Post-Arrest Care Algorithm

Question 1

Initial steps of post-arrest care… (4)

Answer 1

optimize ventilation/oxygenation

treat hypotension

12 Lead

targeted temperature mgmt

Question 2

after ROSC, what is the target SpO2?

Answer 2

greater than 94%

Question 3

after ROSC, what is the rate of assisted ventilation?

Answer 3

10 breath/min

Question 4

after ROSC, what is the targeted PETCO2?

Answer 4

35-40 mmHg

Question 5

Tx for hypotension after ROSC (2)

Answer 5

IV/IO Bolus NS/LR

Vasopressor infusion

Question 6

IV bolus dosage…

Answer 6

1-2L NS or lactated ringers

Question 7

Epinephrine infusion rate after ROSC…

Answer 7

0.1-0.5 mcg/kg/min

7-35 mcg/min in 70kg adult

Question 8

DA infusion rate after ROSC…

Answer 8

5-10mcg/kg/min

Question 9

Norepinephrine infusion rate after ROSC

Answer 9

0.1-0.5mcg/kg/min

same as epi
(7-35 mcg/min in 70kg adult)

Question 10

what is the goal of targeted temperature management?

Answer 10

maintain a specific temperature between 32-36 C

Question 11

when should you consider targeted temperature management after ROSC?

Answer 11

AMS