Adult Cardiac Arrest Learning Station Checklist (VF/pVT) Adult Cardiac Arrest Algorithm (VF/pVT) > Start CPR + Giveonygen + Attach monitorldeiilator Oo ooo gd CPR2min + vito access + Epinephrine every3-Smin + Consider vanced airway, cepnography CPR 2min + Epinephrine every 3-5:min + Considersdvancedairway, ceapnography CPR2 min + Teeatreversible causes r 5 T+ Ifrosigns ofretumn of Gotosor7 | © spoctaneous circulation \ || _ 050, goto wor | + IROSC, goto Post-Carclac Arrest Care + Consider appropriateness | ofcontinues resuscitation 230 ushraraatesst2inches ‘Sembaretast(100-1200r9) 1 Change smprescor every 2 mnstos or sooner aque. + Hono + Quanta waveform Dy ilow or decreasing ny 202 * Biphasic Hanstactirer ‘ecommendosos eta Secondandeubsequontdoses Shouldbe equal andrigher Sosesmay bo conser, + Menoprase 360 Second coe: 5009, ‘Second dose:0 5-078 maha Pragottcssvancesaiway Ertbepiscemant + Onewadvaneedarayin ace, he rete cds ener Greuttion ROSE) 1 Rootauataiadineress Peroo, piety orem) + Spontaneous artes pasture vinves inate + Hypovemia + Myerosenion cis)Adult Cardiac Arrest Learning Station Checklist (Asystole/PEA) ‘Adult Cardiac Arrest Algorithm (Asystole/PEA) Start CPR + Give oygen + Atach montor/defibrilt oO oood CPR2 min + Ino access CPR2min + Epinophrine every 3-5min + Consider advanced airway, cepnography + Amiodarone crlidocaine + no signs of return of ‘spontaneous circulation |ROSO) goto 100r 11 + ROSE, goto Post-Calae Arrest Care + Consider appropriateness ‘of continued resusctation Push arta inches {Semonatast 00-120") Shdalow compat chest reco + Minimeinterrapionsin + Mo advanced ewan. 202 onpreaiiansvestiton ato, + Guanttotvewavetrm ‘apnosrapny Bec tow or decreasing. revezeee haut, Sn + Biphase Warutsexurer fesonmandstion 9 ‘Soca ot 120-200 Juncus, eeroxmur avaiable Second and mubrequer doses Proudbeogstart and maner ‘deesimy Se considered. + Monophasie 350 * Epinephrine VN dose: Vmgewery3-ameutes Pestaose so0mg ous seondon:1637, Crageaine v0 dose: Frsteose 1-1 moh. Seconse:05 978m + Endorache! tution or 2: riots nsvancedarwny «Waveform eaproarapny rca Ertubetacerent + Once advances arwayinplac, (vo brostn ovary Seeconds {Hobreatetmin wn continu uschestcompcestions ens ee + lsearebioed pressure 1 Abraptevstamedinereaseln eres, peal 240 na) + Spontineousarter pressure ‘notorng + Hpovcieris ee) Hyerogenion{acdosie) Hyoostypekaenia Hysctnrmia ‘Tension preuathocax { Tomponace car STouns { Thromocsisuimonary {Tromocss coronaryAdult Bradycardia Learning Station Checklist ‘Adult Bradycardia Algorithm Persistent bradyarchythmia causing: + Hypotension? ‘Acutel tered mantat status? 1 2020 merian an Aazaiton ‘Atropine dose: Frstdose: 1 ma bolus. Repeat every 3Sminvtes. Maru 3g Dopamine|V ins tal ntusion ais 5:20mogka per minute. Tirate wo patont response: tape slowly. Epinephrine V infusion: 240 meg per minuteinfuson Tirateto patent responce, causes: + Myocardlschemlal frtion|1 Adult Tachycardia With a Pulse Learning Station Checklist Adult Tachycardia With a Pulse Algorithm @F ‘Synchronized cardioversion: Refer to your specific device's recommended energy levelto maximize frst shock success. ‘Adenosine V dose: First dose:6mgrapid|V push: follow with NS hush, Second dose: *2mgifrequirod. “Antiarrhythmic Infusions for Stable Wide-QRS Tachyeardla Procainamide IV dose: 20-50 majmin unt armythmia suppressed, hypotension ensues, ‘QRS duration inccoases >50%, or maximum dose 17 mark given, Maintenance infusion: 1-4 mgimin Avoidifprolonged GT or CHE. Amiodarone V dose: First dose: 160mg over 10 minutes, Repeat as needed I'VT recurs Follow by maintenanceinfusion of i mgimin or rst hours. Sotalol 100mg 1.5 mg/kg) over minutes. void prolonged QT, oO234 Adult Post-Cardiac Arrest Care Learning Station Checklist Adult Post-Cardiac Arrest Care Algorithm Resuscitation's ongoing during the ‘post ROSC phase, anamany ofthese Setivites can accur concurrenty However prioritization necessary folow these steps: «+ Airway management Wavetormeaprograpty oF ‘copnometry ta cont and monitor ‘endotracheal tive placement + Manage respiratory parameters: Tiuate FO, for Spo, 92%-3086 start 21 10breatrsi titrate to PACD, of Sp-45mmig + Manage hemodynamic pararstors: ‘Aminitorerystall'dandor ‘asopressorerinotope for goa! ‘Syste blood pressure >90 mm Hg ormean arterial pressure >65 mmHg ‘These evelvations shouldbe done coneurrently so that decisions on targstedtemperature management (Tri receve nigh priory as, ‘cardiacintervertons. | + Emorgentcaria intervention: ary evaluation of oad ‘lectrocariogrem ECG consider hemadynamies for aecisonan ‘ediacinearventon + TTitifpatentisnotolowing ‘commands start TTM as soon as possibe begin at 32-36" or 26 hoursbyusnga.ceoingdoviee with ‘teecatconp + Other evil are managoment CContiuovaly monitor coro temperature esophageal rectal badder = Maintain norma, nrmocapia, euglycemia ~ Provide continuous or intermittent ‘letroencephalogram EES) ‘mentoring — Provdelung-protectiv ventilation aT Hypovolemis Hyporia Hycrogenion acidosis) Hyporalemisihyperkalemia Hypothermia ‘Tension pneumothorax ‘Tamponade, cardiac Toxine Trrombosis, pulmonary ‘Trrombosis, coronaryAdult Cardiac Arrest Learning Station Checklist (VF/pVT/Asystole/PEA) ‘Adult Cardiac Arrest Algorithm (VF/pVT/Asystole/PEA) CPR2 min Smo + Epinophrine overy 3-5 min * Consideradvanced airway, CPR2min + Troatreversibiecauses + Hf no signs of roturn of spontaneous elation (ROSC) goto 100° + HROSC, goto Post-Cardiac Arrest Care + Consider spproprsteness of continued reauectation cowsor? ) Nessie ny Scopes 1 Change cemoressoravery mines orscenaatqued + Hnosovangedarway 202 Compressonsentatonrsto, + Ginnttatwe waver eee oO ooo a Biphasic Manctactie {econmendion tal Mose of 120-200 Junoon, shoutsbeequvatenterahigher fovesrrayeconeceres * Epinephrine V0 dose: Seoonddoae 150mg {ldocaine vio dose: Freteoee hsm Seoons dour 00789 + Endotrachealintubatonreu- progottiacwancesarwny + Gneeadvansedairnayinpisce ‘vet ereathevery Bacconcs, Fdbreathtminatncontn Retumot Spontaneous peter + Puseand Hood pressure + Abruptsusareaineroacein Fereo.typieny 250mm ‘pox Hyarogenie 5 Hypo-myperalemis {pater | ihcepets eazy 235