• 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 in a second lead, increase gain, check monitor connections
• Intubate and confirm with 5 point auscultation & end CO2 detector (if available)
• Consider and treat the causes: Hypovolemia, Hypoxia, Cardiac tamonade, Tension pneumothorax, Hypothermia, Pulmonary embolism, Drug overdoses, Hyper/hypokalemia, Acidosis, Myocardial infarction, hydrogen ion acidosis
• Continue CPR
• Start IV in antecubital with large angio cath, draw lab with stick if possible
• Consider transcutaneous pacing
• Epinephrine 1mg. IV push, repeat every 3-5 min.
• Check pulse. Continue CPR
• Atropine 1 mg IV. Repeat every 3-5 min to a total of 0.03-0.04 mg/kg (about 3 doses)
• Check pulse. Continue CPR
• Sodium bicarbonate 1 mEq/kg if patient has knows preexisting hyperkalemia. Ventilate patient well.
• Consider termination of efforts

To: ACLS Intravenous Medicated Infusions