2015 Trumbull Memorial Hospital Demo

V-Fib/Pulseless V-Tach V-Fib/Pulseless V-Tach

Does patient meet CCR criteria? (No trauma/OD/Respiratory Arrest/Drowning/Child/OB)

Consider DNR / Living Will

Universal Patient Assessment

Witnessed

Analyze Rhythm and Pulse Defibrillate if indicated

Yes

No

Unwitnessed

Go to CCR Protocol

CPR

CPR 2 minute intervals

Analyze Rhythm and Pulse Defibrillate if indicated

Adult IO

Check Pulse Every 2 Minutes

Epinephrine 1:10,000 1mg IO Repeat every 3-5 minutes

Defibrillate if indicated

Consider Lidocaine 1.5 mg/kg IV/IO if allergic to Amiodarone Repeat at 0.75 mg/kg every 5 minutes Max 3 mg/kg

CPR x 2min

DO NOT use BOTH Amiodarone AND Lidocaine!

Amiodarone 300mg IO

Defibrillate if indicated

CPR x 2min

Amiodarone 150mg IO After 5 minutes in refractory VF

Defibrillate if indicated

CPR x 2min

Transport

16

EMR

EMT

AEMT

Paramedic

Extended