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Adult Cardiac Arrest Algorithm—2015 Update Coed 1 '* Push hard (at least 2 inches {6 cm)) and fast (100-120/min) Sa Veet iT eee ‘compressions. rete erates ere laieecrans| ‘capnography Sree al Sneha tio eee ae Seen sce, oreo quality. See + Biphasic: Manvactuer recommendation (09, tal oso of 120-200 unknown, use maximum avaiable Second and subsequent doses soul be eqdalent and higher loses may be considered + Monophasi: 360 J eed + Epinephrine N/IO dose: Ving every 3-5 minutos + Amiodarone VND dose: Fest ose: 990mg bos Second ++ Epinephrine every 3-5 min cose: 15019, eros + Endotrachal intubation or supragotic advanced sinvay + Wavelorm caprography or capnomety te confirm and moniter ET tube placerent + Once advancad airway i lace, give 1 broth every 8 secends (10 breethsfin) wih continuous chest compressions eee Circulation ROSC) + lise and blo presse + Abrupt sustained increase in Pr00, typically 240 mm Hg) + Spontaneous arterial pressure ‘waves wth intra-arterial monitoring Papert + Hypovclemia| + Hypoxia + Hydrogen in (acidosis) @ \ / S| + Hypo-nyperloia + no signs of etum of GotoSor7 || * Hypothermia spontaneous circulation 2 Fenn neotex (ROSC), go to 10. 0r 11 er ive + IFROSC, 90 to Foxns Post-Carclac Arrest Care + Thrombosis, puinonary 162015 rmerican Heat Acsociaton + Thromboss, coronary

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