Five Steps to ADULT Cardiac Arrest

ADULT Cardiac Arrest (absence of a Palpable pulse) could be a bummer, Not for our Students.

1.      Is a Defibrillator/AED available?       If so, Use It.

  • Anytime a shockable rhythm is present, It Should Be Defibrillated.

2.      On a, b. or c.  Start CPR;

  • a.       Immediately after the Defibrillation

  • b.      If a non-shockable rhythm is encountered

  • c.       Defibrillator/AED is not available or inoperable

3.      IV/IO Access; Give 200ml-500ml IV Bolus, as fast as you can get it in (60-90sec)

  • Fluids should be given by High volume infuser or using a pressure Bag, using 0.9NS.

  • Administration of fluids and Drugs should always be done during compressions.

4.      Administer 1mg/10ml Epinephrine every 3 minutes (the only clock you need to remember), better if done consecutively with Fluids.

5.      By the 3rd Defibrillation if you still have a shockable rhythm, consider Amiodarone before the 4th Defibrillation: May be repeated if shockable rhythm persists.

  • a.        1st dose: 300mg/6ml IV Bolus

  • b.      2nd dose: 150mg/3ml IV Bolus

GOTO Step 2

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