CoolTool Neuro Analysis
This tool is intended to promote identification and early referral of babies at risk for hypoxic-ischemic encephalopathy (HIE). It does not determine if a baby should be cooled. The decision to proceed with cooling should only be made after consultation with a Regional Cooling Center CCS numbered letter), based upon their institutional criteria. These recommendations are based on CPQCC’s Neonatal Therapeutic Hypothermia toolkit.
Gestational Age >= 35wks *
Best estimate of gestational age in weeks
Age in Hours *
Hour of life to the nearest 0.1 hour
Acute Perinatal Events
Please select all that apply. This is a list of sentinel events known to significantly increase risk for HIE








Apgar @10min
Apgar score at 10 minutes of life, if available
Worst Cord Blood Gas
Worse of the arterial and venous cord blood gas, if available
Infant Blood Gas within 1hr of life
Infant gas within one hour of life, if available
CPR/Epinephrine
select measures for resuscitation
Continued need for assisted ventilation at 10 mins of life.
Any form of positive pressure ventilation (PPV), including intubation, on-going need for bag mask ventilation/CPAP, or CPAP by other devices

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    • See protocols related to cooling:

Disclaimer: These suggested guidelines are not a substitute for clinical judgement.

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