Symptom Finder - Treatment of Cardiac Arrest
CARDIAC ARREST
1. Establish airway and IV line. Ventricular fibrillation or ventricular tachycardia: shock with 120–200 J.
2. Begin chest compression 100/min with 2 breaths every 30 compressions.
3. Second shock with 200–300 J.
4. No response, resume CPR.
5. Shock again with 200–400 J.
6. No response, give 1 mg epinephrine (1:10,000) IV or IO.
7. Continue CPR.
8. Shock again with maximum voltage.
9. Repeat epinephrine 1 mg every 3 to 5 minutes.
10. Try Vasopressin 40 units IV or IO.
11. Shock again with maximum voltage.
12. Amiodarone: 300 mg IV or IO, or Lidocaine: 50–100 mg IV or IO.
13. Consider IV calcium gluconate 100 mg/kg IV or magnesium loading 1–2 g.
14. Sodium bicarbonate: 1 amp IV if acidosis suspected.
Asystole—establish airway and IV line.
1. Begin CPR 100 compressions/min and 2 breaths every 30 compressions.
2. 1 mg epinephrine: 1:10,000 IV or IO and repeat every 3 to 5 minutes while continuing CPR.
3. Try vasopressin: 40 units IV or IO.
4. Consider atropine: 1 mg IV or IO.
1. Establish airway and IV line. Ventricular fibrillation or ventricular tachycardia: shock with 120–200 J.
2. Begin chest compression 100/min with 2 breaths every 30 compressions.
3. Second shock with 200–300 J.
4. No response, resume CPR.
5. Shock again with 200–400 J.
6. No response, give 1 mg epinephrine (1:10,000) IV or IO.
7. Continue CPR.
8. Shock again with maximum voltage.
9. Repeat epinephrine 1 mg every 3 to 5 minutes.
10. Try Vasopressin 40 units IV or IO.
11. Shock again with maximum voltage.
12. Amiodarone: 300 mg IV or IO, or Lidocaine: 50–100 mg IV or IO.
13. Consider IV calcium gluconate 100 mg/kg IV or magnesium loading 1–2 g.
14. Sodium bicarbonate: 1 amp IV if acidosis suspected.
Asystole—establish airway and IV line.
1. Begin CPR 100 compressions/min and 2 breaths every 30 compressions.
2. 1 mg epinephrine: 1:10,000 IV or IO and repeat every 3 to 5 minutes while continuing CPR.
3. Try vasopressin: 40 units IV or IO.
4. Consider atropine: 1 mg IV or IO.