Emergency Medicine 201 Cardiac Arrest Pharmacotherapy ACLS Algorithm: Shockable Rhythms (Ventricular Fibrillation and Pulseless Ventricular Tachycardia)

Lesson 3, Topic 5

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ACLS Algorithm: Shockable Rhythms (Ventricular Fibrillation and Pulseless Ventricular Tachycardia)

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Ventricular Fibrillation/Pulseless Ventricular Tachycardia Algorithm:

Perform immediate 200 continuous chest compressions
Defibrillate at maximum energy level per manufacturer
Resume chest compressions for 2 minutes
Defibrillate again if still in VF/VT
Give epinephrine 1 mg IV/IO
Continue cycle of chest compressions, rhythm check every 2 minutes, defibrillation if indicated, epinephrine every 3-5 minutes
Consider antiarrhythmic after failed shocks (amiodarone, lidocaine)