What should I do immediately after ROSC?

As soon as possible following ROSC, 12-lead electrocardiography (ECG) should be performed to diagnose ST-segment elevation myocardial infarction (STEMI), and an immediate coronary angiography arranged.

What is ROSC protocol?

A team-based approach to the management of the post-ROSC (return of spontaneous circulation) 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.

What is first treatment priority after ROSC?

The provider of CPR should ensure an adequate airway and support breathing immediately after ROSC. Unconscious patients usually require an advanced airway for mechanical support of breathing.

Do you stop CPR after ROSC?

A general approach is to stop CPR after 20 minutes if there is no ROSC or viable cardiac rhythm re-established, and no reversible factors present that would potentially alter outcome.

What happens when you get ROSC?

Return of spontaneous circulation (ROSC) is the resumption of a sustained heart rhythm that perfuses the body after cardiac arrest. It is commonly associated with significant respiratory effort.

How do you assess ROSC?

Return of spontaneous circulation (ROSC) during chest compression is generally detected by arterial pulse palpation and end-tidal CO2 monitoring; however, it is necessary to stop chest compression during pulse palpation, and to perform endotracheal intubation for monitoring end-tidal CO2.

What are the four ROSC goals?

Learn more about post-cardia arrest treatment to improve patient outcomes with the ACLS post-cardiac arrest algorithm.

  • Return of spontaneous circulation (ROSC).
  • Optimize ventilation and oxygenation.
  • Treat Hypotension (SBP <90 mm Hg).
  • 12-Lead ECG: STEMI.
  • Coronary reperfusion.
  • Follow Commands?

How do you recognize ROSC?

Signs of return of spontaneous circulation include breathing, coughing, or movement and a palpable pulse or a measurable blood pressure. Someone is considered to have sustained return of spontaneous circulation when circulation persists and cardiopulmonary resuscitation has ceased for at least 20 consecutive minutes.

Where do you check pulse after ROSC?

Not to be too obvious, but one of the most important aspects of running a cardiac arrest is to determine if your patient has obtained a return of spontaneous circulation (ROSC). The palpation of pulses over the femoral or carotid artery has been a mainstay for decades.