Pulseless

• If VF/pVT->compressions, defibrillate (200J), give epi then amio
• If PEA->compressions, give epi

Pulse

• Brady
  • if stable->atropine
  • If unstable->pacing, if pacing doesn't work then epi or dopamine infusion
• Tachy
  • if stable->vagal maneuvers then try adenosine if not wide and irregular (could be AF with WPW)
  • if unstable->cardiovert (50-100J if narrow regular, 100J if wide regular, 120-200J if narrow irregular)

ROSC

• If low GCS then intubate, ventilate (target SpO2 >=94%)
• Monitor waveform capnography
• Give fluid bolus if SBP <90 mmHg
• Get EKG->if STEMI or high suspicion of AMI then contact cath lab
• If not following commands then Targeted Temperature Management (TTM) 

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The Compendium platform was created by David Kwinter, MD, CCFP(EM).