Cardiac Arrest Standing Orders...

[vs-eh?]

Here are my new ones...

http://www.socpc.ca/pdf/2006PCP-ACP%20Defib%20Update.pdf

I hope I'm not violating any type of copyright stuff or whatever as it is freely available on the net...All credit is given to SOCPC.

Ignore the PCP one's at the beginning if you want...

Points -

- We haven't started using the CPR trials or ITD ETT attachment yet. CPR is done for 2-3 mins upfront ALWAYS for UN-WITNESSED arrests. Immediate defib for witnessed by EMS/Fire.

- All single shocks. 360 for mono, still escalating for bi. This includes peds in a similar algorithm @ 2J/kg, 4J/kg, con't...no stacking though...

- You go DIRECTLY to CPR following defribilation WITHOUT a rhythm check for 2 mins.

- You essentially treat the rhythm you saw in your last rhythm check. So example...

--You have a VF arrest on your first rhythm interp. You shock at 120J biphasic and immediately go into CPR. There is a possibility that you could have a) converted the rhythm into a perfusing one, doing CPR on a patient now with a pulse, and c) giving an epi bolus to a patient with a pulse. Same goes in a refractory arrest after the second shock. You could be giving an 300mg amiodarone bolus to a ROSC patient, or epi/atropine, or whatever.--

I'll stop for now.

Comments?

[AZCEP]

Maybe I missed it, but I don't see any big differences with the AHA guidelines.

[vs-eh?]

Maybe I missed it, but I don't see any big differences with the AHA guidelines.

Oh, is this the "new" AHA? I don't know...

[AZCEP]

Looks similar.