Post-ROSC

C307

  • Follow protocol for presumptive underlying medical condition
  • Maintain patent airway and give oxygen
  • Ventilate as needed 8-10X/min; do NOT over ventilate
  • Continue cardiac monitoring; obtain and transmit a 12-lead EKG to receiving hospital
  • If cause is suspected cardiac, transport to hospital with 24-hour cardiac cath lab
  • If cause is suspected trauma, follow Trauma Triage Guidelines
  • If patient is not alert, transport to hospital capable of post-resuscitative cooling or targeted temperature management
  • Aggressively treat hypotension (SBP < 90) with fluid bolus and push dose epinephrine (0.5-2.0 ml of a 10 mcg/ml solution every 2-5 minutes (5-20 mcg) per hypotension protocol
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