ACLS Cardiac Arrest VTach and VFib Algorithm

ACLS Cardiac Arrest VTach and VFib 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 VTach or VFib, this IS a shockable rhythm

3. Apply defibrillator pads (or paddles) and shock the patient with 120-200 Joules on a biphasic defibrillator or 360 Joules using a monophasic.

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

5. After 2 minutes of CPR, check rhythm

6. If the monitor and assessment show asystole or PEA, move to Asystole/ PEA algorithm

7. Give epinephrine 1 mg every 3-5 minutes

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

9. After 2 minutes of CPR, check rhythm

10.  If needed, administer shock

11. Amiodarone IV 300 mg (preferable to lidocaine); May repeat 150 mg OR may use lidocaine 1-1.5 mg/kg

12. After 2 minutes of CPR, check rhythm

13. If needed, administer shock

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

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