The First 60 Seconds After ROSC: How To Prevent Re-Arrest

Episode overview

About This Episode

The First 60 Seconds After ROSC: How To Prevent Re-Arrest

How do you improve your resuscitation systems beyond the ACLS algorithm?

Will talks with Ian Blanchard, Senior Scientist for Alberta’s provincial EMS system about the “frame of survival” and why rehearsing equipment placement and vector change can make critical actions nearly automatic when the call comes in.

Then, Ross talks with Mike Humphrey of Lethbridge Fire and Emergency Services about what happened when his team reviewed their cardiac arrests and discovered a recurring pattern: post-ROSC hypotension followed by a near 50% re-arrest rate.

Their response was to redesign post-ROSC care around the first 60 seconds to prevent life-sustaining therapies from disappearing during the transition of care.

In this episode, you’ll learn:

• What “doing reps in the clinical gym” looks like when you don’t have access to a high-fidelity simulator

• Why moving a cardiac-arrest patient too early can undermine CPR quality and make resuscitation worse

• What 1 minute blood pressure reassessments can reveal that a single “good” post-ROSC pressure may miss

• Why a vasopressor-dependent patient should stay on the EMS stretcher 

• The best time to prepare for vector change, pit-crew roles, and post-ROSC care

 

Resources:

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Canadian Resuscitation Outcomes Consortium

Resuscitation Academy

International Liaison Committee on Resuscitation

Episode 133: Post-ROSC Care & Pacing: Prove the Perfusion

Guests:

Ian Blanchard, former paramedic and Senior Scientist for Alberta’s provincial EMS system

Mike Humphrey, Lethbridge Fire and Emergency Services