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Post cardiac arrest
From WikEM
(Redirected from ROSC)
Management
- Maintain perfusion (cerebral)
- treatment hypotension
- ignore hypertension
- normal PaCO2 (~40)
- Normoxia
- PaO2 80-120
- Therapeutic Hypothermia
- PCI
- Early reperfusion therapy is important to ID coronaries as ECG cannot reliably predict them in these cases[1]
- Aggressively treat hyperglycemia
- no IVFs with glucose
- RISS
- Aggressive seizure treatment
- prophylaxis unproven
- Minimize Irritation
- sedatives +/- paralytics
- supine flat
See Also
References
- ↑ Kern, KB. Optimal Treatment of Patients Surviving Out-of-Hospital Cardiac Arrest. J Am Coll Cardiol Intv. 2012; 5(6):597-605. doi:10.1016/j.jcin.2012.01.017
