Post-ROSC

Confirmed ROSC? (palpable central pulse +/- respiratoroy effort)

*LEAVE DEFIB PADS AND 100% O2 ON*

• Airway - ensure patent, use adjunct if required

• Breathing - continue ventilations if required, only consider recover postsion if necessary

• Circulation - continually check ROSC status, re-commence CPR if pulse is lost, *record 12 lead ECG if possible

• Observations - Pulse, SPO2, etCO2 (if available), BP (repeated at least every 5 minutes), BM (if not already recorded), Pupilary reflex

• Temperature - Maintain core temp ~35-36c where possible

• Advanced care - Where applicable, consider post-ROSC drugs/fluids if required

• Extrication - Do not leave the patient alone, package supine where possible, rapid extrication and pre-alert

Important information for handover

• Age

• Relevant past medical history

• Previous functional status

• Initial cardiac rhythm (VF/VT versus PEA/asystole) if known

• Presence and duration of bystander CPR

• EXACT total duration of arrest (ambulance first call time to ROSC time)

• Number of shocks given

• Dose of adrenaline given

• ECG findings if known

*USE THE BELOW SHEET TO NOTE DOWN YOUR HANDOVER - NOTES WILL NOT BE SAVED - INPUT YOUR EMAIL ADDRESS TO SAVE A COPY*