Hi I'm Mark from ACLS Certification Institute and welcome to Rapid Algorithm Review for Post Cardiac Arrest. First, you've had a return of spontaneous circulation. You got a pulse, you got pressure back. Next ensure adequate oxygenation and ventilation. Remember our goals for SpO2 are 94 to 95 percent. Remember do not hyperventilate. Your respiratory rate should be between 10 and 12. Going to see that on a test.
Next, treat for hypotension. Maintain perfusion. How do we raise the blood pressure? We give fluids, we give medications. Also think about what's causing this hypotension? Is there a treatable cause we can figure out? Next, get a 12 ekg. Take a closer look at this heart.
You've established a blood pressure, now protect the brain. Check the patient's neuro status. Are they responsive to verbal commands? If they are, monitor the patient. Fine. Their neurologic status is fine. If the patient does not respond to verbal commands or is comatose, immediately begin therapeutic hypothermia treatment. Remember our goals are to reach a body temperature between 32 and 34 degrees and maintain that for 12 to 24 hours. Might be on the test.
Next, look at that 12 lead. Is your patient having a heart attack? Are they having a STEMI? Do they need to go to the Cath lab? Can you start therapeutic hypothermia treatment on a patient while they're on their way to the Cath Lab? Absolutely. Finally, make sure this patient is transported to the proper facility that can treat a post cardiac arrest patient.
Okay. Quick review. You've had a return of a pulse. Oxygenation and ventilation. Support blood pressure and perfusion. Support the neural status. To protect the neural status, start immediate therapeutic hypothermia treatment. Finally, get this patient where they need to go.
This has been Rapid Algorithm Review for Post Cardiac Arrest. I'm Mark for ACLS Certification Institute. See you in the next algorithm.