1-cardiac-arrest-pea-and-asystole_2015.pdf

Adult Cardiac Arrest ACLS Certification Institutewww.aclscertification.com | 1-800-448-2078Fast, Convenient and 100% Online ACLS Training and CertificationEarn Your ACLS in 1-2 Hours. Certify or Recertify Today! 1 Establish Unresponsiveness3Shockablerhythm?5Vfib or VtachYesAdminister defibrillation_High-Quality CPRCompression rate > 100/minCompress chest to depth of at least 2 inchesAllow for complete chest recoilMinimize interruptionsAvoid hyperventilationRotate compressor every 2 min to prevent fatigue2Call Code/Activate EMSImmediately begin CPRAdminister oxygen if availableAttach monitor/defibrillator, establish rhythm7Immediately resume CPR for 2 minEstablish vascular access8Shockablerhythm?10YesAdminister defibrillation12 Immediately resume CPR for 2 minAdminister Epinephrine every 3-5 minConsider advanced airway, ET COMonitoring214Shockablerhythm?16YesAdminister defibrillation18 Immediately resume CPR for 2 minAdminister AmiodaroneEstablish and treat reversible causesNoNo4PEA/Asystole9Shockablerhythm?No13Shockablerhythm?17NoGo to ROSCAlgorithm6Immediately resume CPR for 2 minEstablish vascular accessAdminister Epinephrine every 3-5 minConsider advanced airway, ET COMonitoring211 Immediately resume CPR for 2 minEstablish and treat reversible causes15ROSC? YesNoNoYesYesGo to 10or 16Epinephrine 1 mg every 3-5 minDefibrillation EnergyBiphasic:Manufacturer-recommended DoseMonophasic:360 JMay replace 1st or 2nd dose with: Vasopressin 40 units IV PushAmiodarone 1st dose: 300 mg bolus 2nd dose: 150 mgHs and Ts: HypoxiaHypovolemiaHydrogen Ion (Acidosis)Hypo/HyperkalemiaHypothermiaToxinsTamponade (cardiac)Tension PneumothoraxThrombosis (coronary and pulmonary)Traumacertifcation institutewww.aclscertifcation.comACLS