ACLS Algorithm 1

BLS Call for hlep, CPR, O2 Shock, 5 cycles CPR, Shock CPR Epinephine 1mg IV/IO repeat every 3-5 min or may give Vasopressin 40U (replaces 1st or 2nd dose of Epi) 5 cycles CPR, Shock, CPR (Antiarrhythmics during, before or after CPR) Amniodarone 300 mg IV/IO then 150 mg or Lidocaine 1-1.5 mg 1st then, 0.5 mg- 0.75 mg up to 3 mg/kg Maybe Magnesium 1-2 gm IV/IO torsaades 5 cycles CPR

5 cycles CPR Epinephrine 1 mg IV/IO repeat every 3-5 minutes or 1 does Vasopressin 40 U to replace 1st or 2nd does of Epinephrine Consider Atropine 1 mg every 3-5 up to 3 doses

HYPO volemia oxia gen ion acidosis /hyperkalmeia glycemia Toxins Tamponade (cardia) Tension pneumothorax thrombosis (cardiac/pulmonary) Trauma

Prepare for TCP Atropine 0.5 mg IV (may repeat up to 3 mg) Epinephrine or Dopamine 2-10 mcg/min (kg for Dopa)

ABC's IV Vagal Manuvers Adenosine 6 mg rapid no conversion 12 mg rapid X 1 no conversion B-blockers diltiazem poss A flutter, tach or junctional tach