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Post-cardiac arrest syndrome — RCPSC EM MCQ

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HardCardiovascular emergenciesPost-cardiac arrest syndromeRCPSC EM

A 54-year-old man is resuscitated from witnessed ventricular fibrillation. He is comatose after return of spontaneous circulation, blood pressure is 112/70 mmHg on norepinephrine, ECG shows no STEMI, and lactate is improving. CT head is normal. What is the most appropriate next step?

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Correct answer: DICU admission for post-arrest care and temperature management

Comatose post-arrest patients need ICU-level post-resuscitation care, haemodynamic optimization, ventilatory support, fever prevention or targeted temperature management, and evaluation of cause. Absence of STEMI does not make discharge appropriate.

Reference: ACLS Post-Cardiac Arrest Care; Canadian critical care practice