Asystole/PEA

  • Confirm asystole in two leads
  • Search for and treat possible causes: tension pneumothorax, hypovolemia, hypoxia, drug overdose, hypo/hyperthermia, pulmonary embolism, acidosis, cardiac tamponade
  • Epinephrine 1 mg (10 ml of 1:10,000) IV/IO. Repeat every 3-5 minutes for duration of cardiac arrest
  • OR

  • Vasopressin 40 units IV/IO for 1st or 2nd dose of Epinephrine
  • Consider Sodium bicarbonate 1 mEq/kg IV/IO for pre-existing conditions
  • Consider termination
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