Hypovolemia - Infuse Normal Saline IV or IO:.Low ETCO2 may indicate both overzealous ventilation and/or ineffective chest compressions. Overzealous ventilation – Provide only 8 to 10 breaths per minute over 1 second each, using a one-handed squeeze of the BVM.Hypothermia – Protect from further cooling do not actively rewarm administer only 1 round of resuscitation drugs.Hypoxia – Ventilate with 100% oxygen confirm proper advanced airway position with continuous waveform capnography (ETCO2 monitoring).If any of the following causes of asystole and PEA is suspected, initiate standing order treatment ASAP:.0.01 mg/kg IVP or IO every 3 to 5 minutes.The AHA and the Medical Direction Team no longer recommend checking for asystole in multiple leads. Confirm asystole (if suspected) by checking for loose lead connections, monitor power, and signal gain.Advanced airway insertion MUST NOT interrupt chest compressions. Do not attempt placement of an advanced airway (supraglottic or endotracheal) for at least 6 minutes – not until completing three 2-minute CPR cycles – unless necessary because of regurgitation.Obtain vascular access as soon as possible, but access does NOT take priority over chest compressions or application of the defibrillator.Some agencies may use the manual monitor-defibrillator in AED mode for ADULTS only, depending on proper AED mode configuration, agency MOP, and specific authorization from EMS Medical Direction.Perform all resuscitation maneuvers with the monitor/defibrillator in manual mode and the PADDLES lead. Chest compressions are the first priority, consistent with the AHA’s “C-A-B” resuscitation method. Assess and support vital functions including provision of immediate and consistent high-quality CPR.NOTE: ALS units may discontinue resuscitation attempts in victims of blunt or penetrating traumatic cardiac arrest if no signs of life are present AND the patient remains in asystole. If the patient's cardiac rhythm changes at any time during resuscitation, refer to the appropriate, specific guidelines. These guidelines do not apply to patients for whom a resuscitation attempt is not indicated (refer to DETERMINATION OF DEATH IN THE FIELD Policy). Inclusion Criteria: Apneic, pulseless patients not in ventricular fibrillation or ventricular tachycardia. UTSW/BioTel 2014 Guidelines for Therapy - AsystoleĪSYSTOLE/PULSELESS ELECTRICAL ACTIVITY (PEA)
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |