VFib/Pulseless VT/Asystole/PEA

Check pulse. If no pulse initiate CPR high quality CPR. 30:2 rateAHA

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