Therapeutic hypothermia is a relatively new treatment option for patients who suffer cardiac arrest, that can significantly improve neurologic outcomes. What factors determine the success of cooling therapy for cardiac arrest, and what resources does the procedure require? Dr. Michael Mooney, Director of Interventional Cardiology, Minneapolis Cardiology Associates, at Minneapolis Heart Institute / Abbott Northwestern Hospital in Minnesota, explores the indications for therapeutic hypothermia with host Dr. Janet Wright. Might therapeutic hypothermia be approached with a strategy similar to initiatives aimed at reducing door-to-balloon time for ST-elevation MI?