Updated International Guidelines for Post–Cardiac Arrest Care

Target Population: Physicians who care for patients with return of spontaneous circulation (ROSC) after cardiac arrest, including emergency physicians, critical care physicians, and cardiologists

Background

These guidelines update the 2010 International Liaison Committee on Resuscitation guidelines for patients with ROSC after cardiac arrest.

Key Recommendations

• Insert an advanced airway for comatose patients.

• Aim for SpO₂ of 94%–98% and use capnography to avoid hyperventilation.

• Systolic blood pressure goal is >100 mm Hg. Use fluids, an arterial line, and pressors/inotropes (these guidelines recommend norepinephrine and dobutamine) as needed.

• Targeted temperature management …