161: We Got ROSC... Now What? Evidence Based Post Resuscitation Care

Getting ROSC is not always the win we sometimes think it is. It's what we're looking for the entire resuscitation, but the real challenge begins once we get it… and what we do in the next few hours has a major impact on patient outcomes.

In this episode, Sarah shares a real rapid response case to walk through the physiology, decision-making, and advocacy of post-arrest care. The 2025 AHA post resuscitation guidelines have brought important shifts to post-ROSC management, from how aggressively to oxygenate to when it's safe to prognosticate. Don't miss the full breakdown!

Topics discussed in this episode:

• Oxygenation and ventilation: how to avoid hyperoxia and hypoxia
• Perfusion, pressors, and the limits of MAP
• Temperature management guidelines
• Sedation, analgesia, and the paralyzed-but-awake patient
• Diagnostics: timing, priorities, and what to rule out
• How to use neuroprognostication the right way
• How to talk to families without giving false hope
• Nursing priorities and how to advocate for your patients

Check out the new Post Resuscitation Guidelines:

https://www.ahajournals.org/doi/10.1161/CIR.0000000000001375

Listen to episode 73 — Resuscitate Before You Intubate: How to NOT KILL YOUR PATIENT When You Intubate: https://podcasts.apple.com/us/podcast/73-resuscitate-before-you-intubate-how-to-not-kill/id1535997752?i=1000630431016

Mentioned in this episode:

AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!

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