PEARS PEARS Post-Resuscitation Care and Monitoring

Question 1

After return of spontaneous circulation (ROSC) in a pediatric patient, what is the primary goal of post-resuscitation care?

Accepted Answer

Prevent re-arrest and optimize organ perfusion

Answer

Administer prophylactic antibiotics immediately

Answer

Perform a CT scan within 5 minutes

Answer

Discontinue all IV access

Question 2

Which oxygen saturation target is recommended during post-resuscitation care in pediatric patients to avoid hyperoxia?

Accepted Answer

94%–99%

Answer

100% at all times

Answer

Below 90%

Answer

Above 99% only

Question 3

What temperature management strategy should be used for a pediatric patient who remains comatose after ROSC?

Accepted Answer

Targeted temperature management to prevent hyperthermia

Answer

Active warming to 40°C

Answer

No temperature intervention needed

Answer

Induced hypothermia to 28°C

Question 4

Which blood glucose level range is appropriate to target during post-resuscitation care in pediatric patients?

Accepted Answer

Normal age-appropriate glucose levels (avoid hypoglycemia and significant hyperglycemia)

Answer

Glucose > 200 mg/dL to fuel recovery

Answer

Glucose < 60 mg/dL to reduce metabolic demand

Answer

Glucose is not monitored post-resuscitation

Question 5

A child achieves ROSC after cardiac arrest. What ventilation parameter should be carefully monitored to prevent secondary brain injury?

Accepted Answer

End-tidal CO2 (ETCO2) to maintain normocarbia

Answer

Respiratory rate only

Answer

Peak inspiratory pressure only

Answer

FiO2 set permanently at 1.0

Question 6

Which finding after ROSC should prompt immediate reassessment and possible intervention in a pediatric patient?

Accepted Answer

Persistent hypotension below age-appropriate thresholds

Answer

Heart rate of 90 bpm in a 5-year-old

Answer

SpO2 of 97% on supplemental oxygen

Answer

Temperature of 37°C