Immediate Post-Cardiac

Arrest Care Algorithm

Return of Spontaneous Circulation (ROSC)
Optimize Ventilation and
Oxygenation
Maintain oxygensaturation 94%
Consider advanced airway and
waveform capnography
Do not hyperventilate

Consider
Induced
Hypothermia

Treatment Hypotension
(SBP < 90 mm Hg)
IV/IO bolus normal saline
Vasopressor infusion
Consider treatable causes
12 Lead ECG

NO

Follow Commands?

YES

Coronary
Reperfusion

STEMI

YES

OR

High Suspicion
of AMI

Advanced Critical Care

NO

Details
Ventilation/Oxygen

Epinephrine IV
Infusion

Dopamine IV
Infusion

Avoid excessive ventilation.

Start 10-12 breaths/min
and titrate to target PETCO2
of 35-40 mm Hg.
When feasible, titrate FIO
to minimum necessary to
achieve Spo >94%.

2-10 msg/kg per minute

5-10 mcg/kg per minute.

Reversible Causes

Norepinephrine
IV Infusion

IV Bolus
1-2 L normal saline.

- Hypovolemia
- Hypoxia
- Hydrogen ion (acidosis)
- Hypo/Hyperkalemia
- Hypothermia
- Tension pneumothorax
- Tamponade, cardiac
- Toxins
- Thrombosis, pulmonary
- Thrombosis, coronary

0.1-0.5 mcg/kg per minute

(in70-kg adult: 7-35 mcg
per minute)

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