![]() This means that someone on the team stands on the left side of the patient and cups the uterus, pulling it up and leftward. In pregnant patients who develop cardiac arrest, focus on high-quality CPR and relief of aortocaval compression through left lateral uterine displacement while the patient is supine. ![]() The American Heart Association recommends either bag valve mask or an advanced airway.Ĩ. The need for intubation and the ideal timing are still unknown. Goal EtCO 2 is greater than 10 but ideally greater 20 mm Hg, so if you’re not reaching that ideal goal, push harder and/or faster! Of note, to use arterial blood pressure monitoring you must have an arterial line in place and to get adequate EtCO2 monitoring, the patient must be intubated with an EtCO 2 monitor attached.ħ. It is reasonable to use physiological parameters such as arterial blood pressure or end-tidal CO 2 (EtCO 2) to monitor CPR quality. Double sequential defibrillation in refractory VF, which is the application of two sets of pads using two defibrillators to provide defibrillation either in rapid succession or at the same time, is not recommended because of lack of evidence.Ħ. Central venous catheters are still not recommended during a code unless no other access can be obtained.ĥ. Try to get an IV if possible, but can still use IO if necessary. Giving medications intravenously is preferred over intraosseous (IO) cannulation because of some small observational studies that showed worsened outcomes with IO delivery. Currently the shockable rhythms algorithm has the first dose of epinephrine given after the second shock.Ĥ. In shockable rhythms (ventricular fibrillation and pulseless ventricular tachycardia), the timing is less clear but it is reasonable to give the first dose after initial defibrillation attempts have failed. Specifically, give epinephrine as soon as possible in nonshockable rhythms (pulseless electrical activity and asystole). ![]() The 2020 adult bradycardia algorithm increased the atropine dose to 1 mg (from 0.5-1 mg) but maintains the same frequency of dosing as every 3-5 minutes with max dose of 3 mg.ģ. ![]()
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