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PEA/Asystole is now included in the Algorithm for treatment of
pulseless arrest
Pulseless Electrical Activity (PEA)/Asystole
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BLS
Algorithm: Call for Help
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Give Oxygen
when available
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Attach
monitor/defibrillator
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Check
Rhythm-If PEA/Asystole
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CPR
immediately for 5 cycles(2mins)
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When IV/IO
available, give vasopressor
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Epinephrine
1 mg IV/IO May repeat
3 to 5
mins
OR GIVE
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May give 1
dose of vasopressin 40 units IV/IO to replace first or
second dose of epinephrine
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Consider
Atropine 1 mg IV/IO for slow PEA Rate and Asystole Repeat
every 3 to 5 min (up to 3 mg)
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Give 5
cycles of CPR(2 mins)
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Check
Rhythm- Asystole/PEA
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CPR 5
Cycles-(2 mins)
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Search and Treat possible
contributing Factors 6 Hs and 5 Ts
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Hypovolemia
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Hypoxia
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Hydrogen Ion
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Hypo/Hyper Kalemia
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Hypothermia
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Hypoglycemia (This is a
new one added to the list)
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Toxins
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Tamponade, cardiac
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Tension pneumothorax
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Thrombosis (coronary or
pulmonary)
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Trauma
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Pacing has failed to show
benefit in Asystole, therefore you will no longer
attempt to TRANSCUTANEOUS pace asystole.
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The focus of resuscitation
is to perform high-quality CPR with minimal
interruptions and to identify reversible causes or
complicating factors
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DO NOT INTERRUPT CPR while
establishing IV or IO access
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Medications can be delivered
simultaneously with CPR.
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