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Algo Postarrest

This document provides an algorithm for immediate post-cardiac arrest care, outlining key steps to optimize ventilation and oxygenation, treat hypotension, consider induced hypothermia, assess for STEMI, and administer appropriate vasopressors or epinephrine as needed. The goals are to maintain oxygen saturation above 94% through advanced airway placement or titrating oxygen as needed, treat reversible causes of cardiac arrest, and determine whether coronary reperfusion is required.

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Muhammad Rizki Imannudin
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47 views1 page

Algo Postarrest

This document provides an algorithm for immediate post-cardiac arrest care, outlining key steps to optimize ventilation and oxygenation, treat hypotension, consider induced hypothermia, assess for STEMI, and administer appropriate vasopressors or epinephrine as needed. The goals are to maintain oxygen saturation above 94% through advanced airway placement or titrating oxygen as needed, treat reversible causes of cardiac arrest, and determine whether coronary reperfusion is required.

Uploaded by

Muhammad Rizki Imannudin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Immediate Post-Cardiac

Arrest Care Algorithm


Return of Spontaneous Circulation (ROSC)
Optimize Ventilation and
Oxygenation
Maintain oxygensaturation 94%
Consider advanced airway and
waveform capnography
Do not hyperventilate

Consider
Induced
Hypothermia

Treatment Hypotension
(SBP < 90 mm Hg)
IV/IO bolus normal saline
Vasopressor infusion
Consider treatable causes
12 Lead ECG

NO

Follow Commands?

YES

Coronary
Reperfusion

STEMI

YES

OR

High Suspicion
of AMI

Advanced Critical Care

NO

Details
Ventilation/Oxygen

Epinephrine IV
Infusion

Dopamine IV
Infusion

Avoid excessive ventilation.


Start 10-12 breaths/min
and titrate to target PETCO2
of 35-40 mm Hg.
When feasible, titrate FIO
to minimum necessary to
achieve Spo >94%.

2-10 msg/kg per minute

5-10 mcg/kg per minute.

Reversible Causes

Norepinephrine
IV Infusion

IV Bolus
1-2 L normal saline.

- Hypovolemia
- Hypoxia
- Hydrogen ion (acidosis)
- Hypo/Hyperkalemia
- Hypothermia
- Tension pneumothorax
- Tamponade, cardiac
- Toxins
- Thrombosis, pulmonary
- Thrombosis, coronary

0.1-0.5 mcg/kg per minute


(in70-kg adult: 7-35 mcg
per minute)

ACLS Training Center | 877-560-2940 | [email protected]


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