ECG SIM MANAGMENT

Pulseless VTACH

• Stop CPR

• Administer 360 Joules once available

• Resume CPR

• Administer 2nd 360 Joules once available

• Resume CPR & administer Epinephrine 1mg

Asystole

• Start/Resume CPR

• Administer Epinephrine 1mg

• Check rhythm and pulse after 2 min of CPR

• Resume CPR

VFIB

• Stop CPR

• Administer 360 joules once available

• Resume CPR

• Administer 2nd Shock 360 joules once available

• Resume CPR, administer epinephrine 1mg

• Administer 3rd Shock (360 Joules)

• Administer Amiodarone 300mg IV

SVT: Unstable

• Immediately do: synchronized cardioversion

• Adminsier 120 joules

• If converted, record ECG and monitor vital signs

SVT: Stable

• Perform Carotid Sinus Massage

• Administer Adenosin 6mg rapid IV push (raise arm)

• Administer synchronized cardioversion 120 joules

• If converted to NSR, record ECG

• Check vital signs

Normal Sinus Rhythm: Hypotension

• Stop CPR

• If from arrest → “Pt. Revived”

• Monitor Vital Signs

• Titrate Dopamine 5mcg

Normal Sinus Rythm

• Stop CPR

• If from arrest → Announce NSR “Pt. Revived”

• Monitor vital signs

• Verbalize return of spontaneous circulation

Normal Sinus Rhythm: Hypertension

• Stop CPR

• If from arrest → Announce NSR “Pt. Revived”

• Monitor vital signs

• Stop dopamine

PEA: Pulseless Electrical Activity

• Start/Resume CPR (2 min)

• Administer Epinephrine 1 mg (ever 3-5 min)

• Check ryhthm and pulse after 2 min of CPR

• Resume CPR if needed

Sinus Bradycardia: Unstable

• Stop CPR (if from arrest “Pt. revived)

• Administer Atropine 1mg q 3-5 min (max of 3)

• Administer Dopamine 5-10 mcg/kg.min

• Monitor closely for Cardiac Rhythm, BP, and O2 until stable

Sinus Bradycardia: Stable

• Stop CPR

• If from arrest —> NSR announce “Pt. revived”

Sinus Tachycardia

Monitor vital signs closely