It is 02:00. A 56-year-old man has called an ambulance because of central chest pain. He collapsed in VF soon after their arrival.
En route to hospital he has had excellent CPR, 3 mg of adrenaline, 300 mg of amiodarone and 6 shocks but is still in VF. He is intubated.
Your team take over CPR, attach a defibrillator, give adrenaline and a further DC shock and his rhythm changes to sinus rhythm, with a rate of 70.
A pulse is palpable. He is making no respiratory effort, and there are no other signs of life.
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Regarding ventilation in this man, suggest the target inspired oxygen concentration (as a percentage) for which you should aim:
Enter the amount that is correct for this patient.
Regarding ventilation in this man, suggest the target SpO2 for which you should aim:
Enter the amount that is correct for this patient.
Regarding ventilation in this man, suggest the initial PEEP target for which you should aim:
Enter the amount that is correct for this patient.
Regarding ventilation in this man, suggest the targeted PaCO2 for which you should aim:
Enter the amount that is correct for this patient.
His initial BP is 90/40, mean arterial pressure (MAP) 56 mmHg.
What MAP would you aim for in this patient?
What factors do you need to consider when deciding on the appropriate BP in a post-arrest patient?
See if you can list three of them here.
Outline your approach to managing his blood pressure.
See if you can list five approaches here.
What three key points would you want from your assessment of disability?
Enter your answer here.