After successful resuscitation,when stable spontaneous circulation is achieved, what should be done next?
After stable spontaneous circulation is achieved, brain injury due to ischemia and reperfusion is a major determinant of survival. So we check for CNS involvement. Therapeutic hypothermia /Targeted temperature management Improve the likelihood of survival and neurologic recovery in patients who present with shockable (VT or VF) rhythms Recommended for all cardiac arrest patients who remain comatose, regardless of presenting rhythm, who lack purposeful response to verbal commands following return of spontaneous circulation.
Measure blood glucose
Check CNS involvement
Spontaneous respiratory effo
Assess volume status
Emergency Clinical Scenario