Adult Post-Resuscitation Care 2021

Question 1

Post resus care: Airway and Breathing

Answer 1

Maintain 94-98%
Advanced airway
Waveform capnography
Ventilate to normocapnia

Question 2

Post resus care: Circulation

Answer 2

12 lead ECG
IV access
SBP > 100mmHg
Fluids (crystalloid) until normovolaemia
Intra-arterial blood pressure monitoring
Consider vasopressor/inotrope to maintain BP

Question 3

Post resus care: Temperature

Answer 3

Constant temperature 32 - 26 degrees Celsius
Sedate to control shivering (if needed)

Question 3

If likely cardiac cause then

Answer 3

look for ST elevation and consider coronary angiogram +/- PCI

Question 4

If ST Elevation was cause then

Answer 4

Coronary angiogram +/- PCI

Question 5

If cardiac cause identified

Answer 5

Admit ICU

Question 6

If not likely cardiac cause

Answer 6

1. Consider CT brain / CT pulmonary angiogram
2. Treat non-cardiac cause
3. Admit ICU

Question 7

ICU Management

Answer 7

Temp: 32-26 degrees
Normoxia + normocapnia (protective ventilation)
Avoid hypotension
Echo
Normoglycaemia
Diagnose and treat seizures
Delay prognostication

Then secondary prevention