3/10/2015

AdultPostCardiacArrestCareAlgorithm|ACLSMedicalTraining

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Adult Post Cardiac Arrest Care Algorithm

3/10/2015

https://www.aclsmedicaltraining.com/adultpostcardiacarrestcarealgorithm/

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3/10/2015

AdultPostCardiacArrestCareAlgorithm|ACLSMedicalTraining

Treatment for a victim of cardiac arrest must continue post resuscitation in order to optimize the outcomes. The post cardiac arrest care algorithm
includes the following steps:

1. Verify ROSC.
2. Manage the airway and provide a breath every 5-6 seconds. Using quantitative waveform capnography, titrate the oxygen to maintain a PETCO2 of
35-40 mm Hg. If you do not have access to a waveform capnography machine, titrate oxygen to keep the victims oxygen saturation >94%.
3. Insert and maintain an IV for medication administration. Maintain the blood pressure above 90 mm Hg. For a low blood pressure, consider one
or more of these treatments:

1. Give 1 to 2 liters of saline or Ringers lactate IV uid.

2. Start an epinephrine IV infusion to keep the systolic pressure > 90 mmHg.
3. Start a Dopamine IV infusion
4. Consider norepinephrine for extremely low systolic blood pressure.
4. Evaluate the Hs and Ts for treatable causes (see Figure 5: Hs and Ts)
5. Track the victims mental status. For decreased level of consciousness after resuscitation, consider inducing hypothermia.
6. Obtain a 12-lead ECG to determine if the victim has su ered an ST segment elevation myocardial infarction (STEMI) or non-STEMI MI (AMI)
myocardial infarction.
7. If STEMI or AMI is suspected, consider Percutaneous Coronary Intervention (PCI) to open the coronary arteries.
8. When AMI is not suspected, or after PCI, transfer the victim to a Coronary Care Unit for advanced critical care.

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https://www.aclsmedicaltraining.com/adultpostcardiacarrestcarealgorithm/

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AdultPostCardiacArrestCareAlgorithm|ACLSMedicalTraining

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