A patient has had an out-of-hospital cardiac arrest, but thanks to great prehospital care has achieved ROSC. What does the ECG show? What do you need to do next?
60yr old male who had an out-of-hospital cardiac arrest. Return of spontaneous circulation was attained prehospital. Describe and interpret this ECG. LITFL Top 100 ECG
A team-based approach to the management of the post-ROSC patient focuses on initiation of therapeutic hypothermia, treatment of the underlying cause with transfer to the cath lab where appropriate, and management of the post-cardiac arrest syndrome.
An 80 year old woman arrests in your department. She had presented an hour earlier with back pain. You start to prepare for a subcostal view of the heart and this is what you see.
A 50 year old male has an out of hospital cardiac arrest. ROSC is achieved rapidly on scene and he is brought in by ambulance hypotensive, agitated and confused. You perform an abbreviated echo in ED to direct further investigations and management.