Cgabryszek: Created page with "'''Any patient requiring ACLS care should have an ALS intercept if logistically possible''' {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish unresponsiveness and PNB status # Provide CPR as outlined in the Adult Cardiac Arrest: Cardio-Cerebral Resuscitation Protocol # '''Call for ALS intercept''' # Prepare for transport {| class="wikitable" |'''EMT- Emergency Medical Technician''' ''perform/confirm all above interventions'' |} '''Assure..."

2022-04-03T20:52:48Z

Created page with "'''Any patient requiring ACLS care should have an ALS intercept if logistically possible''' {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Establish unresponsiveness and PNB status # Provide CPR as outlined in the Adult Cardiac Arrest: Cardio-Cerebral Resuscitation Protocol # '''Call for ALS intercept''' # Prepare for transport {| class="wikitable" |'''EMT- Emergency Medical Technician''' ''perform/confirm all above interventions'' |} '''Assure..."

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'''Any patient requiring ACLS care should have an ALS intercept if logistically possible'''

{| class="wikitable"
|'''EMR - Emergency Medical Responder'''
|}

# Establish unresponsiveness and PNB status
# Provide CPR as outlined in the Adult Cardiac Arrest: Cardio-Cerebral Resuscitation Protocol
# '''Call for ALS intercept'''
# Prepare for transport

{| class="wikitable"
|'''EMT- Emergency Medical Technician''' ''perform/confirm all above interventions''
|}

'''Assure ALS intercept''' is en route

# Reassess PNB status, continue Adult Cardiac Arrest: Cardio-Cerebral Resuscitation Protocol
# '''T'''ransport as early as possible, continuing resuscitation
# Apply ECG monitor & run strip (if trained, if time allows and after all other interventions are completed)
# Perform 12-lead ECG (if trained) as indicated

'''CONTACT MEDICAL CONTROL'''

{| class="wikitable"
|'''AEMT – Advanced Emergency Medicine Tech''' ''Perform/Confirm All Above Interventions''
|}

# Initiate IV/IO NS, if approved, after 3rd analysis or sooner if possible, without interrupting CPR give '''NS fluid bolus''', 500 mL wide open (do not delay transport)
# '''CONTACT MEDICAL CONTROL'''
# Administer additional '''NS fluid bolus''', as directed

{| class="wikitable"
|'''Intermediate''' ''perform/confirm all above interventions''
|}

# Attach cardiac monitor if not already done, confirm asystole in more than 1 lead
# Administer '''epinephrine''' every 3-5 minutes
## 1 mg of 1:10,000 IV /IO '''-OR-'''
## 2 mg 1:1,000 ETT
# Reassess rhythm every 2 minutes with changes in CPR provider or anytime ECG rhythm changes
# Insert Advance Airway (Non-visualized or ETT) if not already done & confirm placement via capnography
# If pulse regained at any time, reassess rhythm & go to appropriate algorithm '''CONTACT MEDICAL CONTROL'''
# If persistent asystole, consider quality of resuscitation and termination

{| class="wikitable"
|'''Paramedic''' ''perform/confirm all above interventions''
|}

'''CONTACT MEDICAL CONTROL'''

# Consider adjunct ACLS medications or antidotes
# Consider causes to focus treatment
## '''H’s & T’s''': Hypovolemia, Hypoxia, H+ acidosis, Hypo/Hyperkalemia, Hypoglycemia, Hypothermia, Toxins, Tamponade, Tension pneumothorax, Thrombosis (coronary, pulmonary), Trauma

2-1 ASYSTOLE-PEA - Revision history