Adult Cardiac Arrest ‘Shout for Help/Activate Emergency Response PR avaty push nard 2 inches (Semp and (etoamn and atow omplot chest rool + Nine reeruptons in compressions + fo ecessie vert 1 Rott compress ey 2minres «no achanes iy, 202 compresson- ‘erwin at | + Qiantatve wavetom eapnography = HPate, 10m i, atemoto more PR aaity + haere pressure Misco pase (stoic pressure “20 mn Hg. atop ‘impo OP auaty Return of Spontaneous Groton (ROSC) + Re anodes * Abrupt sstaned increase in PETC, {pal 40 men) + Spontaneous ater Dreeure waves wh fear! mocstareg ‘Shock Energy + Biphase: Mautocher recommendation (20-200 J unknown, ‘se maxinum avaiable Second and subsequent doses sould be equie- lent ane ghr dees ‘may be consigered + Monophasie: 360 J Drug Therapy + Epineprine WO Dose: 1g every 2.5 mies + Vasopressin IVI Dose: 40 units can eptace {stor second gase of epraprrne + Anodarone NNO Dose: Frat se: 200 ng bok. ‘Second dose: 150.3. ‘Advanced AirwayAdult Bradycardia (With Pulse) Identify and treat underlying cause '* Maintain patent airway; assist breathing as necessary © Onygen (f hypoxeric) * Cardiac monitor to identify rhythm; monitor blood pressure and oximetry + Naccess * 12-Lead ECG if available; don't delay therapy Persistent bradyarthythmia causing: + Hypotension? * Acutely altered mental status? «Signs of shook? Doses/Details ‘Atropine IV Dose: First dose: 0.5 mg bolus Repeat every 3-5 minutes Maximum: 3 mg Dopamine IV Infusion: 2410 meg/kg per minute * Epinephrine infusion Epinephrine IV Infusion: 2-10 mag per minute « Transcutaneous pacing «+ Expert consultation * Transvenous pacing (©2010 American Heat Associaton