A 45-year-old woman on ICU has ROSC after cardiac arrest. She has a Glasgow Coma Scale of 3T at 96 hours post-arrest. The neuroprognostication team ha...

Question

A 45-year-old woman on ICU has ROSC after cardiac arrest. She has a Glasgow Coma Scale of 3T at 96 hours post-arrest. The neuroprognostication team has assembled all the data: absent pupillary reflexes bilaterally at 72h, absent N20 on SSEP, status myoclonus within 24 hours, NSE 85 µg/L at 72h, and MRI showing extensive bilateral cortical and deep grey matter diffusion restriction. According to ERC/ESICM 2021, how many concordant poor-prognosis indicators are needed?

Accepted Answer

At least two concordant poor-prognosis indicators from different modalities are needed to predict poor outcome with high confidence - no single test alone should be used; this multimodal approach minimises false positive predictions

Answer

One indicator is sufficient

Answer

All five indicators must be present simultaneously

Answer

Only the clinical examination matters

Answer

Neuroprognostication should not be performed

uk-fficm MCQ (SBA): Multimodal Neuroprognostication