ROSC is not an outcome that matters.
“You have to get ROSC before you get anything else.”
“If patients don’t get ROSC they can’t live, so anything that increases ROSC is giving that patient a chance.”
It makes sense to think that ROSC is an important outcome, at least on a superficial level. Patients need to get ROSC at some point if they are going to have a good neurologic outcome. It is true, but it is a half-truth and unless it is examined health care providers will continue to administer ineffective and perhaps harmful treatments.
Resuscitation is more than the sum of its parts. Continue reading “Something About Nothing: ROSC is a Meaningless Outcome (and The 2018 ACLS Update).”