ECC Post-Resuscitation Care & Recovery 2

Question 1

Which hemodynamic target is recommended for mean arterial pressure (MAP) in post-cardiac arrest patients to ensure adequate cerebral perfusion?

Accepted Answer

≥65 mmHg

Answer

Current guidelines recommend maintaining a MAP of ≥65 mmHg post-resuscitation, though some centers target higher values based on patient response.

Question 2

A post-resuscitation patient develops a temperature of 38.6°C at 18 hours. What is the recommended management according to TTM guidelines?

Accepted Answer

Actively prevent fever with antipyretics or cooling

Answer

Post-resuscitation fever is harmful to the ischemic brain, so current TTM trials support actively preventing fever (≥37.7–38°C) for at least 72 hours.

Question 3

Which arterial blood gas finding is MOST detrimental to neurological recovery in post-cardiac arrest patients?

Accepted Answer

PaO2 of 60 mmHg (hypoxia)

Answer

Hypoxia (low PaO2) causes secondary brain injury and worsens neurological outcomes after cardiac arrest.

Question 4

After ROSC, a 12-lead ECG shows ST-elevation in leads II, III, and aVF. What is the recommended next step?

Accepted Answer

Emergent coronary angiography

Answer

ST-elevation after ROSC indicates likely STEMI and requires immediate coronary angiography regardless of neurological status.

Question 5

Which EEG pattern is MOST predictive of poor neurological outcome after cardiac arrest?

Accepted Answer

Burst suppression with identical bursts (malignant pattern)

Answer

Burst suppression with stereotyped (identical) bursts is a malignant EEG pattern strongly associated with poor neurological outcome.

(ECC) Emergency Cardiovascular Care Certification Practice Test

(ECC) Emergency Cardiovascular Care Certification Practice Test

ECC Post-Resuscitation Care & Recovery 2