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 pacingAdult 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, coronaryAdult Cardiac Arrest Algorithm—2015 Update
= Rash herd leat 2s
[ste end st 900 120m)
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+ Wnmizeinerusters Fy
congressten
+ Std some riite,
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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