Pulseless V-Tach and V-Fib

Question 1

Unresponsive, apneic, pulseless.

Answer 1

Begin CPR compressions 2 inches deep and 100/min.
Change compressors every 2 minutes. Limit pauses to 10sec.
Establish an airway.
Establish IV/IO
Defibrillate at 200 joules
Administer 1mg Epinephrine 1:10,000. Repeat 3-5 minutes
Administer 300mg Amiodarone. If converts, infuse 1mg/min
Administer 1mg Epinephrine 1:10,000.
Administer 150mg Amiodarone
Administer 1mg Epinephrine 1:10,000.
Administer 1mg Epinephrine 1:10,000.
Administer 50 mEq Sodium Bicarbonate.

NOTE: Lidocaine 1.5mg/kg can replace amiodarone. Infuse 1-4 mg/min