Arab Board Emergency Medicine Clinical Exam Practice Questions - Arab Board Emergency Medicine Final Clinical And Oral Examination (ABHS) Exam

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A 62-year-old female achieves return of spontaneous circulation (ROSC) after a 15-minute resuscitation for an out-of-hospital VF arrest. She remains comatose (GCS 3) with a blood pressure of 110/70 mmHg. According to current post-cardiac arrest care guidelines, what is the recommended target temperature management strategy?

Rapid active warming to induce hyperthermia above 38.5°C Targeted temperature management maintaining constant core temperature between 32°C and 36°C with strict fever avoidance Permissive uncontrolled hypothermia allowed to drop below 28°C Immediate administration of routine prophylactic antiepileptic infusions without EEG indication

Correct Answer:

Targeted temperature management maintaining constant core temperature between 32°C and 36°C with strict fever avoidance

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