David Wade, Kenosha Fire Department
Nick Bonczkowski, Kenosha Fire Department
It's 3AM, you've just worked a difficult code that felt like an ACLS final examination when suddenly you obtain ROSC. You're in a crammed hallway and the focus of the crew shifts to how we're going to navigate out of this space. You find a way out, but the patient re-arrests upon arrival to the ambulance and you're unable to get a pulse back. This scenario is extremely common. While we need to celebrate a win with ROSC, the call is fall from over. Traditionally, ROSC management includes starting some fluids and hoping for the best but how can EMS do better to support hemodynamic instability during the challenging moments of patient movement and transport to the hospital? We'll deep dive into this topic and cover how a ROSC guideline/checklist can work to prevent re-arrest in your EMS system.
840 Armed Forces Dr
Ashwaubenon, WI 54304
United States
1. Understand that Aggressive “Stay and play” ROSC care can lead to better outcomes for cardiac arrest patients.
2. Develop a ROSC patient care guideline emphasizing aggresive pressor utilization and patient centered airway management.
3. Employ strategies to change the culture from “load and go” to “stay and play” in ROSC patients.