Scribd
Upload
41 views1 page

Post-Cardiac Arrest Care Algorithm: Return of Spontaneous Circulation (ROSC)

Uploaded by

johndoe1995
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
41 views1 page

Post-Cardiac Arrest Care Algorithm: Return of Spontaneous Circulation (ROSC)

Uploaded by

johndoe1995
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

POST-CARDIAC ARREST CARE ALGORITHM

Return of spontaneous circulation (ROSC)

OPTIMIZE MAINTAIN OXYGEN SATURATION ≥ 94%


VENTILATION CONSIDER ADVANCED AIRWAY AND
AND WAVEFORM CAPNOGRAPHY
OXYGENATION DO NOT HYPERVENTILATE

TREAT IV/IO BOLUS


HYPOTENSION VASOPRESSOR INFUSION
(SBP <90 mm Hg) CONSIDER TREATABLE CAUSES

12-Lead ECG: STEMI


YES
Coronary reperfusion OR high suspicion of AMI

NO

Does Patient Initiate targeted


NO
Follow Commands? temperature management

YES

Advanced Critical Care

DOSES & DETAILS

VENTILATION/OXYGENATION DOPAMINE IV INFUSION


• Avoid excessive ventilation. • 5-10 mcg/kg per minute
• Start at 10 breaths/min and titrate to target PETCO2 of 35-40 mm
Hg.
• When feasible, titrate FIO2 to minimum necessary to achieve NOREPINEPHRINE IV INFUSION
SPO2 ≥94%
• 0.1 – 0.5 mcg/kg per minute (in 70-kg adult: 7-35 mcg per minute)

IV BOLUS
REVERSIBLE CAUSES
• Approximately 1-2 L normal saline or lactated Ringer’s
H’s T’s
• Hypovolemia • Tension pneumothorax
EPINEPHRINE IV INFUSION • Hypoxia • Tamponade (cardiac)
• 0.1 – 0.5 mcg/kg per minute (in 70-kg adult: 7-35 mcg per minute) • Hydrogen ion (acidosis) • Toxins
• Hypo-/hyperkalemia • Thrombosis (pulmonary)
• Hypothermia • Thrombosis (coronary)

This Algorithm is based on the latest (2015) American Heart Association standards and guidelines.

© Professional Medical Certifications Have Questions? Email Us At: [email protected]

Save 10% on your next ACLS Recertification by using code PMCPDF at www.ProMedCert.com

You might also like