderate or Sever - are NOT present in the patient

and the baby is clinically normal or mildly affected :

Keep the Squares Unchecked and proceed to the next Examination step.

Only Choose the worst examination sign Observed

Stage Moderate (2) Severe (3)
Level of Consciousness Lethargic Stupor/Coma

Sever or Complete Lack of response to external stimulus
Tone Hypertonia or hypotonia

(Focal or General)

 Flaccid
Spontaneous Activity Decreased No activity
Posture Distal flexion, complete extension

(including a "froglegged" position)

Decerebrate

(arms extended and internally rotated, legs extended with feet in forced plantar flexion)
Primitive Reflexes Sucking Reflex Weak Absent
Moro Reflex Incomplete Absent
Autonomic Nervous System Respiration Periodic or irregular breathing Apnic / Intubated or receiving PPV
Heart Rate Brdycardic Variable (Narrow or wide) or Irregular
Pupils Constricted, Slightly reactive to light Deviated, dilated,

nonreactive pupils
Final Conclusion
Canadian Pediatric Society : Hypothermia for newborns with hypoxic-ischemic encephalopathy. https://cps.ca/documents/position/hypothermia-for-newborns
NHS Guidelines for Management of Infants with Suspected HIE : https://www.eoeneonatalpccsicnetwork.nhs.uk/wp-content/uploads/2021/10/HIE-Guideline.pdf
Whole Body Cooling for Infants with Hypoxic-Ischemic Encephalopathy: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3743149/