ROSC MD

Question 1

What are the indications for the ROSC MD?

Answer 1

Patient with return of spontaneous circulation (ROSC) after the resuscitation was initiated.

Question 2

What are the conditions for a 0.9% NaCl Fluid Bolus under the ROSC MD?

Answer 2

Age ≥2 years
SBP Hypotension
Other: Chest auscultation is clear.

Question 3

What is the contraindication for a 0.9% NaCl fluid bolus under the ROSC MD?

Answer 3

Fluid overload.

Question 4

What do you do first under the ROSC MD?

Answer 4

Consider optimizing ventilation and oxygenation
* Titrate oxygenation 94-98%
* Avoid hyperventilation and target ETCO2 to 30-40 mmHg with continuous waveform capnography (if available)

Question 5

What is the ROSC MD fluid bolus for ≥2 years to <12 years?

Answer 5

IV
10 ml/kg, reassess every 100 ml.
Max volume 1000 ml.

Question 6

What is the fluid bolus under the ROSC MD for ≥12 years?

Answer 6

IV
10 ml/kg, reassess every 250 ml.
Max 1000 ml.

Question 7

What are the clinical considerations for the ROSC MD?

Answer 7

• Consider initiating transport in parallel with the above treatment.
• IV fluid bolus applies only to PCPs authorized for PCP Autonomous IV.