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Simplified ACLS Algorithm

The document provides a flowchart for treating cardiac arrest and arrhythmias. It outlines a standard protocol for performing CPR, checking for shockable rhythms like ventricular fibrillation and tachycardia, and administering epinephrine or amiodarone as needed. It also provides guidance on identifying stable vs unstable arrhythmias, appropriate drugs and doses to treat different arrhythmias, and whether to pursue coronary reperfusion.

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Brian
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205 views1 page

Simplified ACLS Algorithm

The document provides a flowchart for treating cardiac arrest and arrhythmias. It outlines a standard protocol for performing CPR, checking for shockable rhythms like ventricular fibrillation and tachycardia, and administering epinephrine or amiodarone as needed. It also provides guidance on identifying stable vs unstable arrhythmias, appropriate drugs and doses to treat different arrhythmias, and whether to pursue coronary reperfusion.

Uploaded by

Brian
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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No Pulse Pulse

Sinus Tachy

2 min CPR 2 min CPR 2 min CPR Arrhythmia?


- NSR

Stability is subjective. Common Sinus Brady


VT/Vfib Epi + Amio + Epi + + indicators can include SBP <90,
CP, SOB, and AMS

Everything Stable?
Else: Epi - Absent - Epi -
PEA
Asystole + -

Drugs Electricity
3Fast + Wide  Amio 1Fast  Shock
ROSC 4Fast + Narrow  Adenosine 2
Slow  Pace
5
Slow  Atropine
6
Afib/Flutter  βB + CCB
Optimize
Ventilation/Perfusion
Get EKG

1. Narrow Reg: 50-100J Wide Reg: 100J


Treat Hypotension
Narrow Irregular 120-200J Wide Irregular: Defib
Stemi?
2. Start at 60bpm and adjust based on clinical response
+ -
3. 150mg over 10min. Follow by 1mg/min for first 6hrs

Coronary Monitor 4. 6mg rapid IV push. Repeat with 12mg if no improve


Reperfusion 5. 0.5mg bolus, Repeat 3-5min, Max 3mg

6. Dose depends on patient. Note: if patient has CHF,


use Digoxin and Amio instead

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