All right, so I'm back with Madam Thomas here.

We're going to talk about post-cardiac arrest resuscitation.

And this is a cornerstone of what we do, isn't it, Josh Lear?

Like if you don't know how to manage these super sick patients, especially in the first five

minutes to the next couple days, you can really cause some harm here. Yeah, this is a staple of critical care. Fortunately, especially with the opioid

epidemic, but even before it, we see these patients constantly. So today, the hallmark is think brain

first, because everything we do in resuscitation is all about resuscitating that person, and then

all the other organs are important after that. So keeping that in mind,

we're going to talk about initial stabilization. Then we'll go over more advanced interventions and we'll round it off with an algorithm, as always, for how you are going to approach these

patients for two in the morning. Josh, why don't you start us off with that initial stabilization?

I know we always talk about ABCs, but give me the real bread and butter here. So the initial

stabilization starts after you get ROSC in CPR, and this merges a little bit into your CPR type

stuff. And we're not going to get lost in all that detail. But essentially, all of these patients

are going to require intubation at some point. Some of the newer literature suggesting that maybe

you want to get ROSC and not intubate them immediately. But eventually, once you get Ross, you're going to want to intubate them.

And once you do that, you want to be careful not to give them too much oxygen.

So hyperoxia is bad.

So you want to get them to saturation of 90 to 96%.

And a relatively normal PCO2 shooting for like maybe an entitle of 30.

That'll probably get you into the normal area. And then also super important, you want to support their circulation, especially if this is someone who's on the

unstable side. These folks are obviously the sickest patients imaginable. So they're at risk

for re-arresting. So you want to be pretty aggressive about supporting their circulation.

...