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by dsfyu404ed 2387 days ago
Sticking ice in proximity to major arteries is going to be a lot less effective without a beating heart to circulate all that newly cold blood.
2 comments

This procedure is initiated after the heart has been restarted[1]. You're absolutely correct that it's pointless to do it earlier, especially since the far more important thing is getting the heart beating again.

[1] This is known as "targeted temperature management" (TTM), and is part of the standard post-ROSC (return of spontaneous circulation) algorithm in ACLS (Advanced Cardiac Life Support), if you're looking for terms to Google.

the cold won't distribute at all ?
It will but much more slowly. Think of cooling the blood as using the surface area of the arteries and veins as a heat sink to cool the body. Without that blood moving your next best heat sink is the skin so start piling on the ice.
The body itself is the heat sink. The skin is a radiator. The blood is the liquid in a liquid cooling system (moving heat from the sink to the radiator). To your point, liquid cooling systems become _much_ less effective when the liquid stops pumping.
So I guess ice and cardiac massaging are synergic.