Blood Pressure Targets in ROSC

 

 

 

 

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:

1. Intitial Stabilisation
2. Optimisation
3. 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.

Listen to the 14 minute podcast on:

• 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.