Pulseless arrest: Difference between revisions
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== V-Fib and Pulseless V-Tach == | ==Immediate== | ||
#Start CPR | |||
#Give oxygen | |||
#Attache monitor/defibrilator | |||
#Rhythm shockable? | |||
== V-Fib and Pulseless V-Tach (Shockable) == | |||
*Shock as quickly as possible and resume CPR immediately after shocking | *Shock as quickly as possible and resume CPR immediately after shocking | ||
**Biphasic - 200J | **Biphasic - 200J | ||
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***Only for polymorphic V-tach | ***Only for polymorphic V-tach | ||
== Asystole and PEA == | == Asystole and PEA (Non-Shockable)== | ||
*Give [[epinephrine|Epi]] 1mg q3-5min | *Give [[epinephrine|Epi]] 1mg q3-5min | ||
*Consider H's and T's | *Consider H's and T's | ||
Revision as of 04:56, 12 January 2012
Immediate
- Start CPR
- Give oxygen
- Attache monitor/defibrilator
- Rhythm shockable?
V-Fib and Pulseless V-Tach (Shockable)
- Shock as quickly as possible and resume CPR immediately after shocking
- Biphasic - 200J
- Monophasic - 360 J
- Give Epi 1mg if (shock + 2min of CPR) fails to convert the rhythm
- Give antiarrhythmic if (2nd shock + 2min of CPR) again fails
- 1st line: Amiodarone 300mg IVP w/ repeat dose of 150mg as indicated
- 2nd line: Lidocaine 1-1.5 mg/kg then 0.5-0.75 mg/kg q5-10min
- Magnesium 2g IV, followed by maintenance infusion
- Only for polymorphic V-tach
Asystole and PEA (Non-Shockable)
- Give Epi 1mg q3-5min
- Consider H's and T's
- Hypovolemia
- Hypoxia
- Hydrogen ion
- Hypo/hyperkalemia
- Hypothermia
- Tension pneumo
- Tamponade
- Toxins
- Thrombosis, pulmonary
- Thrombosis, coronary