A 60-year-old male is in pulseless VT cardiac arrest. After the 3rd shock, you administer adrenaline 1 mg IV and amiodarone 300 mg IV. After the 5th s...

Question

A 60-year-old male is in pulseless VT cardiac arrest. After the 3rd shock, you administer adrenaline 1 mg IV and amiodarone 300 mg IV. After the 5th shock, the rhythm changes to a narrow complex rhythm at 80 bpm. A pulse check reveals a strong radial pulse. What is the immediate post-ROSC priority sequence?

Accepted Answer

Airway (protect/intubate if not already), Breathing (controlled oxygenation SpO2 94-98%, normocapnia), Circulation (12-lead ECG, BP target SBP >100 mmHg, IV fluids/vasopressors if needed)

Answer

Perform a lumbar puncture to assess for meningitis

Answer

Administer a further dose of amiodarone 150 mg for rhythm stability

Answer

Remove all monitoring and allow the patient to recover spontaneously

Answer

Immediately transport without further assessment

uk-dipimc MCQ (SBA): Immediate Post-ROSC ABC