So your resuscitation was successful…Hooray?

So your resuscitation was successful…hooray, but hold on, what next before your patient crashes again?

  1. Perform a focused and detailed history and physical examination
  2. Evaluate the airway and ETT placement, control the ventilator settings to maintain a PaCO2 to 35 to 45 mmHg and an oxygen saturation of above 94% while keeping the PaO2 below 300 mmHg
  3. Assess for neurological dysfunction in absence of neuromuscular blockade
  4. Send labs including CBC, CMP, troponin, coagulation studies
  5. Obtain a plain film chest X-Ray, Point of Care Ultrasound, and ECG
  6. Early consultation of interventional cardiology for patients in VF/VT or with ST segment changes on ECG
  7. Pressor support and isotonic crystalloid boluses to maintain a MAP of 85-100
  8. Avoid hyperthermia (keep temp <36 degrees centigrade)




Emergency Medicine Kenya Foundation

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