Cardiac Arrest Protocol

Advanced Life Support Guidelines

CRITICAL

IMMEDIATE ACTIONS

CPR Quality Metrics

Compression Rate:100-120/min
Compression Depth:2-2.4 in
Chest Recoil:Complete
Interruptions:<10 sec

Rhythm Analysis

Shockable Rhythms:

  • • VF (Ventricular Fibrillation)
  • • pVT (Pulseless VTach)

Non-Shockable:

  • • PEA (Pulseless Electrical Activity)
  • • Asystole

CPR Timer

0:00

Medications

Epinephrine/Adrenaline

1 mg IV/IO q3-5min

Amiodarone

300 mg → 150 mg

For VF/pVT

Lidocaine

1-1.5 mg/kg → 0.5-0.75 mg/kg

Alternative to Amiodarone

Reversible Causes (H's & T's)

H's:

  • • Hypoxia
  • • Hypovolemia
  • • H+/Acidosis
  • • Hypo/Hyperkalemia
  • • Hypothermia

T's:

  • • Tension PTX
  • • Tamponade
  • • Toxins
  • • Thrombosis PE
  • • Thrombosis MI