Check unresponsive
Primary ABCD survey:
Assess/reassess rhythm and pulse
Depends on the type of rhythm.
1. Defibrillation (200J,360J, 360J first cycle, then 360J x 3 subsequent cycle)
2. CPR for 1 minutes and go back to step 2.
After 1st cycle of defibrillations, give:
After 2nd cycle of defibrillations, give:
After 3rd cycle of defibrillations, give:
Consider using
Epinephrine is the most important drug.
1. Look for reversible causes of cardiac arrest (5H5T)
2. Continue CPR for 3 minutes and go back to step 2
3. Give epinephrine 1mg (of 1:10,000) every 3-5 minutes
4. Give atropine 1mg every 3-5 minutes if bradycardia (max 0.04mg/kg)
5. Give bicarbonate 1mEq/kg (as per VF/VT)
1. Look for reversible causes of cardiac arrest (5H5T)
2. Continue CPR for 3 minutes and go back to step 2
3. ?Transcutaneous pacing (apparently no evidence for it)
4. Give epinephrine 1mg (of 1:10,000) every 3-5 minutes
5. Give atropine 1mg every 3-5 minutes (max 0.04mg/kg)
6. ?Give bicarbonate (apparently no evidence for it)
Once circulation returns, start constant infusion of amiodarone 1mg/min.
5 Hs:
5Ts:
Prolong CPR in hypothermia, submersion, drug overdose.
Things to revise/add later: post resus management
Bibliography: Internal Medicine Oncall, ACSL 2000 (iSilo)
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Created | 20031125 |
Updated | 20031201 |