Cardiac Arrest
Resuscitation Checklist
Start Time:______ End/ROSC Time:_________
Initial Rhythm:________________________
Estimated Downtime:__________________
- Code Leader Identified and cardiac monitor in arm's reach
- Monitor on Paddles
- Continuous compressions with rotation of rescuers
- Turn on Metronome
- Advanced Airway placed (ETT Preferred) - BVM connected to O2
- Waveform Capnography visible
- ResQpod applied
- IV/IO established
- 12 Lead with any rhythm or any age patient with a shockable rhythm non-traumatic, no hemorrhage, no purposeful movement.
- Consider a 2nd line when possible.
- Epinephrine 1 mg IV/IO administered every 3-5 minutes
If V-Fib or pulseless V-Tach
- Defibrillate every 2 minutes (200J, 300J, 360J)
- Amiodarone 300 mg IV/IO
- Amiodarone 150 mg IV/IO
Consider Reversible Causes
-
BGL- Hypoglycemia
- 25 grams D50 if necessary
-
Hyperkalemia
- Sodium Bicarb 1 meq/kg IV and
-
- 10-20 ml of Calcium Gluconate through a different IV line
- Overdose
-
Tension pneumothorax
- perform needle decompression
- Family at patient side and is receiving care/updates
- Consider termination of resuscitation.
-
- Asystole
- IV/IO is established
- Advance Airway confirmed and EtCo2 of < 10 mm/Hg
- Reversible causes identified and corrected
- 2 rounds of ACLS drugs & 25 minutes of resuscitation has passed
- Contact Coroner's Office
-
- Violence
- trauma
- drugs
- hemorrhage
- pediatrics
- < 60 without significant medical history