Bradycardia Algorithm eer Peet Ee oe eee) Peace ves No Atropine 500 meg IV ea Risk of asystole? YES HDs ecent systole = Mobitz AV block fecal Pel * Complete heart block with broad ORS Interim measures: Yes |) *Ventricular pause > 3s “Atropine 0.5mg IV repeat to maximum of 3 mg No lsoprenaline 5 meq rnin IV * Adrenaline 2-10 meg mir! IV = Alternative drugs* OR =Transcutaneous pacing Dy seek expert help Arrange transvenous pacingAdult Immediate Post-Cardiac Arrest Care Algorithm—2015 Update 1 Roturn of spontaneous circulation (ROSC) ‘Ventilation/oxygenation Avoid excessive ventilation. Start at 10 breaths/min and titrate to target PeTCO, of 36-40 mm Hg. When feasible, titrate Fio, to minimum necessary to achieve Spo, 294%. W bolus: Approximately 1-2 L normal saline or lactated Ringer's Epinephrine IV infusio 0.1-0.5 meg/kg per minute (i 70-kg adult: 7-95 mog per minute} Dopamine IV infusion: 5-10 mogrkg per minute Norepinephrine IV infusion: 0.1.0.5 meg/kg per minute (Gn 70-kg adult: 7-35 meg per minute} Reversible Causes + Hypovolemia + Hypoxia + Hydrogen ion (acidosis) + Hypo-/nyperkalemia + Hypothermia ‘ Tension pneumothorax ‘ Tamponade, cardiac * Toxins + Thrombosis, pumonary + Thrombosis, coronaryAdult Cardiac Arrest Algorithm—2015 Update = Rash herd leat 2s [ste end st 900 120m) ‘Saleen exrei int oerts + Wnmizeinerusters Fy congressten + Std some riite, 1 fst camper en Dinraten orton lid + Ene adianed ara ‘03 eowpron verlason + Qantas nmelors caproaatty SMF, Saran Ha stems to mpc o> gay nats presen sMiraaeason pr n= Ss) pease 20m Hg tars tomenee CPR ‘aly + Sphaske artacte ‘geormencetio gil ‘Sana ta0200Inferkeoen, Uhemaxinum vals ‘Scand and uber coos Soul be alr wr her doses hay be Ss, + Monoahae: 50 = Einening 10 dose tingewey 3.9 eh + Rewer NAD does Ft ‘ome 180g. apoometyto cord or traiir ET tab aero + Chovathaned arwar pace, (ve 1 Ere vey 8 soconds [ican cue chest earrassons ee fame ti + Puke sritoe es reat ‘en hype aoe . Seon mt peenio + Hyporcienia| Hypo 1 Mycogen in feos Mycortyveraemia Breather Taree peaumotiorst Fryers erase 2 recta, puy 1 Brombooe,coonay +f no sig of retum of | Go to5 or? spontaneous crttation J (ROSG, goto 10.014 # ITROSE, goto Post-Caraiee (22013 Arica Hex Axon