• Begin BASIC life support

    • Airway - Assess for airway obstruction, assess for breathing, perform intubation
    • Breathing - Ventilate with 100% oxygen, provide 10-24 breaths/minute
    • Circulation - Assess for heart beat and pulses if absent, begin chest compressions Provide 100-120 compressions /minute

  • Begin ADVANCED life support

    Obtain Electrocardiogram and Determine Arrest Rhythm Obtain Access for Drug Therapy

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  • Ventricular Fibrillation/Ventricular Tachycardia

    Drug Concentration Dosage Dose
    Atropine 0.54 mg/ml 0.02 mg/kg title
    Atropine 0.54 mg/ml 0.02 mg/kg title
    Atropine 0.54 mg/ml 0.02 mg/kg title
    Drug Concentration Dosage Dose
    Atropine 0.54 mg/ml 0.02 mg/kg title
    Atropine 0.54 mg/ml 0.02 mg/kg title
    Atropine 0.54 mg/ml 0.02 mg/kg title

    Repeat Debrillation 2X initial Dose

  • Asystole/Bradycardia/Pulseless Electrical Activity

    Drug Concentration Dosage Dose
    Atropine 0.54 mg/ml 0.02 mg/kg title
    Atropine 0.54 mg/ml 0.02 mg/kg title
    Atropine 0.54 mg/ml 0.02 mg/kg title

    If available, consider transthoracic pacing? Must be instituted early

  • Anesthesia-related arrest

    Turn off vaporizer, Flush circuit, Administer drug reversal agents, 0.01 mg/kg epinephrine (0.11 mls IV) q 1-2 minutes as needed

  • During CPRC:

    Consider interposed abdominal compressions Consider open chest CPR Consider Sodium Bicarbonate 1-2 mEq/kg IV(11.0 to 22.0 mls. IV) (for prolonged arrest > 10 minutes) Consider 10% Calcium Chloride 0.1 ml/kg IV(1.1 mls. IV) (slowly in patients with hyperkalemia or ionized hypocalcemia) Consider Magnesium Chloride 30 mg/kg IV(1.7 mls IV ) for refractory ventricular arrhythmias Consider 50% Dextrose 1 ml/kg IV(11.0 mls IV ) in hypoglycemic patients

  • Intratracheal Doses

    Drug Concentration Dosage Dose
    Atropine 0.54 mg/ml 0.02 mg/kg title
    Atropine 0.54 mg/ml 0.02 mg/kg dose
    Atropine 0.54 mg/ml 0.02 mg/kg dose