• Assess responsiveness
• Active EMS
• Call for defibrillator
• Head tilt, chin left, look, listen & feel for breathing
• Give 2 breaths
• Look for signs of circulation including a pulse
• No pulse, start CPR at a rate of 15:2
• Attach monitor with Quick combo patches
• Identify rhythm without a pulse
• Continue CPR
• Intubate and confirm with 5 point auscultation & end CO2 detector (if available)
• Start IV in antecubital with large angio cath
• Consider and treat the causes: Hypovolemia, Hypoxia, Cardiac tamonade, Tension pneumothorax, Hypothermia, Pulmonary embolism, Drug overdoeses, hyperkalemia, Acidosis, Myocardial infarction
• Epinephrine 1mg. IV push, repeat every 3-5 min.
• Check pulse. Contiue CPR
• If PEA rate is slow, give atropine 1 mg IV. Repeat every 3-5 min to a total of 0.04 mg/kg (about 3 doses)
  
• Check pulse. Continue CPR
• Sodium bicarbonate 1 mEq/kg if patient has known preexisting hyperkalemia. Ventilate patient well.

To: ACLS Intravenous Medicated Infusions