Systematic post-resuscitation care after return of spontaneous circulation (ROSC) can improve the likelihood of patient survival with good neurological function and quality of life.
Patients with a return of spontaneous circulation following cardiac arrest.
The focus of post resuscitation care is on ensuring adequate cerebral perfusion, oxygenation and supportive treatment to allow the recovery of vital organs.
Continue to work as a team.
Anticipate re-arrest and plan accordingly.
Unless there are compelling reasons to move immediately, DO NOT Rush.
ROSC patients are often unstable initially. Time should be taken to plan patient packaging, handling and subsequent egress whilst they stabilise and build up blood pressure. Rough manual handling / jolting of the patient is undesirable. Use this time to ensure IV lines are secure, and acquire 12 Lead ECG’s.
Cooling in the prehospital phase is controversial and is a longer term strategy in general. Tympanic temps can be unreliable. The unconscious patient can be blanketed and NO patient should be allowed to shiver.
Recovery of infants and children is typically slower than adults as cardiac arrest is usually secondary to prolonged hypoxaemia.