ACLS - Ventricular Fibrillation/ Pulseless VT

VT

VF

hmmm ....ok here it goes...

1. Primary Assessment, check for Airway, Breathing, Circulation and Danger (O2 mask, Check pulse, alert resus team)

2. Wat do u see on cardiac monitor??

3. Yes its VT...

4. Defib of 360J delivered to the pt...

5 a. Return to Normal Sinus Rhythm?.....yes...assess vital signs inform transfer to CCU?

5 b. NO? Still in VF/VT.... (follow the below)

6. Do Secondary survey....assess ABCD (put on intubation, start ambubag, start IV)

7. Administer 1 mg of Adrenaline and wait for 1 minute...

8. Defib of 360J .......(remember drug-shock-drug-shock)

9. Administer another 1mg of Adrenaline IV

10. Defib of 360J

11. Optionals....u choose whether Lignocaine 100mg or Amiodarone 150mg and wait for 1 minute...

12. Defib of 360J

13. Another set of Lignocaine 100mg or Amiodarone 150mg...wait for 1 minute

14. Defib of 360J