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Ethical Saving gUG · nonprofit research & innovation

Innovation that improves care.

We develop and support testable solutions for medical and societal challenges — combining research, technology and transparent evidence.

Mission

Turn scientific signals into measurable patient benefit.

Medical innovation begins with a plausible hypothesis and becomes valuable through well-designed studies. We show what mechanism data, preclinical findings and external clinical signals already support, then define the next measurable validation step.

Evidence boundary: AIRCHILL has treated 0 patients. Early feasibility work included healthy volunteers and preclinical models. These data can justify further clinical validation, but they do not prove patient efficacy.
Research questions

Where earlier neuroprotection could matter.

Our current planning covers several time-critical indications. The effect scenarios are transparent sensitivity analyses, not claims of AIRCHILL efficacy.

Cardiac arrest

Earlier temperature control, neuroprotection, timing, safety and neurologically favourable survival.

Stroke

Neuroprotection around thrombectomy and the question whether an additional early intervention can improve functional outcome.

Neonatal HIE

Established therapeutic hypothermia provides a strong biological precedent; any new transport or early-cooling approach requires separate paediatric validation.

Traumatic brain injury

Population selection, intracranial pressure, timing, duration, rewarming and clinically relevant outcomes.

Heatstroke

Cooling speed is critical. A future respiratory approach would need to be evaluated as a complementary option, not as a replacement for established rapid cooling.

Concussion

A separate research field with external head/neck cooling signals; typical concussion is not a current respiratory AIRCHILL use case.

Review sources, assumptions and evidence status →

Public IP

Granted patent family in Europe and the United States.

Public patent records list EP3509683B1 and US11395900B2 and identify Fabian Temme as holder/assignee. The public register view is presented transparently and does not replace formal chain-of-title due diligence.

Projects

Medical technology, diagnostics and open development.

Key projects include Medicalcooling/AIRCHILL, InjuryDetector, GritArmor and open-source software published by Ethical Saving.

EMS reimbursement atlas

District-level German ambulance and emergency physician fee structures, payer logic and primary sources.

Open atlas →

Open Source

Selected software and AI-assisted website infrastructure are published openly.

GitHub organisation →

Emergency care reform 2026

A controlled evaluation and reimbursement pathway for prehospital innovation.

Our current proposal would open the existing German evidence-generation pathway under §137e SGB V to emergency medical services and add a temporary, transport-independent trial reimbursement route under §133 SGB V.

Read the current position paper →

Talk directly.

Book a privacy-conscious 30-minute meeting with Fabian Temme.

Book a meeting →
Support

Help turn promising signals into robust evidence.

Donations support nonprofit research, study preparation, evidence development and project work. They do not guarantee a medical outcome.

Current evidence update · September 2026

Transparent validation scenarios — not efficacy claims.

These figures mirror the current German source page. They are sensitivity analyses for study planning and must not be read as demonstrated AIRCHILL effects.

Cardiac arrest

An operative assumption of 7,500 potentially reachable suitable patients per year gives 75, 225 or 375 additional favourable neurological outcomes at hypothetical absolute gains of +1, +3 or +5 percentage points. Registry data and PRINCESS/HYPERION provide context, not an AIRCHILL effect size.

Stroke

Using 21,609 mechanical thrombectomies in Germany in 2024 as the current model anchor, the same +1/+3/+5-point scenarios correspond mathematically to about 216, 648 or 1,080 additional patients with mRS 0–2. The COTTIS signal is non-randomized; COTTIS-2 is needed for stronger inference.

Neonatal HIE

Against a derived system frame of about 981 cases, +1/+3/+5 points would equal roughly 10, 29 or 49 favourable outcomes. Established neonatal hypothermia does not prove added benefit from a new device; a separate paediatric safety, dosing and regulatory programme would be required.

Heatstroke

Per 100 comparable severe cases, the same scenarios equal 1, 3 or 5 additional survivors. Heat-attributable population deaths are not a diagnosed heatstroke cohort and are not an AIRCHILL target population. Established rapid active cooling remains the reference treatment.

Traumatic brain injury

With 7,500 potentially reachable severe cases used only as an operational assumption, +1/+3/+5 points equal 75, 225 or 375 favourable outcomes. AIRCHILL has treated 0 TBI patients; feasibility and subsequent outcome studies would be required.

Concussion

This remains a separate research field. Typical concussion patients are awake and do not require invasive ventilation, so it is not a current respiratory AIRCHILL use case. Future modelling should prefer days to return-to-activity or validated symptom scales over percentage-point scenarios.

Evidence boundary: AIRCHILL has treated 0 patients. Healthy-volunteer and preclinical data can justify prospective validation, but they do not prove patient efficacy. For registry data, observational-study caveats, 2025 temperature-control guidance, PRINCESS/PRINCESS2, COTTIS/COTTIS-2 and health-economic context, see the Evidence Library →.
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