A lot of stuff. I'm just going to make a list of stuff as I would do them in one minute increments. FYI: epinephrine is basically adrenaline.
0:00 begin chest compressions, ventilation with bag-valve-mask, attach monitor pads.
1:00 establish IV
2:00 stop compressions for rhythm check/pulse check. If no pulse and shockable rhythm, defibrillate @ 200J
3:00 first drug: epinephrine or vasopressin.
3:30 intubate patient/apply capnography (measures CO2 coming out of lungs)
4:00 rhythm check/pulse check and Defib @ 300J if shockable
5:00 Second Drug: Amiodarone (antidysrhythmic for V-fib or pulseless V-tach)
6:00 rhythm check/pulse check and Defib @ 360J if shockable
7:00 Epinephrine
8:00 rhythm check/pulse check and Defib @ 360J if shockable
9:00 Amiodarone if still VF/VT
10:00 rhythm check/pulse check and Defib @ 360J if shockable
11:00 Epinephrine
12:00 rhythm check/pulse check and Defib @ 360J if shockable
14:00 rhythm check/pulse check and Defib @ 360J if shockable
15:00 Epinephrine
16:00 rhythm check/pulse check and Defib @ 360J if shockable
etc etc.
As soon as we get pulses back, we do 2 more minutes of CPR to keep the heart perfused, then get a set of vitals, put them on the cot and head to the hospital.
If we haven't gotten anything in 20-40 minutes or the rhythm has gotten worse, we may consider calling a doctor on the radio for a time of death.
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