Post Resuscitation Checklist

 

ROSC verified by

  • palpable pulses
  • blood pressure
  • ETCO2
  • resQpod removed
  • Ventilations continued at one breath every 5 seconds
  • 12-Lead -if positive for STEMI administer
  • 5,000 units of Heparin
  • Second IV established
  • If not done already and Meets criteria for ICE
    • >12 with any rhythm or any age patient with a shockable rhythm
    • non-traumatic, no hemorrhage, no purposeful movement
  • administer Dopamine 10-20 mcg/kg/min to maintain a B/P >90
  • Administer up to 4 mg of Ativan or 15 mg Valium to control shivering
  • Notify receiving hospital (GHS or SFH downtown) early
  • Administer Amiodarone if patient was shocked during arrest
    • 150 mg over 10 min if bolus not administered during arrest*
    • *150 mg in a 50 cc bag with a 10 gtt set - 50 gtts per minute
  • 1mg/min Maintenance Infusion
    • 150 mg in a 50 cc bag with a 60 gtt set - 20 gtts per minute

 

Dopamine 800 mcg concentration

  • 40 mg (2cc) in a 50 cc bag = 800 mcg/ml concentration