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ACLS easy (Code (:green_cross:Pulse (2 min CPR Pulse Check, Rhythm check…

- - - - Repeat cycle until decide to stop :no_entry:
        
        Only 2 rhythms we need to worry about
        
        Vtach/Vfib
        
        can shock :zap:
        
        drug to give is alternating : Epinephrine 1mg IV push, Amioderone 300mg bolus :guitar:
        
        Everything else
        
        PEA (Any rhythm not Vtach/Vfib w/ no pulse)
        
        Asystole (flatline)
        :warning: Don't shock :zap:
        
        drug to give is alternating : Epinephrine, Absent (no drug)
        
        :pencil2:Summary: Compressions & Epi q4min only
- - - - Not arrhythmias
        
        Sinus tach (physiologically fast in response to something else)
        
        normal sinus
        
        Sinus bradycardia (not-not a rhythm: ie care about it, so ~~Brady~~)
      - :check: arrhythmia
        
        S/s?
        
        :green_cross:no s/s. Give IV, O2, and monitor
        
        telemetry
        
        actually watch, could worsen
        
        :check: yes S/s
        
        Are they stable? (subjective)
        
        you have time to stay and play, instead of coding them
        
        unstable = imminent expiration
        
        :green_cross:Unstable
        
        SBP <90
        
        CP
        
        AMS
        
        SOB (all at onset of arrhythmia)
        
        Tx: Electricity
        
        Fast: shock :lightning: (synchronized cardio version w/ sedation)
        
        120 J
        
        Slow: Pace
        
        :check:Stable
        Drugs
        
        Fast + wide QRS: Vtach (Amioderone 150mg/10min :guitar:)
        
        Fast + narrow QRS: SVT (Adenosine 6mg IV push...12mg thereafter :dancer::skin-tone-2::man_dancing::skin-tone-2:)
        
        Slow (Atropine 0.5mg IV push q5m (max 3mg) :rabbit2::stopwatch::tea::tophat:, prepare to pace)
        
        if failure
        
        Transcutaneous Pacing
        
        Dopamine IV 2-20mcg/kg/min
        
        Epinephrine IV 2-10mcg/min
        
        call an expert
        
        Afib/flutter (also fast & narrow)
        
        BBlocker :trumpet: or CCB :icecream: (verapamil/diltiazem)
        
        (wards) if CHF, avoid BBlocker: Digoxin/Amioderone
        
        Assume you pick SVT, and give adenosine :dancer::skin-tone-2::man_dancing:
        
        adenosine doesn't work after 5 min (short hl)
        
        give BBlocker & CCB for Afib/flutter coverage (you missed the Afib)