What are the possible mechanisms that explain Lazarus Syndrome?
1. Positive end expiratory pressure
2. Delayed action of drugs
3. Myocardial stunning
What can be the implications for emergency health care providers with delayed ROSC?
- Lazarus phenomenon is delayed ROSC after cessation of CPR.
- Understand death: It is a process, Stop looking at it like a single event.
- Observe the patients for 5-10 minutes the cessation of CPR before confirming death. (Get an EKG or bedside ECHO before you declare death)
- Re-read and scrutinise the chart before signing it off.
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