PEA / Asystole Algorithm

[IV/IO access]

Begin CPR & EPINEPHRINE 1 mg ASAP and every 3-5 min
[Consider advanced airway, Capnography]

2 Min if pulseless

[Shock if Rhythm shockable anytime.]

CPR & Treat reversible causes H’s & T’sFLUIDS

2 Min if pulseless

CPR & EPINEPHRINE 1 mg

2 Min if pulseless

CPR & Treat reversible causes H’s & T’sBLOOD GASES, SUGAR

2 Min if pulseless

CPR & EPINEPHRINE 1 mg

2 Min if pulseless

CPR & Treat reversible causes H’s & T’sBICARBONATE

2 Min if pulseless

CPR & EPINEPHRINE 1 mg

2 Min if pulseless

CPR & Treat reversible causes H’s & T’s

—–

Reversible Causes H’s & T’s
• Hypovolemia
• Hypoxia
• Hydrogen ion (acidosis)
• Hypo-/hyperkalemia
• Hypothermia


• Tension pneumothorax
• Tamponade, cardiac
• Toxins
• Thrombosis, pulmonary
• Thrombosis, coronary

—–

Tip to remember: PEA C12 CHT2

PEA

C12-CPR and Epinephrine 1mg then 2 min check

CHT2-CPR and Check for Hs and Ts then 2 min check

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