Medical Control options for Asytole/ PEA - ANS--termination of resuscitation
-need decompression
-calcium chloride (calcium channel blocker OD )
-glucagon (beta blocker OD
- dextrose 50% (hypoglycemia)
-narcan
Shoch/hyperfusion after ROSC - ANS--high flow o2, PPV
-monitor, 12 lead
-fluid bolus 20 ml/kg total 40 ml/kg
-2nd IV access
-norepi 5 mcg/kg if SBP <90 mmhm titrate to 20 mcg/kg
Medical control options for SHOCk after ROSC - ANS-repeat any of the above, sodium
bicarb
ET, calcium chloride, glucagon, epinephrine infusion , MFI/ RSI
Field Termination of Resuscitation protocol - ANS-- pt must be normothermic
- unwitnessed,
-no shocks were delivered/ asystole/ refractory to all IV/IO medications,
-min of 20 mins of CPR, -family accepts the decision
Cardiac dysrhythmias protocol - ANS-High flow O2
monitor
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