The timer at the bottom flashes and gives a brief audio alert every 2 minutes (120 seconds) if started. You may also scroll the time forward / backward to adjust. Algorithms below are simplifications of ACLS for VT / VF / PEA / asystole.
Every 2 minutes:
- Pulse check
- Rhythm check
- If VF / VT,
- Defibrillate (200J or machine max)
- ± Amiodarone**
- Epinephrine 1mg IV / IO every other cycle*
*Can use vasopressin 40 units x1 instead of epinephrine for 1st or 2nd dose.
**Amiodarone 300mg IV / IO for first dose, then 150mg for 2nd dose.
Adjunctive Treatments:
- ± Naloxone (for suspected opioid overdose)
- Calcium gluconate or chloride
- Sodium bicarbonate
- Magnesium
- IV fluids
- Max-dose vasopressor infusion(s)
Reversible causes: (H's and T's)
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ROSC (Return of Spontaneous Circulation):
- Full set of vitals (Goals: SaO2 ≥ 94%, SBP ≥ 90 mmHg)
- IV fluid bolus
- EKG
- ± CXR
- ± Cath lab
- If not following commands → ± therapeutic hypothermia / normothermia