Begin BASIC Life Support

  • Airway- Assess for airway obstruction, assess for breathing, perform intubation
  • Breathing- Ventilate with 100% oxygen, provide 10-24 breaths/minute
  • Circulation- Assess for heart beat and pulses if absent, begin chest compressions Provide 100-120 compressions / minute
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Begin ADVANCED Life Support

Obtain Electrocardiogram and Determine Arrest Rhythm Obtain Access for Drug Therapy

Ventricular Fibrillation/Ventricular Tachycardia

Defibrillate EXTERNAL 3-5 joules/kg: to joules
INTERNAL 0.5-1 joule/kg: to joules
(provide 3 consecutive shocks)
 Resume chest Compressions - 60-90 seconds
Epinephrine LOW 0.01mg/kg IV: mls. IV
HIGH 0.1 mg/kg IV: mls. IV
Vasopressin 0.8 U/kg IV: mls. IV
Lidocaine (dogs) 2 mg/kg IV: mls. IV
Amiodorone 5-10 mg/kg IV: to mls. IV
 Repeat Debrillation 2X initial Dose

Asystole/Bradycardia/Pulseless Electrical Activity

Atropine 0.04-0.05 mg/kg IV: to mls. IV
Epinephrine 0.01-0.1 mg/kg IV: to mls. IV
Vasopressin 0.8 U/kg IV: (one time only) mls. IV
If available, consider transthoracic pacing?
Must be instituted early

Intratracheal Doses

Epinephrine mls. Intratracheal
Atropine mls. Intratracheal
Lidocaine mls. Intratracheal
Naloxone mls. Intratracheal

Anesthesia-related arrest

Turn off vaporizer, Flush circuit, Administer drug reversal agents, 0.01 mg/kg epinephrine (  mls IV )  q 1-2 minutes as needed

During CPRC:

Consider interposed abdominal compressions
Consider open chest CPR
Consider Sodium Bicarbonate 1-2 mEq/kg IV ( to mls. IV) (for prolonged arrest > 10 minutes)
Consider 10% Calcium Chloride 0.1 ml/kg IV ( mls. IV) (slowly in patients with hyperkalemia or ionized hypocalcemia)
Consider Magnesium Chloride 30 mg/kg IV ( mls. IV) for refractory ventricular arrhythmias
Consider 50% Dextrose 1 ml/kg IV ( mls. IV) in hypoglycemic patients