Emergency management:Cardiac arrest, Cheat Sheet of Medicine

Download Emergency management:Cardiac arrest and more Cheat Sheet Medicine in PDF only on Docsity!

'. Cardiac Arrest Shout for help, begin CPR (30:2, push hard and fast at =100/min, minimize interruptions), give O2, attach ECG. + Shockabie Rhythm? > moe ae Asystole/PEA _» Defibrillate 120 J-200 J Biphasic (or 360 J monophasic, or AED) 41 Continue CPR immediately = 2 minutes. Start IV/IO. 4 VE/VT? 41 Defibrillate Continue CPR x 2 minutes Epinephrine, 1 mg IV/IO, repeat every 3-5 minutes, OR: Vasopressin 40 Units IV/IO (single dose only) Consider advanced airway (ET tube, supraglottic airway) Ventilate 8—10 breaths/minute with continuous compressions Use waveform capnography: If PETCO2 <15, improve CPR Continue CPR immediately x 2 minutes. Start IV/IO. Epinephrine, 1 mg IV/IO, repeat every 3—5 minutes, OR: Vasopressin, 40 Units IV/IO (single dose only), consider advanced airway (ET tube, suprag|lottic airway) Ventilate 8-10 breaths/minute with continuous compressions Use waveform capnography: lf PETCO2 <15, improve CPR 4 Asystole/PEA? Continue CPR x 2 minutes Consider reversible causes.* If ROSC (pulse, BP, PETCO2 240 mm Hg), see ROSC algorithm, next page. 4 VEIVT? . Defibrillate Continue CPR x 2 minutes. Amiodarone, 300 mg lV/IO (may repeat once 150mg in 5 minutes) Consider reversible causes.* 4 If ROSC (pulse, BP, PETCO, =40 mm Hg), see ROSC algorithm, next page. *Reversible Causes Hypoxia Hypovolemia Acidosis Hyper-hypokalemia Hypothermia Coronary thrombosis Pulmonary thrombosis Cardiac tamponade Tension pneumothorax Toxins