Getting ROSC is not always the win we sometimes think it is. It's what we're looking for the entire resuscitation, but the real challenge begins once we get it… and what we do in the next few hours has a major impact on patient outcomes.
In this episode, Sarah shares a real rapid response case to walk through the physiology, decision-making, and advocacy of post-arrest care. The 2025 AHA post resuscitation guidelines have brought important shifts to post-ROSC management, from how aggressively to oxygenate to when it's safe to prognosticate. Don't miss the full breakdown!
Topics discussed in this episode:
Oxygenation and ventilation: how to avoid hyperoxia and hypoxia
Perfusion, pressors, and the limits of MAP
Temperature management guidelines
Sedation, analgesia, and the paralyzed-but-awake patient
Diagnostics: timing, priorities, and what to rule out
How to use neuroprognostication the right way
How to talk to families without giving false hope
Nursing priorities and how to advocate for your patients
Check out the new Post Resuscitation Guidelines:
https://www.ahajournals.org/doi/10.1161/CIR.0000000000001375
Listen to episode 73 — Resuscitate Before You Intubate: How to NOT KILL YOUR PATIENT When You Intubate: https://podcasts.apple.com/us/podcast/73-resuscitate-before-you-intubate-how-to-not-kill/id1535997752?i=1000630431016
Mentioned in this episode:
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This episode was produced by Podcast Boutique https://www.podcastboutique.com