Adult Cardiac Arrest Algorithm
Unresponsiveness
Code activate EMS
Oxygen
Monitor
Good stuff in the veins like water
Airway BAggingO2
Monitor EKG/defibrillator
Asystole
Epi 1mg (1/10,000)/3-5min
PEA EMD (need pressure 40-60 systolic to feel an pulse)
Rhythms that cannot be PEA Vfib V tach and asystole
Epi 1mg every 3-5mins
Chest Compressions
Vascular Access (Interosseous infusion)
Consider Advanced Airway
ET Co2 monitoring
OTHER DRUGS
1 dose of Vasopressin 40U iv/io to replace 1st or 2nd dose of epi
Asystole or slow PEA rate atropine 1mg iv every 3-5mins (up to 3 doses)
FOCUS ON WHAT IS THE CAUSE
2 leading causes
H and T Hypovolemia and hypoxia
Narrow Complex Tachycardia = volume depletion
Wide Complex slow – = dying heart
H and T’s
Hypoxia
Hypovolemia
Hydrogen (acidosis)
Hypo hyperkalemia)
Hypothermia
Toxins
Tamponade
Tension Pneumothorax
Thrombosis(coronary and PE)
Trauma