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Adult Immediate Post Cardiac Arrest Care Algorithm 2015 Update

Adult Immediate Post Cardiac Arrest Care Algorithm 2015 Update

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Ryggie Comelon
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0% found this document useful (1 vote)
1K views1 page

Adult Immediate Post Cardiac Arrest Care Algorithm 2015 Update

Adult Immediate Post Cardiac Arrest Care Algorithm 2015 Update

Uploaded by

Ryggie Comelon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Adult Immediate PostCardiac Arrest Care Algorithm2015 Update

Return of spontaneous circulation (ROSC) Doses/Details

Ventilation/oxygenation:
2 Avoid excessive ventilation.
Start at 10 breaths/min and
Optimize ventilation and oxygenation titrate to target Petco2 of
35-40 mm Hg.
Maintain oxygen saturation 94% When feasible, titrate Fio2
Consider advanced airway and waveform capnography to minimum necessary to
Do not hyperventilate achieve Spo2 94%.
IV bolus:
3 Approximately 1-2 L
normal saline or lactated
Treat hypotension (SBP <90 mm Hg) Ringers

IV/IO bolus Epinephrine IV infusion:


0.1-0.5 mcg/kg per minute
Vasopressor infusion
(in 70-kg adult: 7-35 mcg
Consider treatable causes
per minute)
Dopamine IV infusion:
5-10 mcg/kg per minute

5 4 12-Lead ECG: Norepinephrine


Yes STEMI IV infusion:
Coronary reperfusion OR 0.1-0.5 mcg/kg per minute
high suspicion (in 70-kg adult: 7-35 mcg
of AMI per minute)

Reversible Causes
No
7 Hypovolemia
6 Hypoxia
Initiate targeted No Follow Hydrogen ion (acidosis)
temperature management commands? Hypo-/hyperkalemia
Hypothermia
Tension pneumothorax
Yes Tamponade, cardiac
8 Toxins
Thrombosis, pulmonary
Advanced critical care Thrombosis, coronary
2015 American Heart Association

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