Question

A 45-year-old gentleman was admitted in the ward for an acute febrile illness. He is on treatment for diabetes mellitus and hypertension for the last 5 years. The ward sister witnesses the patient not responding and is in cardiac arrest, and CPR is initiated. You are called to help.
What are the signs of ROSC?

Hint:

The most reliable signs of ROSC include the presence of a pulse, spontaneous breathing, and improvements in blood pressure.

Answer 1

Step 1: Understanding ROSC.
ROSC occurs when spontaneous circulation is restored after cardiac arrest, and it is a key indicator of successful resuscitation.

Step 2: Explanation of signs of ROSC.
- Presence of a pulse: The most obvious sign that circulation has returned.
- Spontaneous breathing: The patient starts breathing on their own, indicating improved respiratory function.
- Improvement in blood pressure: Restoration of blood pressure indicates adequate circulation.
- Movements or responsiveness: Any voluntary movements or responsiveness suggests return of neurological function.

Step 3: Conclusion.
Recognition of these signs is critical in determining whether CPR efforts have successfully restored circulation and whether further medical intervention is necessary.