ADULT Cardiac Arrest absence of a Palpable pulse could be a bummer Not for our Students
1 Is a DefibrillatorAED available If so Use It
Anytime a shock able rhythm is present It Should Be De fibrillated
2 On a b or c Start CPR
a Immediately after the Defibrillation
b If a non shock able rhythm is encountered
c DefibrillatorAED is not available or inoperable
3 IVIO 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 09NS
Administration of fluids and Drugs should always be done during compression
4 Administer 1mg10ml 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 shock able rhythm consider Amiodarone before the 4th Defibrillation May be repeated if shock able rhythm persists
a 1st dose 300mg6ml IV Bolus
b 2nd dose 150mg3ml IV Bolus
GOTO Step 2
