2015 Trumbull Memorial Hospital Demo

Asystole/PEA Asystole/PEA

Consider DNR or Living Will

Universal Patient Assessment

Go to CCR Protocol

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

Yes

No

If using bag-mask ventilations, avoid excessive ventilation

CPR 2 minute intervals

Adult IO

Cardiac Monitor

PEA

Asystole

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

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

Transport and continue care

Transport and continue care or Consider field termination after 3 rounds of ACLS. Contact Medical Control

Consider Sodium Bicarbonate 1 mEq/kg IO Only if patient is viable with prolonged (>20min) downtime or patient receives renal dialysis.

8

EMR

EMT

AEMT

Paramedic

Extended