Return of Spontaneous Circulation (ROSC) Medical Directive Flashcards
ROSC MD
What are the indications for the ROSC MD?
Patient with return of spontaneous circulation (ROSC) after the resuscitation was initiated.
ROSC MD
What are the conditions for 0.9% NaCl Fluid Bolus?
Age: ≥2 years
SBP: Hypotension
Other: Chest auscultation is clear.
ROSC MD
What are the contraindications to 0.9% NaCl Fluid Bolus?
Fluid overload.
ROSC MD
How should ventilation and oxygenation be optimized?
Titrate oxygenation 94-98%.
Avoid hyperventilation and target ETCO2 to 30-40 mmHg with continuous waveform capnography (if available).
ROSC MD
What is the ROSC fluid bolus dosing for ages ≥2 years to <12 years?
Route: IV
Infusion: 10 ml/kg
Infusion interval: immediate
Reassess every: 100 ml
Max volume: 1000 ml
ROSC MD
What is the ROSC fluid bolus dosing for ages ≥12 years?
Route: IV
Infusion: 10 ml/kg
Infusion interval: immediate
Reassess every: 250 ml
Max volume: 1000 ml