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
  • Begin intra-arrest cooling
    •    12 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