How many Steps
8
Step 1
Confirm Pulse
Step 2
Leave Advanced Airway in place & continue to Ventilate (10 bpm) w/ High Flow O2 (Do not Hyperventilate)
*35 - 45 Target EtCO2 (Keep over 20)
Step 3
Prevent Hyperthermia only (Do not perform Therapeutic Hypothermia)
Step 4
Document VS, including EtCO2 & obtain 12-lead ECG
Step 5
Transmit 12-lead ECK &
Contact Receiving Cardiac Center w/ MIST
Step 6
Prepare for Transport & Assure Adequate Personnel; Once loaded reassess Airway & Pulse
Step 7
Prepare stick of Push Dose Epi & Monitor for Shock while SIMULTANEOUSLY securing a 2nd point of IV Access
*Administer 20mcg of Push Dose Epi (if 14yrs or Older) & titrate q 2 min for SBP of 90; Contact Medical Control if Pt is <14yrs
Step 8
Consider Shock/Crashing AG
*Push Dose Epi + Fluids = 90-100 SPM
For Rearrest