ROSC

Question 1

what important to rember if pt was in vf

Answer 1

Early re-arrest is common with likely VF – stay ready for early defib

Question 2

what is your intial action when achieving a rosc

Answer 2

Preparation for Transfer & Prepare for re-arrest

Question 3

when reassesing what should you consider for airway

Answer 3

Is the airway still effective?
Does it need to be upgraded?
Is it secure?

Question 4

when reassesing what should you consider for breathing

Answer 4

Is the patient breathing?
Assisted ventilations if necessary
Record and maintain O2 saturations between 94-98%
Is wave form capnography acceptable?

Question 5

when reassesing what should you consider for circulation

Answer 5

Is your IV/IO access appropriate? Record BP
12 Lead ECG
Fluids
Symptomatic bradycardia? Vasopressors/Inotropes (adrenaline)

Question 6

when reassesing what should you consider for disablity

Answer 6

Any response from the patient? Estimate GCS
Pupillary response?
Targeted temperature management? Seizures/sedation
Blood Glucose measurement

Question 7

when reassesing what should you consider for exposure

Answer 7

Quick secondary survey
Important to check for easily missed reversible causes
Assess surroundings Gain history
Pain relief?