ANZCOR has released the updated Guideline 12.5 – Management after Return of Spontaneous Circulation (ROSC). This update reinforces the importance of structured post–cardiac arrest care in infants and children.
Key updates in this release include:
• Updated recommendations for post-ROSC transfer and admission to appropriately resourced facilities
• New blood pressure targets recommending systolic or mean arterial pressure >10th percentile for age
• Refined guidance on post-ROSC oxygenation and ventilation, including targeting normocapnia and normoxia with oxygen saturations of 94–99%
• New recommendations supporting continuous EEG monitoring within the first 24 hours post-arrest. There is also new guidance for treatment of seizures where indicated.
• Strengthened guidance that neurological prognostication should never rely on a single test in isolation
• Expanded recommendations supporting post-event debriefing after paediatric cardiac arrest in all settings
The updated guideline highlights the ongoing importance of preventing secondary brain injury and optimising end-organ perfusion. In addition, it emphasises using multimodal assessment to guide recovery and prognostication after paediatric cardiac arrest.
These changes reflect evolving international evidence and the increasing emphasis on comprehensive post-resuscitation systems of care.
Read the full guideline update here:
Guideline 12.5 – Management after Return of Spontaneous Circulation (ROSC)
#PaediatricResuscitation #ROSC #PALS #ANZCOR #CriticalCare #EmergencyMedicine #Paediatrics
