ROSC

Question 1

If the patient is obeying commands

Answer 1

Gain IV access if not already achieved.
* Acquire a 12 lead ECG and treat as per the ‘STEMI’ section if the patient has STEMI.
* Treat as per the ‘cardiogenic shock’ section if shock is present.
* Utilise the post cardiac arrest checklist prior to commencing transport.

Question 2

If the patient is not obeying commands

Answer 2

Gain IV access if not already achieved.
* Ensure an adequate airway and adequate breathing, but avoid hyperventilation:
a) Ventilate to an ETCO2 of 35-45 mmHg if an ETT or LMA has been placed.
b) If the patient is ventilated via an ETT, administer sedation, analgesia and
neuromuscular blockade if required, using the ‘post intubation’ section.
c) Titrate the oxygen flow rate to an SpO2 of 94-97%, provided pulse oximetry
is reliable.
* Acquire a 12 lead ECG and treat as per the ‘STEMI’ section if the patient has STEMI.
* Cover the patient with a single sheet and do not provide active warming.
* Utilise the post cardiac arrest checklist prior to commencing transport.
* The target systolic BP is greater than or equal to 120 mmHg in an adult, and greater than or equal to the normal predicted systolic BP in a child. If the systolic BP is lower than the target:

Question 3

Post cardiac arrest checklist

Answer 3

• Airway and ventilation are adequate/secure.
• Backup for RSI called for if indicated.
• ETCO2 35-45 mmHg if ventilated.
• Sedation, analgesia and neuromuscular blockade if indicated.
• 12 lead ECG.
• SpO2 94-97% and oxygen flow adjusted if indicated.
• IV access secure.
• BP above target if not obeying commands.
• Cover with single sheet if not obeying commands.
• Transmit cardiac arrest data if possible.