If airway is not yet secured after ROSC, what is the recommended action?

• A. Do Not Intubate
• B. Place Endotracheal Tube and Confirm Position
• C. Use Bag-Mask Ventilation Only
• D. Administer Nebulized Bronchodilators

Answer: (B)

Securing the airway with a definitive airway and controlled ventilation is essential after ROSC when the airway is not yet secured. Placing an endotracheal tube provides a protected, patent airway, reduces the risk of aspiration, and allows reliable, controlled ventilation and oxygen delivery. The position of the tube should be confirmed promptly with waveform capnography (end-tidal CO2), along with clinical checks such as equal breath sounds and chest rise. This approach offers a stable route for ventilation and reduces the risk of inadequate oxygenation or gastric aspiration compared with relying on bag-mask ventilation alone. Nebulized bronchodilators don’t address airway security, and choosing not to intubate misses a definitive airway when needed.