Asystole
ABCD’s
Perform CPR
Check equipment, cables, electrodes,
Check gain
Confirm asystole in more then 1 lead
Secure airway
Establish IV or IO with NS or LR
Vasopressor of Choice
given during CPR
Epinephrine 1.0 mg
Evaluate for and treat reversible causes anytime during the sequence
Hypoxia Toxins (overdose)
Hypovolemia Thromboemboli pulmonary
Hyper/Hypokalemia Thromboemboli coronary
Hydrogen ion (acidosis) Trauma
Hypoglycemia Tension pneumothorax
Hypothermia Tamponade (cardiac)
If PT remains in asystole or other agonal
rhythms after successful airway control and
initial medications and no reversible causes are
identified, consider termination of resuscitative efforts.