ACLS Cardiac Arrest PEA and Asystole Algorithm

ACLS Cardiac Arrest PEA and Asystole Algorithm

1. Perform the initial assessment

  • Perform high-quality CPR
  • Establish an airway and provide oxygen to keep oxygen saturation > 94%
  • Monitor the victim’s heart rhythm and blood pressure

2. If the patient is in asystole or PEA, this is NOT a shockable rhythm

3. Continue high-quality CPR for 2 minutes (while others are attempting to establish IV or IO access).

4. Give epinephrine 1 mg as soon as possible and every 3-5 minutes

5. After 2 minutes of CPR, check rhythm

6. If the monitor and assessment show VTach or VFib, move to VTach/VFib algorithm

7. Evaluate and treat reversible causes

8. If the patient attains Return of Spontaneous Circulation (ROSC), provide Post Cardiac Arrest Care

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