2010年11月2日 · Optimize cardiopulmonary function and vital organ perfusion. After out-of-hospital cardiac arrest, transport patient to an appropriate hospital with a comprehensive post–cardiac arrest treatment system of care that includes acute coronary interventions, neurological care, goal-directed critical care, and hypothermia.

2024年1月12日 · aka ECG Exigency 019. A 68 year-old woman collapsed at home, as witnessed by her son who commenced CPR. She was in ventricular fibrillation when the paramedics arrived, and reverted to sinus rhythm following defibrillation at the scene. She was intubated prehospital and transferred to your emergency department.

A standard 12-lead ECG should be recorded in all patients after return of spontaneous circulation (ROSC). The purpose of a 12-lead ECG is to detect ST-elevation myocardial infarction . Stable patients with ROSC presenting with ST elevations should undergo urgent coronary angiography with the intent of performing PCI.

A standard 12-lead ECG must be obtained in all patients after ROSC, with the purpose of identifying individuals with ST-segment elevation, or other ECG changes suggesting the presence of an acute epicardial occlusion.

What is ROSC? ROSC (or the return of spontaneous circulation) is the resumption of sustained perfusing cardiac activity associated with significant respiratory effort after cardiac arrest. Signs of ROSC include moving, coughing, or breathing, along with signs of a palpable pulse or a measurable blood pressure.

Post-cardiac arrest syndrome (aka post-resuscitation syndrome) occurs after return of spontaneous circulation (ROSC) following cardiorespiratory arrest and involves multiple systems. It reflects a state of whole-body ischaemia and subsequent reperfusion.

Post-ROSC ECG is aimed to drive the first crucial decision namely to decide whether an immediate coronary angiography (CAG) is needed. As discussed more in detail in the next section, this indication is reserved for those patients with a presumptive diagnosis of ST-segment elevation myocardial infarction (STEMI).

2021年6月2日 · Patients who achieve ROSC after cardiac arrest are a wildly heterogeneous group with correspondingly variable courses of treatment. The 12-lead ECG is a vital tool in our EMS diagnostic...

2024年5月16日 · Prognostic assessment of patients following out–of–hospital cardiac arrest (OHCA) is critical to guide care after return of spontaneous circulation (ROSC). The ECG acquired after ROSC in patients with OHCA has proven to be crucial not only for its diagnostic role but also for its prognostic purposes.

2023年2月4日 · A standard 12-lead ECG should be recorded in all patients after return of spontaneous circulation (ROSC). The purpose of a 12-lead ECG is to detect…