Adult Cardiac Arrest American Heart _. Algorithm—2015 Update Association. life is why [Bmp and fot 100-20 | _ anew somite ees cok | Mimo rotons | Rte compres ver | 7 Pints: or sooner aes + ino aaron ay 903 componscrvertston ro. + Ginna wmetom eapresrapy Shea 0 mm Ha. stamp to improve Gon uaa, + rater peste 3 rNfraton phase state Shock Seen gre, att + phase: Narutsrer fecommencatn (9 nl dose saan rumen. Steond a ascent eee sous be eal ard Rarer foes ray b cores + Monepheste 360 J + Evinepvino 1/0 dose Engeny3-3 mutes + Ieadare Who dooe Scodsoee mg uprapottesovnoed any + Hveiom camnoreey & ‘aprematytocant rd monitor ET tbe laconart + Once aad anyplace, (eT breath ovr 6 cans (iD eesremin wh cotrucs CPR 2 min + IMO access. * Epinephrine every 3-5 min * Consider advanced airway, CPR 2 min inephrine every 3-5 min * Consider advanced airway, ccapnography Return of Spontaneous ee CPR 2 min «Treat reversible causes Pee rd boo pre $ Ant eutape rrese Peco, (yoy S80 mm ha “unrenstedineniong item eeeceatenes +. | Remake (cotosort |) MR ea omeraaess gos ee emoten oe CPR 2 min + Amiodarone ‘Treat reversible causes + Hf no signs of return of spontaneous circulation (ROSO), go to 10 oF 11, ‘+ IFROSC, go to | Post-Cerdiac Arrest Care vee ot SONeTe ree ae Cane smc an Actin Pt tink XBAdult Bradycardia Fy american _. With a Pulse Algorithm OD text Associations life is why~ bradyarrhythmia causing: ‘+ Hypotension? + Acutely altered mental status? + Signs of shook? | Atropine IV dose: | First dose: 0.5 mg bolus. | Repeat every 3-5 minutes, Maximum: 3 mg. Dopamine IV infusion: Usual infusion rate is 2-20 meg/kg per minute “irate to patient response; taper slowly. Epinephrine IV infusion: 2-10 meg per minute infusion. Trate to patient response, veo eae eonsressinsce se oan anwentacameatn raweinea shAdult Tachycardia American H With a Pulse Algorithm Kisoclaton. life is why ‘Assess appropriateness for clinical condition. ‘Synchronized cardioversion: Initial recommended doses: * Narrow regular: 50-100 J * Narrow iregular: 120-200 J biphasic or 200 J monophasic + Wide regular: 100 J * Wide iregular: dfibelation dose (not synchronized) ~ ‘Adenosine IV dose: First dose: 6 mg rapid IV push; follow with NS flush. ‘Second dose: 12 mq if required. “Antiarrhythmic Infusions for ‘Stable Wide-QRS Tachycardia Procainamide IV dose: 20-50 mg/min until arrhythmia suppressed, hypotension tensues, QRS duration increases 50%, or maximum dose 17 mg/kg given. Maintenance infusion: 1-4 mg/min. Avoid if prolonged GT or CHE ‘Amiodarone IV dose: First dose: 150 mg over 10 minutes. Repeat as needed it Vi recurs Follow by maintenance infusion (of ¥ mg/min for frst 6 hours, Sotalol IV dose: 100 mg (1.5 mg/kg) over 5 minutes. Avoid if prolonged QT. Persistent tachyarrhythmia causing: * Hypotension? * Acutaly altered mental status? + Signs of shock? * Ischemic chest discomfort? + Acute heart failure? (© 2016 Amarlean Hest Assocs