After resuscitation from cardiac arrest, what should be done regarding transport destination?

• A. Transport to the nearest hospital regardless of protocol.
• B. Refer to the appropriate protocol for transport destination.
• C. Wait for physician arrival before deciding destination.
• D. Transport to the hospital with the best reputation.

Answer: (B)

After return of spontaneous circulation, follow the system’s transport destination protocol. This ensures the patient is taken to a facility equipped to provide appropriate post-resuscitation care (such as advanced cardiac care, PCI-capable centers, ICU resources, or therapeutic hypothermia capabilities) rather than just the nearest hospital. Using the protocol standardizes care, speeds access to needed treatments, and may involve contacting medical control if decisions need authorization. Transporting to a hospital based on reputation or delaying transport awaiting a physician can jeopardize timely care and isn’t guided by the patient’s clinical needs.