Adult cardiac arrest algorithm

Question 1

first step is to

Answer 1

start cpr

give o2

attach monitor

Question 2

Step 2

Answer 2

determine if its a shock-able rhythm

Question 3

If step to do, if yes, then////

Answer 3

Shock , ( v fib or pulsless v tach)

Question 4

after shock of v fib or pulsless v tach you…..

Answer 4

continue cpr and gain iv / io acess

Question 5

after continuing cpr if the next rhythm check is shockable you

Answer 5

shock again
restart cpr
consider advanced airway

Question 6

Next you look for shockable rhythem again and if it is you

Answer 6

shock
give amiodorone
treat reversible causes

Question 7

next continue 2 min round with epi and amio until

Answer 7

rosc
pea or aystole

Question 8

going back to step two or if at anytime you loose a shock-able rhythm you

Answer 8

do cpr in 2 min rounds giving epi every 3 to 5 minutes

Question 9

epi dose is

Answer 9

.5 every 3-5 min with a max of 2 mg

Question 10

pulsless tor-sades gets treated with what medication

Answer 10

magsulfate

Question 11

mag-sulfate dose for pulsless tor-sades is

Answer 11

1-2 g iv io diluted in 10 ml of crystalloids

Question 12

for v fibb and pulsless v tach you do what after the 3rd shock

Answer 12

put a new set of pads in the anterior posterior positions for subsequent shocks

this is because a simple change in vector is sometimes all thats needed to convert a rhythm

Question 13

What are the H’s and T’s?

Answer 13

Hypovolemia, Hypoxia, Hyper/Hypokalemia (acidosis), Tension pneumothorax, Hypothermia, Toxicity (Drug Overdose), Cardiac Tamponade, Thrombosis, Trauma