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ACLS Pulseless Arrest Algorithm
Transcript of ACLS Pulseless Arrest Algorithm
IV, O2, monitor Check Rhythm
Shockable? Ddx: PATCH(4) MDs PE
Shivering Pulmonary Embolism
-Calcium Channel Blocker
Shivering No shock Shock Asystole/PEA Resume CPR x5
Consider IV/IO Epinephrine 1 mg IV/IO Q3-5 min
(or Vasopressin 40U IV/IO x1)
Consider Atropine 1mg IV/IO Q3-5min to replace 1st/2nd Epi dose, lasts for ~10 min VFib
Pulseless VTach Shock!
Resume CPR w/o delay Manual Biphasic: (120-200J depending on device)
AED: device specific
Monophasic: 360J Cardiac
Check Give vasopressor,
ID contributing factors Consider atropine
(in adult) CPR CPR CPR "PEA"
Meds (Any Legit Med)
Amiodarone 300 mg IV/IO
Lidocaine 1-1.5 mg/kg IV/IO
Magnesium sulfate 1-2 g IV/IO (may repeat x2, q5-10 min @ 0.5-0.75 mg/kg;
3 mg/kg max loading dose) in 10mL D5W over 5-20min for torsades de pointes , then 150mg after 3-5 min