Post-Arrest Care

Post-Cardiac Arrest Patient
[ ] initiate cooling if comatose
// If no Arctic Sun://
- Place cooling blanket
- Pack groin, chest, and axilla in ice
- If achieve goal T 33 deg C, remove ice, keep on cooling blanket
[ ] rectal temp probe
[ ] post-ROSC EKG
[ ] advocate for cath lab regardless of EKG
- PROCAT study (Paris; resuscitation 2010)
58% of non-STEMIs had a major lesion; successful cath doubled OR of survival regardless of post-arrest ECG patterns
[ ] head CT
~ 5-15% of OHCA a/w SAH. Resuscitation. 2009
[ ] Midazolam 2 mg/hr or Propofol 0.2 mg/kg/min maintenance, uptitrated to sedation / no shivering / comfort
[ ] Fentanyl 60 mcg/hr titrated to sedation / no shivering / comfort
[ ] ASA 650 mg PR

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