Should we delay EKG post-ROSC? The PEACE study
What if we could change the timing of our post-ROSC ECG and better select those who warrant emergent catheterization?
There has been significant development and change surrounding which patients are best served by immediate revascularization post-ROSC over the past 12-18 months.
On that note, we’ve discussed the COACT study previously on the MCHD Paramedic Podcast, but uncertainty still exists.
OHCA and post-ROSC patients are wildly heterogenous, and one size will never fit all. What if we could simply change the timing of our post-ROSC ECG and better select those with true acute coronary occlusions that warrant emergent catheterization?
That’s the topic of our journal review on this episode – a simple, logical idea that has potentially powerful ramifications. Listen in for the details.

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Article Bites: 12-leads after ROSC: It's all in the timing
Should we overhaul our protocols? What we’ve learned about STEMI, OHCA ROSC from the PEACE study