Pulseless arrest: Difference between revisions
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**Thrombosis, pulmonary | **Thrombosis, pulmonary | ||
**Thrombosis, coronary | **Thrombosis, coronary | ||
See Also: [[ACLS (Treatable Conditions)]] | |||
==See Also== | ==See Also== | ||
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
See Also: ACLS (Treatable Conditions)