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.

ACLS algorithm

 

ACLS algorithm Every 2 minutes:

*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:

 

Reversible causes: (H's and T's)

  • Hypoxia
    • Intubation
    • 100% O2
    • ± Naloxone
  • Hyperkalemia / Hypokalemia
    • Hyperkalemia: calcium, bicarb
    • Hypokalemia: potassium
  • Hypovolemia
    • IV fluid boluses
    • Vasopressors
  • Hypothermia
    • Warm NS
    • Bair-hugger™
  • Hydrogen ions (acidosis)
  • Tension pneumothorax (listen for bilateral breath sounds and watch for equal chest rise)
    • Needle & tube thoracostomy
  • Tamponade (cardiac) (Bedside echo during pulse check)
    • Pericardiocentesis
  • Thrombosis: Pulmonary embolism
    • tPA
    • Thrombectomy
  • Thrombosis: Myocardial infarction
    • tPA
    • PCI
  • Toxins

 

ROSC (Return of Spontaneous Circulation):