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EMR
EMT
AEMT
Paramedic
Extended
V-Fib/Pulseless V-Tach
V-Fib/Pulseless V-Tach
Universal Patient Assessment
Does patient meet CCR criteria?
(No trauma/OD/Respiratory
Arrest/Drowning/Child/OB)
Go to
CCR
Protocol
Consider DNR / Living Will
Analyze
Rhythm and
Pulse
Defibrillate
if indicated
CPR
2 minute intervals
Epinephrine
1:10,000 1mg IO
Repeat every 3-5 minutes
Adult IO
CPR
Analyze
Rhythm and Pulse
Defibrillate
if indicated
Defibrillate
if indicated
Amiodarone
300mg IO
Defibrillate
if indicated
Amiodarone
150mg IO
After 5 minutes in refractory VF
Transport
Defibrillate
if indicated
Yes
Witnessed
Unwitnessed
No
CPR x 2min
CPR x 2min
CPR x 2min
Check Pulse Every 2 Minutes
Consider
Lidocaine
1.5 mg/kg IV/IO
if allergic to Amiodarone
Repeat at 0.75 mg/kg
every 5 minutes
Max 3 mg/kg
DO NOT use BOTH
Amiodarone AND
Lidocaine!