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ACLS Pulseless Arrest Algorithm

Advanced Cardiac Life Support Algorithms based on the AHA 2005 Guidelines
by

Clinton Pong

on 26 June 2010

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Transcript of ACLS Pulseless Arrest Algorithm

Pulseless Arrest BLS Algorithm
IV, O2, monitor Check Rhythm
Shockable? Ddx: PATCH(4) MDs PE
Acid
TN PTX
CTamp
HypoV
HypoK
HyperK
Hypoglycemia
MI
Drugs (ABCD)
Shivering Pulmonary Embolism
Acidosis
Tension pneumothorax
Cardiac tamponade
Hypovolemia
Hypokalemia
Hyperkalemia
Hypoglycemia
Myocardial Infarction
Drugs (ABCD)
-Antidepressant (TCA)
-Beta Blocker
-Calcium Channel Blocker
-Digoxin
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
Arrest Rhythm
Check Rhythm
Check Rhythm
Check Give vasopressor,
ID contributing factors Consider atropine
(in adult) CPR CPR CPR "PEA"
Problem Search
Epi
Atropine "SCREAM"
Shock
CPR
Epi
Atropine
Meds (Any Legit Med)
-Amio/Lido
-Magnesium Consider:
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
Full transcript