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