VF/Pulseless VT

Defib 120-200J biphasic

PEA

Consider differentiating wide vs narrow PEA arrest w/ wide likely metabolic, needing labs, empiric meds and narrow likely mechanical needing US to refine ddx.

Therapies for Reversible Causes

Never Carry Bling Through Gloomy Antwerp

Needle – heart or lung for tamponade or PTX

Calcium – Hyperkalemia

Blood – or fluid for hypovolemia/hemorrhage

Thrombolytics – PE or MI

Glucose – Check CBG

Antidote – naloxone or other

5 H’s:

Hypothermia

Hypoxia

Hypo/hyperKalemia

Hypovolemia

Hydrogen ion (acidosis)

5 T’s:

Tension ptx

Tamponade

Thrombosis – cardiac

Thrombosis – cerebral

Tox

Refractory Arrest

• Esmolol bolus
• Dual sequential Defib
• E-CPR