Bradycardia Atropine .5mg push (every 3-5 mins) 3mg max and Dopamine 2-10mcg/kg/min/ transcutaneous pacing
Basic Life Support 100/min 2inches 30/2 1 breath /6secs Check every 2mins
Unstable
Stable Narrow Complex regular Adenosine 6 rapid 20ccs saline 12mg
Stable Narrow Complex Irregular Verapamil 5/5
Stable Wide Complex Regular T Tach Amiodorone 150/10mins
Monomorphic ventriculsr
Monomorphic SVT with Block
Polymorphic
Toussades
Women Unusual Fatigue
ST elevation or new LBBB
Call In
10 minutes for assessment
30 minutes CXR
90 minutes door to ballooon up time PCI
or Fibrinolytics within 30 minutes
St depression
heparin B blockers
Cincinnati
Smile
Speech
Drift
2/3 72%
3/3 87%
blood glucose
when last normal = Time zero
10 minutes to reassess in ER
60 minutes CT
Within 3 hours of Last Known Normal Fibrinolytics
remember hypertension 200/110
Epi 1mg 1:10000 and chest compressions
Cause Hypovolemia and Hypotension
Hypovolemia – Tachycardia
Hypoxia – Dying heart Slow Bradycardia
and T’s hypothermia, K+ , H+ Thrombosis PE
v Fib and V Tach and Asystole are not PEA – Because we do not expect a pulse with these rhythms