Sandbox vidit3

❑ High Quality CPR Compressions: Push hard (>2 inches) & fast (>100/min) Minimize interruptions; rotate compressor every 2 mins Airway: Open airway Breathing: Pressure ventilation; 2 breaths every 30 compressions Bagmask also acceptable ❑ Attach monitor/defibrillator ❑ Check rhythm

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Continous CPR every 2 mins

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Drug Therapy ❑ Establish IV/IO access (do not interrupt CPR) ❑ Vasopressor: ♦ Epinephrine 1 mg IV q3-5 min (or 2 mg via ETT) ♦ Vasopressin 40 U can replace 2nd or 3rd doses of epinephrine) ❑ Antiarrythmic: ♦ Amiodarone 300 mg IV bolus + 150 mg 3-5 min later ♦ lidocaine 1-1.5 mg/Kg IV, max 3mg/Kg Consider advanced airway: ❑ Endotracheal intubation or supraglottic advanced airway ❑ Assess : Bilateral chest expansion & breath sounds ❑ Check tube placement ❑ 8-10 breaths per min with continous compressions Treat reversible causes: ❑ Hypovolemia: Volume ❑ Tension Pneumothorax ❑ Hypoxia: Oxygenate ❑ Tamponade: Pericardiocentesis ❑ H+ ions: NaHCo3 ❑ Toxins ❑ Hypo/Hyper K: Replace ❑ Thromb. (PE) ❑ Hypothermia: Warm ❑ Thromb. (ACS)

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Continous CPR every 2 mins

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❑ Shockable rhythm? (VF/Pulseless VT) Deliver shock (120-200 J biphasic; 360 J monophasic) ❑ Rhythm not shockable? (Asystole/PEA) Resume CPR ❑ On Return of spontaneous circulation (ROSC) ↓ Post-arrest care