POST-CARDIAC ARREST CARE ALGORITHM
Return of spontaneous circulation (ROSC)
OPTIMIZE MAINTAIN OXYGEN SATURATION ≥ 94%
VENTILATION CONSIDER ADVANCED AIRWAY AND
AND WAVEFORM CAPNOGRAPHY
OXYGENATION DO NOT HYPERVENTILATE
TREAT IV/IO BOLUS
HYPOTENSION VASOPRESSOR INFUSION
(SBP <90 mm Hg) CONSIDER TREATABLE CAUSES
12-Lead ECG: STEMI
YES
Coronary reperfusion OR high suspicion of AMI
NO
Does Patient Initiate targeted
NO
Follow Commands? temperature management
YES
Advanced Critical Care
DOSES & DETAILS
VENTILATION/OXYGENATION DOPAMINE IV INFUSION
• Avoid excessive ventilation. • 5-10 mcg/kg per minute
• Start at 10 breaths/min and titrate to target PETCO2 of 35-40 mm
Hg.
• When feasible, titrate FIO2 to minimum necessary to achieve NOREPINEPHRINE IV INFUSION
SPO2 ≥94%
• 0.1 – 0.5 mcg/kg per minute (in 70-kg adult: 7-35 mcg per minute)
IV BOLUS
REVERSIBLE CAUSES
• Approximately 1-2 L normal saline or lactated Ringer’s
H’s T’s
• Hypovolemia • Tension pneumothorax
EPINEPHRINE IV INFUSION • Hypoxia • Tamponade (cardiac)
• 0.1 – 0.5 mcg/kg per minute (in 70-kg adult: 7-35 mcg per minute) • Hydrogen ion (acidosis) • Toxins
• Hypo-/hyperkalemia • Thrombosis (pulmonary)
• Hypothermia • Thrombosis (coronary)
This Algorithm is based on the latest (2015) American Heart Association standards and guidelines.
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