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Post-ROSC care — DipIMC MCQ

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ModerateResuscitationPost-ROSC careDipIMC

A 72-year-old man has ROSC after out-of-hospital VF arrest. He remains unconscious, oxygen saturations are 100% on high-flow oxygen, blood pressure is 92/60 and capnography confirms tracheal tube placement. What is the most appropriate management?

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Correct answer: B — Titrate oxygen to target saturations and prevent hypotension during transfer

Post-ROSC care includes avoiding both hypoxaemia and hyperoxaemia, maintaining ventilation and preventing hypotension. Oxygen should be titrated once reliable monitoring is available. Extubation in an unconscious post-arrest patient is inappropriate. The pearl is that post-resuscitation care is active critical care, not merely transport after a successful arrest.

Reference: Resuscitation Council UK Post-resuscitation Care Guidelines 2025; JRCALC Guidelines 2025