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No Pulse Pulse

Sinus Tachy

2 min CPR 2 min CPR 2 min CPR Arrhythmia?


- NSR

Stability is subjective. Common Sinus Brady


VT/Vfib Epi + Amio + Epi + + indicators can include SBP <90,
CP, SOB, and AMS

Everything Stable?
Else: Epi - Absent - Epi -
PEA
Asystole + -

Drugs Electricity
3Fast + Wide  Amio 1Fast  Shock
ROSC 4Fast + Narrow  Adenosine 2
Slow  Pace
5
Slow  Atropine
6
Afib/Flutter  βB + CCB
Optimize
Ventilation/Perfusion
Get EKG

1. Narrow Reg: 50-100J Wide Reg: 100J


Treat Hypotension
Narrow Irregular 120-200J Wide Irregular: Defib
Stemi?
2. Start at 60bpm and adjust based on clinical response
+ -
3. 150mg over 10min. Follow by 1mg/min for first 6hrs

Coronary Monitor 4. 6mg rapid IV push. Repeat with 12mg if no improve


Reperfusion 5. 0.5mg bolus, Repeat 3-5min, Max 3mg

6. Dose depends on patient. Note: if patient has CHF,


use Digoxin and Amio instead

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