Professional Documents
Culture Documents
• Airway
o Maintain airway patency in unconscious patients
o Use advanced airway if needed
o Confirm CPR/Ventilation/Secure Device
o Monitor Airway Placement with continuous quantitative waveform capnography
• Breathing
o Give supplementary oxygen as needed
§ 100% oxygen for cardiac arrest patients
§ Titrate oxygen for stable patients
o Avoid excessive ventilations
o IMPORTANT: AGONAL GASPS ARE NOT NORMAL (FIRST SIGNS OF IMPENDING
CARDIAC ARREST). START CPR IMMEDIATELY.
• Circulation
o Monitor CPR quality
§ Minimize interruptions and checking pulse no more than 10 seconds
§ If person performing CPR starts to provide ineffective chest compressions: Give
constructive feedback
o Attach Monitor/Defibrillator/AED
§ First Step to using AED is turning on the device. Then follow the prompts.
o Obtain IV/IO Access
§ Give Appropriate medications
§ Administer IV/IO fluids
o Check glucose levels/temperature/ capillary refill
o IMPORTANT: BLOOD PRESSURE MINIMUM IS 90 mmHg
• Disability
o Check for neurological function
o Quickly assess for responsiveness (LOC, Pupil Dilation)
o AVPU
§ Alert
§ Verbal stimulation
§ Painful stimulation
§ Unresponsive
o Exposure
§ Remove clothing: Assess for obvious signs of trauma, bleeding, burns, markings, medical
alert bracelet
• Hypovolemia
• Hypoxia
• Hydrogen Ion
• Hypo/Hyper Kalemia
• Hypothermia
• Tension Pnuemothorax
• Tamponade
• Toxins
• Thrombosis (Pulmonary)
• Thrombosis (Coronary)
• Shockable Rhythm: No
• First Line Medication: Epinephrine 1mg every 3 to 5 minutes
Bradycardia
• Stable Patients
o 12 Lead EKG on all stable patients
o Vagal Maneuvers
o Adenosine 6mg rapid IV push
• Unstable Patients
o Synchronized cardioversion
o Regular Narrow Complex, consider giving adenosine
• Torsades de pointes give magnesium sulfate
Stroke Guidelines
• Give Fibrinolytic Therapy immediately as long as no contraindication
• CT Scan with no contrast immediately