Begin CPR <———- Get Monitor, Give O2
↓
Shock 120 joules if witnessed
[200 joules if unwitnessed]
↓
CPR for 2 Min →
if Still VT or VF?
↓
Shock 150 joules
[continue at 200 joules if previous was 200J]
↓
CPR & EPINEPHRINE 1 mg for 2 Min →
if Still VT or VF, Consider Advanced airway, Capnography
↓
Shock 200 joules
↓
CPR & AMIODARONE 300 mg for 2 Min →
if Still VT or VF, Treat H&Ts
↓
Shock 200 joules
↓
CPR & EPINEPHRINE 1 mg for 2 Min →
if Still VT or VF
↓
Shock 200 joules
↓
CPR & AMIODARONE 150 mg for 2 Min →
if Still VT or VF, Treat H&Ts
↓
Shock 200 joules
↓
CPR & EPINEPHRINE 1 mg for 2 Min →
if Still VT or VF
↓
Shock 200 joules
CPR & AMIODARONE infusion 1 mg/min, Treat H&Ts
Easy to remember: CS2–> SC2, SC2, SC2…
CM, O2S1202 S150C12 S200CA300HT,1, A150HT, 1, ADripHT2
Reference: ACLS-Cardiac-Arrest-Algorithm-2018