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ACLS Cardiac Arrest PEA and Asystole Algorithm

11-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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