Medical Arrest (ACLS)

Manual Defibrillation: If ≥ 30 days of age but < 8 years of age deliver 1 shock every 2 minutes (1st shock at 2J/kg and next 3 shocks at 4J/kg).

If ≥8 years deliver 1 shock every 2 minutes as per BH/manufacturer program settings.

Epinephrine: If patient is ≥ 30 days of age but < 12 years of age administer epinephrine every 4 minutes at the following dosages:

If patient is ≥ 12 years then administer epinephrine every 4 minutes at the following dosages:

Amiodarone: Amiodarone is to be used if patient is found to be in VF or pulseless VT. If patient is ≥ 30 days of age but < 12 years of age administer Amiodarone via IV or IO at 5mg/kg to a maximum of 300mg for the initial dose. After 4 minutes, administer a 2nd dose (5mg/kg to a maximum dose of 150mg).

If the patient is ≥ 12 years of age administer an initial dose of 300mg. After 5 minutes, administer a 2nd dose (150mg).

Lidocaine: If Amiodarone is not available and the patient is ≥ 30 days of age and has no known sensitivity or allergy to Lidocaine and they are in VF or pulseless VT administer Lidocaine as follows:

Intubation: Consider intubation if the airway cannot be adequately managed with first OPA or supraglottic airway.

CautionIconMandatory Patch Point: Patch to BHP after 3rd round of Epinephrine or after 3 analyses. If the patch fails, transport after the 4th analyses.

 

CPR Quality

Return of Spontaneous Circulation (ROSC)

Energy for Defibrillation

Drug Therapy

Advanced Airway

Reversible Causes of Arrest:

 

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