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EMR
EMT
AEMT
Paramedic
Extended
Asystole/PEA
Asystole/PEA
Universal Patient Assessment
Does patient meet CCR criteria?
(No trauma/OD/Respiratory
Arrest/Drowning/Children/OB)
Go to
CCR
Protocol
CPR
2 minute intervals
Cardiac Monitor
Adult IO
PEA
Asystole
Epinephrine
1:10,000 1 mg IO
Repeat every 3-5 minutes
Epinephrine
1:10,000 1mg IO
Repeat every 3-5 minutes
Transport and continue care
or
Consider field termination
after 3 rounds of ACLS.
Contact Medical Control
Transport and continue care
If using bag-mask
ventilations, avoid
excessive ventilation
Consider DNR or
Living Will
Consider
Sodium Bicarbonate
1 mEq/kg IO
Only if patient is viable with
prolonged (>20min) downtime or
patient receives renal dialysis.
Yes
No