Question

You have been performing multiple-provider CPR and using an AED on an adult patient in cardiac arrest. The patient is now showing signs of return of spontaneous circulation (ROSC). Which action(s) would the team perform?

-Continue compressions for another minute.
-Stop CPR/AED.
-Check for breathing and a carotid or femoral pulse.
-Give 2 ventilations.
-Remove the AED pads.
-Monitor the patient until the advanced cardiac life support team takes over.

Answer 1

Upon ROSC after CPR and AED use, stop CPR, check for breathing and pulse, do not remove AED pads, and continually monitor the patient until advanced support arrives.

Step-by-step explanation:

When a patient shows signs of return of spontaneous circulation (ROSC) after receiving CPR and AED attention, the team should first cease CPR and stop using the AED. The immediate next steps are to check for breathing and a carotid or femoral pulse to confirm ROSC. If the pulse is present and the patient is breathing, no further chest compressions or ventilations are necessary at this time. It's not recommended to remove the AED pads; they should be left in place in case the patient's condition changes and additional shocks are needed. Instead of removing the AED pads, the care team should continue to monitor the patient's status until the arrival of the advanced cardiac life support team, ensuring that any changes in the patient's condition are promptly addressed.