Hypothermia Cardiac Arrest Medical Directive Flashcards
Hypothermia Cardiac Arrest Medical Directive
A Primary Care Paramedic may provide the treatment prescribed in this Medical Directive if authorized.
Indications
Cardiac arrest secondary to severe hypothermia.
Conditions - CPR
Age: N/A LOA: Altered HR: N/A RR: N/A SBP: N/A Other: Performed in 2 minute intervals
Conditions - Manual Defibrillation
Age: ≥30 days LOA: Altered HR: N/A RR: N/A SBP: N/A Other: VF OR pulseless VT
Conditions - AED Defibrillation
Age: ≥30 days LOA: Altered HR: N/A RR: N/A SBP: N/A Other: Defibrillation indicated
Contraindications - CPR
Obviously dead as per BLS PCS
Meets conditions of Do Not Resuscitation (DNR) Standard.
Contraindications - Manual Defibrillation
Rhythms other than VF or pulseless VT
Contraindications - AED Defibrillation
Non-shockable rhythm
Treatment
Consider CPR
Consider Manual defibrillation (if available and authorized)
Consider AED defibrillation (if not using manual defibrillation)
Clinical Considerations
Transport to the closest appropriate facility without delay following the 1st analysis.
Consider Manual defibrillation (if available and authorized)
Age ≥30 days to <8 years Dose: 1 defibrillation Initial: 2 J/kg Dosing interval: N/A Max. # of doses: 1
Age: ≥8 years Dose: 1 defibrillation Initial dose: As per BH/manufacturer Dosing interval: N/A Max. # of doses: 1
Consider AED defibrillation (if not using manual defibrillation)
Age ≥30 days to <8 years With Pediatric Attenuator Cable Dose: 1 defibrillation Initial: As per BH/manufacturer Dosing interval: N/A Max. # of doses: 1 Without Pediatric Attenuator Cable Dose: 1 defibrillation Initial: As per BH/manufacturer Dosing interval: N/A Max. # of doses: 1
Age: ≥8 years Dose: 1 defibrillation Initial dose: As per BH/manufacturer Dosing interval: N/A Max. # of doses: 1
