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Holding on: The critical hours after ROSC

Tracks
Stream One - Plaza Terrace
Friday, March 27, 2026
11:30 AM - 12:30 PM
Plaza Terrace

Overview

Marcia Fletcher


Speaker

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Mrs Marcia Fletcher
The Pink Stethoscope

Holding on: The critical hours after ROSC

Abstract

You identified a cardiopulmonary arrest, performed effective CPR and you have achieved ROSC...so now what?!? The post cardiac arrest care we provide our patients can significantly impact the chances of surviving to discharge. A sound knowledge of the most appropriate forms of care for our post arrest patients is required. This lecture will dive deep into the post cardiac arrest algorithm, highlighting the immediate interventions we must instigate to give our ROSC patient the best chance of survival. Respiratory and haemodynamic optimisation, along with neuroprotection strategies are all discussed in detail.

Biography

Marcia is a registered veterinary nurse specialist, thought leader and an international speaker. Having over 20 years’ experience in veterinary anaesthesia, she started her career working for the Massey University Veterinary Teaching Hospital in New Zealand and was the senior anaesthesia nurse there for over 16 years. In 2011 she became New Zealand’s first Veterinary Technician Specialist in Anaesthesia and Analgesia. She has been awarded New Zealand’s “Vet Nurse of the Year”, and several teaching awards including “Teacher of the Year”. Marcia is also New Zealand’s first RECOVER certified instructor of both basic and advanced CPR, providing CPR training both nationally and internationally. In 2020 Marcia left the university teaching life and created The Pink Stethoscope, her platform to elevate veterinary anaesthesia within the entire veterinary community. Through The Pink Stethoscope she independently provides postgraduate veterinary anaesthesia education, training, webinars, workshops and consultations. Marcia loves all aspects of veterinary anaesthesia teaching. Her passion has always been instilling anaesthesia knowledge to the greater veterinary profession - to make a somewhat challenging subject less stressful, and ultimately to empower veterinary professionals to continue their anaesthesia learning journey. Away from work Marcia is a busy kiwi mum, enjoying her home life with her husband, daughter, son, and very special “fur-daughter” Minnie the tuxedo cat.
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