Post-Cardiac Arrest Care
After ROSC: optimize hemodynamics, ventilation, and neuroprotection.
START
ROSC achieved
ACTION
Airway management
Advanced airway if needed. SpO₂ 92–98%, avoid hyperoxia. PaCO₂ 35–45 mmHg.
ACTION
Hemodynamic support
SBP > 90 or MAP ≥ 65. IV bolus, vasopressors (norepinephrine, epi, dopamine).
ACTION
12-lead ECG
If STEMI or high suspicion of ACS → emergent cath lab.
ACTION
Targeted Temperature Management
32–36 °C for at least 24 hours if patient remains comatose.