Post-ROSC BLS Care Overview

What is the primary focus of post-ROSC care in BLS?

Which method is recommended for airway management in an unconscious patient?

What is the appropriate action if hypotension is observed in a post-ROSC patient?

How should the level of consciousness be assessed in a post-ROSC patient?

What is the targeted temperature range for cooling a patient under Targeted Temperature Management?

Which component of post-ROSC care involves administering high-flow oxygen?

What is a critical consideration during the transport of a post-ROSC patient?

What should be communicated to receiving healthcare providers when transferring a post-ROSC patient?

Post-ROSC BLS Care

Goal: Maintain adequate oxygenation and ventilation, monitor vital signs, manage airway, ensure blood pressure, and prepare for transport to higher care. Targeted temperature management may apply.

Airway Management

Clear airway: Position patient properly, use chin lift or jaw thrust as needed.
Oropharyngeal airway: Consider if patient is unconscious and not breathing adequately.

Breathing Support

High-flow oxygen: Administer via non-rebreather mask.
Respiratory monitoring: Monitor rate and depth, adjust ventilations as needed.

Circulation Assessment

Pulse check: Assess quality and rate.
Blood pressure management: Monitor blood pressure and address hypotension (e.g., elevate legs, administer fluids if appropriate).

Neurological Assessment

Level of consciousness: Assess using AVPU scale (Alert, Verbal, Pain, Unresponsive).
Pupillary and motor function: Check for response.

Targeted Temperature Management (TTM)

Cooling: Consider cooling to a target range (32°C - 36°C) based on local protocol and patient condition to potentially improve neurological outcomes.

Rapid Transport

Immediate transport: Transport to appropriate facility with continuous monitoring and support.

Important Considerations

Continuous monitoring: Regularly assess vital signs (pulse, blood pressure, respiratory rate, level of consciousness).
Early defibrillation: Initiate if necessary according to ACLS guidelines.
Communication: Clearly communicate patient condition and interventions to receiving providers.

This quiz covers the essential steps in post-ROSC BLS care, focusing on maintaining oxygenation, monitoring vital signs, and assessing circulation and neurological status. It includes best practices for airway management and breathing support, essential for ensuring patient stability before transport to higher care.