Arab Board EM Final Written Practice Questions - Arab Board Emergency Medicine Final Written Examination Exam

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A 58-year-old man achieves return of spontaneous circulation (ROSC) after a 20-minute resuscitation for out-of-hospital ventricular fibrillation arrest. He remains comatose (GCS 3) with a blood pressure of 115/70 mmHg. According to current post-cardiac arrest care guidelines, what is the recommended targeted temperature management (TTM) strategy?

Select and actively maintain a constant target temperature between 32°C and 36°C for at least 24 hours, strictly preventing fever Induce rapid deep hypothermia to a target temperature of 28°C to 30°C for 72 hours Allow permissive hyperthermia up to 39°C to enhance enzymatic recovery and immune function Maintain active warming to 38.5°C to optimize peripheral perfusion and metabolic rate

Correct Answer:

Select and actively maintain a constant target temperature between 32°C and 36°C for at least 24 hours, strictly preventing fever

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