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Post-cardiac arrest STEMI — ACEM Fellowship MCQ

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HardCritical care and resuscitationPost-cardiac arrest STEMIACEM Fellowship

A 58-year-old man has ROSC after out-of-hospital VF arrest and arrives at a Melbourne ED, triage category 1. He remains intubated, BP 92/58 on noradrenaline and ECG shows anterior ST elevation. Lactate is 7.0 and pupils are reactive. What is the most appropriate management?

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Correct answer: C — Urgent coronary reperfusion pathway and ICU post-arrest care

ROSC with STEMI should trigger urgent reperfusion and structured ICU post-arrest care, not delayed prognostication.

Reference: ANZCOR post-resuscitation care; ARC ACS guidelines