Resuscitation Guidline

Question 1

Unquestionable Death Criteria

Answer 1

Unresponsive
Apneic
Pulseless

and at least ONE of the following

Pt has lividity
Pt has clear signs of body decay or visible decomposition
Pt has rigor mortis (rigidity)
Pt has an open cranium w/exposed brain matter
Pt is decapitated or has a severed trunk
Pt has full thickness burns to the entire body

Question 2

Trauma Death Criteria

Answer 2

Blunt Chest Trauma or Multi-system Trauma

Apneic
Pulseless
If cardiac rhythm is asystole or wide complex ventricular rhythm of 30 or less without a pulse, document time and pronounce death

Question 3

Medical Asystole

Answer 3

Pt who are apneic, pulseless and asystolic that do not meet the unquestionable death criteria.
Resuscitation efforts may be terminated only when ALL of the following criteria exist:

Arrest was not witnessed
No shocks provided prior to arrival
Pt is equal to or greater than 18 y/o
Rhythm remains systole after providing 3 rounds of full ACLS

Question 4

Acutely hypothermic Pt in cardiac arrest …

Answer 4

… shall be treated and transported with submersion time less than 60 minutes