Adult ROSC

Question 1

Adult ROSC - Initial actions

Answer 1

Ensure adequate ventilation and oxygenation
Obtain 12-lead
Maintain BGL
If hypotensive administer 20ml/kg bolus

Question 2

Adult ROSC - Unconscious non-trauma patient

Answer 2

If hypothermic do no actively rewarm

If temp >38C apply ice to axilla and groin

Question 3

Adult ROSC - Prehospital care should focus on the prevention of fever/hyperthermia by:

Answer 3

Administering midazolam if the patient is shivering

Applying ice packs to the groin and axilla if temp >38

Question 4

Adult ROSC - Midazolam indication

Answer 4

Shivering due to therapeutic hypothermia when systolic BP > 100 mmHg

Question 5

Adult ROSC - Midazolam dose

Answer 5

2.5 mg SIVP/IO, Repeat q 15 minutes prn

Question 6

Adult ROSC - Midazolam EMS contraindications

Answer 6

Hypersensitivity to benzodiazepines
Myasthenia gravis
Systolic BP < 100 mmHg

Question 7

Adult ROSC - Midazolam precautions

Answer 7

May cause respiratory depression and hypotension

Question 8

Adult ROSC - Therapeutic hypothermia is not permitted in patients who suffered…

Answer 8

A traumatic cardiac arrest as it can worsen coagulopathy