Cardio-Respiratory Arrest

Last Updated on by FRCEM Intermediate

  • Remember your 4 H’s & 4 T’s
  • Targeted Temperature Management to 36 C
  • Fine VF to treated as Asystole with Good Quality Compressions
  • Adrenaline dose is 1 mg 1:10000 after/at 3rd Shock in Shockable Arrests and immediately in Non-Shockable Arrests.
  • Amiodarone 300 mg after 3rd Shock & 150 mg after 5th Shock
  • Opiates Toxicity: Naloxone 400 mcg IV (800 mcg IM or 2 mg IN). Repeat in 2 minutes. Infusion is 100-400 mcg/hr
  • TCA: Use NaHCO3 50 ml of 8.4% if Hypotension (resistant). Wide QRS, Arrhythmia, Seizures, Acidosis
  • Cocaine: Benzodiazepines, Nitrates, Ca Ch. Blockers, Phentolamine
  • Hypothermic Arrest:
    • Confirm for signs of Life for 1 minute
    • If VE/VT: 3 shocks, then CPR, then no shocks until > 30 C.
    • No drugs until > 30 C, then double the interval as compared to normothermic arrest until 35 C.
    • Passive & Active Rewarming
    • Read: Hypothermia

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