This week Paul Rees discusses ROSC and post resuscitation care, including post cardiac arrest syndrome and prognostication after cardiac arrest.

• Train and talk through these events. They are fairly rare and so practicing and talking through the motions is important to keep skills, roles and plans refreshed, thinking through all roles and likely challenges and outcomes

Resus Council post-ROSC care – https://www.resus.org.uk/resuscitation-guidelines/post-resuscitation-care/#circulation

Paul Rees is a military interventional cardioloist at Barts Heart Centre in London, with a special interest in circulatory support and resuscitation. He is also a HEMS consultant, flying for East Anglian Air Ambulance.

As a Surgeon Commander in the Royal Navy, he is their Consultant Advisor in Medicine, as well as Reader in the Academic Department of Military Medicine.  He chairs the Defence Resuscitation Committee, leads the Defence Endovascular Resuscitation Group and has recently designed and delivered a new capability for treating battlefield haemorrhage.

He co-leads the new British Cardiovascular Intervention Society group looking at out of hospital cardiac arrest, and teaches as invited faculty on a number of international endovascular resuscitation workshops. Paul’s military background includes active service with submarines, combat deployment with Commando forces, being the airborne MERT consultant in Afghanistan and numerous humanitarian and disaster relief missions including work in an Ebola treatment unit in Africa.