The comatose, Post ROSC patient following an OHCA, is well known to us in the Emergency Department.
We should manage these patients through distinct phases of:
- Intitial Stabilisation
- Optimisation
- Diagnosis
As per accepted approaches, airway is seen as the first area to manage in the initial stabilisation. I disagree with this and would argue that haemodynamics are the most important first part of stabilisation. Hypotension leads to secondary injury and rearrest.
- Blood Pressure Targets and the evidence behind them.
- In which patients might we target higher blood pressures?
- How do we attain those higher blood pressures?
- The argument of NIBP vs IAP.
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