ACLS Cardiac Arrest PEA and Asystole Algorithm
- 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
- If the patient is in asystole or PEA, this is NOT a shockable rhythm
- Continue high-quality CPR for 2 minutes (while others are attempting to establish IV or IO access)
- Give epinephrine 1 mg as soon as possible and every 3-5 minutes
- After 2 minutes of CPR, check rhythm
- If the monitor and assessment show VTach or VFib, move to VTach/VFib algorithm
- Evaluate and treat reversible causes
- If the patient attains Return of Spontaneous Circulation (ROSC), provide Post Cardiac Arrest Care
