Algorithms for Bradyarrhythmia/Asystole (Left) or Pulseless Electrical Activity (Right) are Dominated by Cardiopulmonary Resuscitation (CPR) and a Search for Reversible Causes - Flowchart

Algorithms for Bradyarrhythmia/Asystole (Left) or Pulseless Electrical Activity (Right) are Dominated by Cardiopulmonary Resuscitation (CPR) and a Search for Reversible Causes - Flowchart

Algorithms for Bradyarrhythmia/Asystole (Left) or Pulseless Electrical Activity (Right) are Dominated by Cardiopulmonary Resuscitation (CPR) and a Search for Reversible Causes - Flowchart

«Flowchart»

Start

Start

Start

CPR, intubate, IV access

CPR, intubate, IV access

CPR, intubate, IV access

CPR, intubate, IV access

CPR, intubate, IV access

CPR, intubate, IV access

Bradyarrhythmia/Asystole

Bradyarrhythmia/Asystole

Bradyarrhythmia/Asystole Bradyarrhythmia/Asystole

Pulseless Electrical Activity

Pulseless Electrical Activity

Pulseless Electrical Activity Pulseless Electrical Activity

[Confirm asystole]

[Confirm asystole]

[Confirm asystole]

Identify and treat reversible causes

Identify and treat reversible causes

Identify and treat reversible causes

End

End

End

[Assess pulse]

[Assess pulse]

[Assess pulse]

MI, myocardial infarction.

MI, myocardial infarction.

MI, myocardial infarction.

Hypoxia
Hyper-/hypokalemia
Severe acidosis
Drug overdose
Hypothermia

Hypoxia
Hyper-/hypokalemia
Severe acidosis
Drug overdose
Hypothermia

Hypoxia
Hyper-/hypokalemia
Severe acidosis
Drug overdose
Hypothermia

Hypoxia
Hyper-/hypokalemia
Severe acidosis
Drug overdose
Hypothermia

For Bradycardia:
Atropine 1 mg IV
Pacing—external or pacing wire

For Bradycardia:
Atropine 1 mg IV
Pacing—external or pacing wire

For Bradycardia

Epinephrine—1 mg IV (repeat 3-5 min)

Epinephrine—1 mg IV (repeat 3-5 min)

Epinephrine

Identify and treat reversible causes

Identify and treat reversible causes

Identify and treat reversible causes

Hypovolemia
Hypoxia
Tamponade
Pneumothorax
Hypothermia
Pulmonary embolus
Drug overdose
Hyperkalemia
Severe acidosis
Massive acute MI

Hypovolemia
Hypoxia
Tamponade
Pneumothorax
Hypothermia
Pulmonary embolus
Drug overdose
Hyperkalemia
Severe acidosis
Massive acute MI

Hypovolemia
Hypoxia
Tamponade
Pneumothorax
Hypothermia
Pulmonary embolus
Drug overdose
Hyperkalemia
Severe acidosis
Massive acute MI

Hypovolemia
Hypoxia
Tamponade
Pneumothorax
Hypothermia
Pulmonary embolus
Drug overdose
Hyperkalemia
Severe acidosis
Massive acute MI

Epinephrine—1 mg IV (repeat 3-5 min)

Epinephrine—1 mg IV (repeat 3-5 min)

Epinephrine—1 mg IV (repeat 3-5 min)