Protocol Status: PUBLISHED
Protocol:
Version: 2026.01
Effective Date:
Last Reviewed:
Medical Director Approval:
Clinical Note: This content reflects current GCEMS clinical guidelines as of the dates listed above. If content appears inconsistent with current policy, use the most recent approved guideline and notify leadership for correction.

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