Cardiac Flashcards
PIT CREW
bsi/scene safe Pulse (5 seconds) Chest compressions 100/min Attach Pads/turn on/evaluate/treat BVM/ETI/King Every 6 seconds Upstroke 10 compressions 2-4 seconds max stop time IV/IO-Admin Drugs Rotate compressors-2 minutes EKG-defib as necessary ROSC- stop CPR continue breathing 10-12 per minute 20 PEDS
TCP
EKG to demand pacing 80BPM Start 0mA +10 till mechanical capture If BP stays less 90 w/poor skin signs cap refill,aloc increase BPM by 10 to 100 Versed 1.0-2.5mg IV/IO 2.5-5mg IM Max 2x Morph 2-5mg IV/IO or 10 IM MAX PEDS Versed .1mg IV/IO/IM Max 5mg Morph .1mg IV/IO/IM max 5mg
TCP Drug Dose
Versed 1.0-2.5mg IV/IO 2.5-5mg IM Max 2x
Morph 2-5mg IV/IO or 10 IM MAX
PEDS Versed .1mg IV/IO/IM Max 5mg
Morph .1mg IV/IO/IM max 5mg
Asystole
Cardiac Monitor in 2 Leads
10-12 breaths 95% ETCO2 35-45
Epi 1mg 3-5 minutes Peds .1mL/kg(.01mg/kg)
Dialysis- Bicard 1meq/kg IV/IO & Calcium 1gm IV/IO(PEDS 20mg/KG)
Peds-Check Blood Sugar & Fine V-Fib @2joules/kg
ROSC-BP less 100 Dope -5-10mcg/kg/min-20mcg/kg/min
HYPOTHERMIA/DruG OD/Electrocution Transport!
PEA
H’s & T’s
10-12 breaths 95% ETCO2 35-35
Epi-1mg 3-5 minutes Peds.1ml/kg(.01mg/kg)
Dialysis- Bicard Dialysis-Bicarb 1meq/kg IV/IO & Calcium 1gm IV/IO(PEDS 20mg/KG)
ROSC - BP < 100 Dope -5-10mcg/kg/min-20mcg/kg/min
HYPOTHERMIA/DruG OD/Electrocution Transport!
V-FIB/V-TACH
H’s & T’s & Pit Crew
10-12 breaths 95% ETCO2 35-35
Epi-1mg 3-5 minutes Peds.1ml/kg(.01mg/kg)
AMIO-300mg IV/IO PEDS Lido 1mg/kg (3mg ToTaL)
DeFiB- 360j-Peds-2j/kg
Epi-1mg 3-5 minutes Peds.1ml/kg(.01mg/kg)
DeFiB- 360j-Peds-4j/kg
AMIO-150mg IV/IO PEDS Lido 1mg/kg (3mg ToTaL)
DeFiB- 360j-Peds-4j/kg
ROSC w/NO AMIO- Give 150mg infusion 10 minutes
Dialysis- Bicard Dialysis-Bicarb 1meq/kg IV/IO & Calcium 1gm IV/IO(PEDS 20mg/KG)
ROSC - BP < 100 Dope -5-10mcg/kg/min-20mcg/kg/min
HYPOTHERMIA/DruG OD/Electrocution Transport!
Tachycardia>150 with Pulses Narrow Complex
Conscious & Unconscious/UNSTABLE
Adult>150 Peds>220
Unstable but Conscious with Narrow complex
Consider Vagal (no carotid massage)
Adenosine 6/12/12 20CC rapid flush
Peds .1mg/kg/.2mg/kg/.2mg/kg (6/12/12 Max Ped dose)
Versed .1mg/kg IV/IO Max of 5mg .2mg/kg IM Max 10mg
Sync Cardiovert 100/200/300/360…no change PUHA Call Base
Unconscious-Sync Cardiovert 100/200/300/360 PUHA/Base Amio Drip
PEDS No Cardiovert-No Versed- No VAGAL
WIDE COMPLEX (pulsating V-tach) Unstable/Conscious
Adult>150 Peds>220
but Concious Consider Adenosine(no adenosine if rhtm is aberrantly conducted SVT/irregular/Polymorphic
Adenosine 6/12/12 20CC rapid flush
Peds .1mg/kg/.2mg/kg/.2mg/kg (6/12/12 Max Ped dose)
Versed (A&P) .1mg/kg IV/IO Max of 5mg .2mg/kg IM Max 10mg
Sync Cardiovert 100/200/300/360…no change PUHA Call Base PEDS 1j/kg2j/kg/2j/kg PUHA- Base
Tachycardia Wide or Narrow Complex Unconscious
Unconscious-Sync Cardiovert 100/200/300/360 PUHA/Base Amio Drip-150mg/10minutes
Peds 1j/kg2j/kg/2j/kg PUHA-Base
Peds Consider LIDO 1mg/kg IV/IO
Unconscious = due to lack of perfusion due to incident not due to other reason like trauma etc/
PVC in Responsive PT
Life threats-PUHA-Consider Base-Consider Amio Drip 150mg IVPB over 10 Minutes BASE ORDER
Chest Pain
Treat life threats NTG .4mg sublingual every 2 minutes Nitro Pate 1 inch Aspirin 162mg Morphine 2-5mg slow IVO PRN 5 minutes 5mg MAX PUHA Hypotension?-250cc bolus Still? Dope 5-10mikes/kg 20 Max Base ED Drugs? No Nitro Watch for need of Narcan
Bradycardia/Heart Blocks
HR<60 Atropine .5mg IV/IO before pacing PRN 3-5 min 3mg Max
TCP- PUHA
Consider 250 cc bolus
Dope 5-10mikes/kg Max 20
Base
PEDS
Consider CPR
EPI firs .1ml/kg(.01mg/kg)
then Atropine .02mg/kg (minimum 1ml/.1mg) Max 1mg/10ml
TCP needs physician order unless In extremis (5) no base
H’s & T’s
Hypvolemia Hypoxia Hypoglycemia Hyperkalemia Toxins/OD Trauma Tension Pneumothorax
