ACLS Asystole and PEA

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