VFib or Pulseless VT
Check pulse. If no pulse initiate CPR high quality CPR. 30:2 rate
1. Shock (defibrilate)
- If Biphasic 200J ; If monophasic 360J
- CPR if still no pulse, establish IV access
2. Epinephrine
- 1mg IV/IO q 3-5 minutes
- Consider advanced airways
- With each drug dose, defibrillate again with 360J and recheck
After the first 2 shock and first epinephrine can consider antiarrhytmic
3. Amiodarone or Lidocaine
- 1st dose amiodarone: 300mg bolus and second dose 150mg
- Lidocaine first dose 1-1.5mg/kg and second dose 0.5-0.75mg/kg
Treat reversible causes
Hypovolemia
Hypoxia
Hydrogen Ion (Acidosis)
Hypo/Hyperkalemia
Hypothermia
Tension pneumothorax
Tamponade, cardiac
Toxins
Thrombosis, pulmonary
Thrombosis, coronary