Confirmed ROSC? (palpable central pulse +/- respiratoroy effort)
*LEAVE DEFIB PADS AND 100% O2 ON*
Airway - ensure patent, use adjunct if required
Breathing - continue ventilations if required, only consider recover postsion if necessary
Circulation - continually check ROSC status, re-commence CPR if pulse is lost, *record 12 lead ECG if possible
Observations - Pulse, SPO2, etCO2 (if available), BP (repeated at least every 5 minutes), BM (if not already recorded), Pupilary reflex
Temperature - Maintain core temp ~35-36c where possible
Advanced care - Where applicable, consider post-ROSC drugs/fluids if required
Extrication - Do not leave the patient alone, package supine where possible, rapid extrication and pre-alert
Important information for handover
Age
Relevant past medical history
Previous functional status
Initial cardiac rhythm (VF/VT versus PEA/asystole) if known
Presence and duration of bystander CPR
EXACT total duration of arrest (ambulance first call time to ROSC time)
Number of shocks given
Dose of adrenaline given
ECG findings if known
*USE THE BELOW SHEET TO NOTE DOWN YOUR HANDOVER - NOTES WILL NOT BE SAVED - INPUT YOUR EMAIL ADDRESS TO SAVE A COPY*