Protocol 2-704 - Post Resuscitation

CMH EMS & MIH Protocols


EMD:

EMR:

EMT:

AEMT:

RN:


Medic:

CP:


NEMSIS Protocol: 9914019 - Cardiac Arrest-Post Resuscitation Care

Citations:


Change Log:

DateLink to
previous
version
Description of change
12/12/14pdfAdded consider RSI and cooling.
07/22/16pdfMoved NS fluid bolus if hypotension and clear lung sounds to AEMT section.
08/24/17pdfRemoved Ativan.
09/20/17Modified pediatric Versed dosages.
11/11/17pdfReplaced Versed and Fentanyl with reference to Protocol 6-050 - Control of Pain for pre-cardioversion.
08/24/18pdfAdded comment to consider remaining on scene to stabilize for ten minutes after ROSC.
04/05/20pdfAdded content (without substantive modification) from old Protocol 2-060 - Post Resuscitative Care.
02/19/21pdfAHA 2020 changes to this protocol include a slight adjustment to targeted SpO2 on the conscious ROSC patient and comments indicating a target MAP of greater than 65 should be maintained on these patients.
06/06/21pdfMoved to emsprotocols.online
10/15/21pdfMoved fluid bolus and dopamine to new hypotension protocol (2-583). This was approved by protocol committee on 5/26/21. Additionally, protocol committee approved adding push dose epi to post resuscitation on 5/26/21. Dr. Nicholes approved push-dose epi on 6/8/21. Push dose epi was added to new hypotension protocol, not post resuscitation, but is available for those type of patients.
02/25/22pdfAdjusted targeted temperature management details (removed cold IV and added cold pack locations). Per research done by paramedic student Megan Sukovaty and presentation made on 12/9/21, cold IV fluids cause worse outcomes. Approved by protocol committee on 1/26/22 to conform to recommendations by Sukovaty.
03/16/23pdfClarified RN and medic roles. Added CP.
03/17/23Updated links to NS.
03/19/23Changed links for LR.

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