Cardiac Arrest: ROSC (Adult)

Unintubated		Perfusion management		Therapeutic cooling
GCS <10 post ROSC		Maintain BP >120 or Pt’s usual BP (if known)		Pt intubated
Collapse to ROSC >10 min - RSI as per Endotracheal Intubation - Therapeutic cooling		Normal Saline and Adrenaline to be used as required per Inadequate perfusion (Cardiogenic causes)		Collapse to ROSC >10 min
				Normal functional status (independent with ADLs)
Collapse to ROSC <10 min - No therapeutic cooling - RSI as per Endotracheal Intubation if coma persists despite initial oxygenation and perfusion Mx		Accurately assess pulse during movement/loading to ensure output maintained throughout		Temp. >34.5
		Mx as per appropriate Guideline if condition changes		No pulmonary oedema evident
		Do not administer Amiodarone unless breakthrough VF/VT occurs		Cardiac arrest not due to bleeding
				Assess Pt temp.
				Sedation/paralysis - Midazolam 1-5mg IV - Pancuronium 8mg IV
				Rapid infusion cold Normal Saline 2000ml IV if available - Cease if APO occurs and Mx as per Pulmonary Oedema

Transport

Appropriate receiving hospital

Notify early

12 lead ECG if available