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High-stakes cardiac arrest doesn’t end at ROSC. Cardiovascular perfusionist Brian Kress joins Mike Brown to break down the critical first moments after a patient regains a pulse. Learn why bystander CPR, early interventions, and advanced tools like the Impella device can make the difference between life and death. 🔗 Listen to the full episode: https://ow.ly/2MBV50WZumt | JEMS - Emergency Medical Services
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Getting a pulse back is a huge moment. But post-ROSC care is where we either secure a good neurological outcome… or lose everything we just fought for. The heart is stunned. The brain is vulnerable. Rearrest is lurking. Your job now? Stabilize perfusion, oxygenation, and the brain. Top Priorities After ROSC Blood Pressure and Perfusion SBP < 90 mmHg = high rearrest risk Aim for SBP 100–120 or MAP above 65 Warm crystalloids if needed but pressors early (norepinephrine preferred) Ventilation & Oxy
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