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Cardiac Arrest Circular Algorithm: Start CPR 2 M IN UT ES

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0% found this document useful (0 votes)
121 views1 page

Cardiac Arrest Circular Algorithm: Start CPR 2 M IN UT ES

Uploaded by

johndoe1995
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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CARDIAC ARREST CIRCULAR ALGORITHM

START Give Oxygen


CPR Attach monitor / Defibrillator

CHECK

2M
RHYTHM POST-CARDIAC

IN
UT
ARREST CARE

ES
Drug Therapy
IV/IO Access

Epinephrine Every 3-5 Minutes


Amiodarone for refractory VF/pVT

Consider Advanced Airway


Quantitative waveform capnography

Treat Reversible Causes

DOSES & DETAILS


CPR QUALITY ADVANCED AIRWAY
• Push hard (at least 2 inches [5 cm]) and fast (100-120/min) and allow
• Endotracheal intubation or supraglottic advanced airway
complete chest recoil.
• Waveform capnography or canometry to confirm and monitor ET
• Minimize interruptions in compressions.
tube placement
• Avoid excessive ventilation.
• Once advanced airway in place, give 1 breath every 6 seconds (10-
• Rotate compressor every 2 minutes, or sooner if fatigued.
12 breaths/min) with continuous chest compressions
• If no advanced airway, 30:2 compression-ventilation ratio.
• Quantitative waveform capnography
o If PETCO2 <10mm HG, attempt to improve CPR quality
RETURN OF SPONTANEOUS CIRCULATION (ROSC)
• Intra-arterial pressure
o If relaxation phase (diastolic) pressure <20 mm Hg, • Pulse and blood pressure
attempt to improve CPR quality • Abrupt sustained increase in PETCO2 (typically ≥40mm Hg)
• Spontaneous arterial pressure waves with intra-arterial monitoring
SHOCK ENERGY FOR DEFIBRILLATION
• Biphasic: Manufacturer recommendation (eg, initial dose of 120-200 REVERSIBLE CAUSES
J); if unknown, use maximum available. Second and subsequent
doses should be equivalent, and higher doses may be considered. H’s T’s
• Monophasic: 360 J • Hypovolemia • Tension pneumothorax
• Hypoxia • Tamponade (cardiac)
DRUG THERAPY • Hydrogen ion (acidosis) • Toxins
• Epinephrine IV/IO Dose: 1 mg every 3-5 minutes • Hypo-/hyperkalemia • Thrombosis (pulmonary)
• Amiodarone IV/IO Dose: First dose: 300mg bolus. Second dose: • Hypothermia • Thrombosis (coronary)
150mg.

This Algorithm is based on the latest (2015) American Heart Association standards and guidelines.

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