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ACLS Cardiac Arrest VTach and VFib Algorithm

12-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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