Table1.

Critical Care treatment bundle to optimise recovery following Return of Spontaneous Circulation.

Goals: Optimise recovery for survivors; dignity in death for non-survivors

Full physical examination and review history and comorbidities

Identify and manage precipitating cause of cardiac arrest

Maintain normoxia, normocapnia; lung protective ventilation

Optimise haemodynamics using cardiac output monitoring or serial bedside echocardiogram

Maintain normoglycemia

Diagnose and treat seizures

Temperature control between 32 and 36°C for >24 h; prevent fever for >72 h

Continuous renal replacement therapy

Delay neurological prognostication until at least 72 h

Key investigations to consider: Echocardiogram, coronary angiography, computed tomography pulmonary angiography, CT of the head