CARDIAC ARREST: V-FIB or PULSELESS V-TACH

  • If witnessed or unwitnessed arrest, initiate quality CPR for 1-2 minutes and proceed to first defibrillation as soon as possible.
  • First Defib:
    A Use manufacturer’s recommendations.
    P 2 J/kg or biphasic equivalent.
  • CPR for 1- 2 minutes
  • Second Defib:
    A Use manufacturer’s recommendations.
    P 4 J/kg or biphasic equivalent.
  • CPR for 1- 2 minutes
  • Third Defib:
    A Use manufacturer’s recommendations.
    P 6 J/kg or biphasic equivalent.
  • CPR for 1- 2 minutes
  • Fourth Defib:
    A Use manufacturer’s recommendations.
    P 8 J/kg or biphasic equivalent.
  • Continue CPR and repeat treatment as indicated.
    P Fifth and successive defibrillations will be at 10 J/kg or biphasic equivalent.
  • Consider treatable causes.
  • Obtain 12 –lead EKG if pt has ROSC
 

Quick Dial