HIGH QUALITY CPR
If no advanced airway, use this compression-ventilation ratio
(15:2 2 rescuers prepuberty, 30:2 if 2 rescuers postpuberty onset, 30:2 if 1 rescuer any age), if advanced airway provide continuous breaths every 2-3 seconds
First line medication for VF/pVT and Asystole/PEA
Epinephrine IV/IO 0.01mg/kg of 0.1mg/ml concentration
often caused by fluid or blood loss, this condition requires rapid fluid resuscitation
HYPOVOLEMIA
These two rhythms can be treated with defibrillation
VF and pVT
At Comer, special consideration should be made to ensure Zoll is changed from AED units to this mode to allow more precise control of defibrillation during resuscitation
Manual Mode
Change compressor every ? minutes to minimize interruptions in compressions
2 minutes
Consider epinephrine every ? to ? minutes during cardiac arrest algorithms
3-5 MIN
this electrolyte imbalance can cause deadly arrhythmias and must be corrected during CPR
hypo-/hyperkalemia
This energy in J/kg is categorized as the first shock energy for defibrillation
2 J/kg
Adenosine must be given as a rapid IV push followed immediately by a saline flush due to its short
half-life
Compression should be done at this rate
100-120 bpm
These two medications are considered in VF/pVT algorithm with sustained CPR
amiodarone IV/IO 5mg/kg and lidocaine IV/IO 1mg/kg
this life-threatening condition involves trapped air in the chest that compresses the lungs and heart, requiring immediate needle decompression
Tension pneumothroax
This intervention is prioritized first in VF/pVT
Defibrillation
Bearing down, blowing through a straw, and cold compress to the face are examples of this nonpharmacological technique used to terminate SVT
vagal maneuvers
Compressions should be done at this depth
>1/3 AP diameter of the chest
Consider this medication for patients in Supraventricular Tachycardia
adenosine 0.1 mg/kg first dose rapid IV/IO push and 0.2mg/kg second dose rapid IV/IO push
this condition—defined by a dangerously low core body temperature—can slow metabolism and mimic death, requiring careful rewarming during resuscitation
During CPR, the Zoll should be charged and ready to administer energy at what point during the two minutes of CPR
15 seconds before pulse and rhythm check
To perform synchronized cardioversion the Zoll must be placed from manual mode to this mode
Sync
Monitor these two vital signs when available as markers of high-quality CPR
ETCO2 and invasive diastolic BP
If IV/IO is not established, consider this route for pharmacologic intervention of epinephrine
ETT 0.1mg/kg of 1 mg/ml concentration
this condition refers to a blood clot blocking circulation, such as in the lungs or coronary arteries, and requires rapid recognition during CPR
pulmonary or coronary thrombosis
Use this tool to confirm and monitor ET tube placement
ETCO2
In CPR, alongside high-quality compressions, these two early interventions—one to improve compression effectiveness and the other to prepare for defibrillation—are prioritized to support successful resuscitation
Backboard and defibrillator pads