# 161: We Got ROSC... Now What? Evidence Based Post Resuscitation Care Page: https://stenobird.com/podcast/rapid-response-rn-1369016/161-we-got-rosc-now-what-evidence-based-post-resuscitation-care Text version: https://stenobird.com/podcast/rapid-response-rn-1369016/161-we-got-rosc-now-what-evidence-based-post-resuscitation-care.md Podcast: [Rapid Response RN](https://stenobird.com/podcast/rapid-response-rn-1369016) Published: 2026-04-24T11:00:00+00:00 Episode link: https://healthpodcastnetwork.com/show/rapid-response-rn/ Audio file: https://pscrb.fm/rss/p/episodes.captivate.fm/episode/d0238ac1-a4d4-4536-b09d-67f70bd17521.mp3 Processing state: processed JSON: https://stenobird.com/v1/public/podcasts/rapid-response-rn-1369016/episodes/161-we-got-rosc-now-what-evidence-based-post-resuscitation-care Duration seconds: 1874 ## Resource Getting ROSC is not always the win we sometimes think it is. It's what we're looking for the entire resuscitation, but the real challenge begins once we get it… and what we do in the next few hours has a major impact on patient outcomes. In this episode, Sarah shares a real rapid response case to walk through the physiology, decision-making, and advocacy of post-arrest care. The 2025 AHA post resuscitation guidelines have brought important shifts to post-ROSC management, from how aggressively to oxygenate to when it's safe to prognosticate. Don't miss the full breakdown! Topics discussed in this episode: Oxygenation and ventilation: how to avoid hyperoxia and hypoxia Perfusion, pressors, and the limits of MAP Temperature management guidelines Sedation, analgesia, and the paralyzed-but-awake patient Diagnostics: timing, priorities, and what to rule out How to use neuroprognostication the right way How to talk to families without giving false hope Nursing priorities and how to advocate for your patients Check out the new Post Resuscitation Guidelines: https://www.ahajournals.org/doi/10.1161/CIR.0000000000001375 Listen to episode 73 — Resuscitate Before You Intubate: How to NOT KILL YOUR PATIENT When You Intubate: https://podcasts.apple.com/us/podcast/73-resuscitate-before-you-intubate-how-to-not-kill/id1535997752?i=1000630431016 Mentioned in this episode: AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course! CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseand… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/rapid-response-rn-1369016/episodes/161-we-got-rosc-now-what-evidence-based-post-resuscitation-care/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/rapid-response-rn-1369016/161-we-got-rosc-now-what-evidence-based-post-resuscitation-care.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.