ACLS review: asystole part 2
Primary Survey- ABCs
· Assess responsiveness and breathing
· Active EMS system
· Check pulse
· Perform chest compressions
· Open Airway
· Give two slow breaths
· Attach Defibrillator/monitor
Confirm Presence of Asystole
· Confirm asystole in another lead
· Make sure correct lead is displayed on the monitor
· Make sure cables are connected to the monitor
· Check gain on monitor
· Check for loose leads
Secondary Survey
· Intubate and secure airway device.
· Oxygenate with 100% O2.
· Confirm ET tube placement
Direct cord visualization
End-tidal CO2 monitor
Bilateral breath sounds
CXR
Continuous waveform capnography
· IV access
Note: Continuous waveform capnography is recommended in addition to clinical assessment as the most reliable method of confirming and monitoring correct placement of an endotracheal tube (Class I, LOE A). Providers should observe a persistent capnographic waveform with ventilation to confirm and monitor endotracheal tube placement in the field, in the transport vehicle, on arrival at the hospital, and after any patient transfer to reduce the risk of unrecognized tube misplacement or displacement.
Reviewed 2/28/16
· Assess responsiveness and breathing
· Active EMS system
· Check pulse
· Perform chest compressions
· Open Airway
· Give two slow breaths
· Attach Defibrillator/monitor
Note: If the rhythm is asystole or the pulse is absent (eg,PEA), CPR should be resumed immediately, beginning with chest compressions, and should continue for 2 minutes before the rhythm check is repeated.
Confirm Presence of Asystole
· Confirm asystole in another lead· Make sure correct lead is displayed on the monitor
· Make sure cables are connected to the monitor
· Check gain on monitor
· Check for loose leads
Secondary Survey
· Intubate and secure airway device.
· Oxygenate with 100% O2.
· Confirm ET tube placement
Direct cord visualization
End-tidal CO2 monitor
Bilateral breath sounds
CXR
Continuous waveform capnography
· IV access
Note: Continuous waveform capnography is recommended in addition to clinical assessment as the most reliable method of confirming and monitoring correct placement of an endotracheal tube (Class I, LOE A). Providers should observe a persistent capnographic waveform with ventilation to confirm and monitor endotracheal tube placement in the field, in the transport vehicle, on arrival at the hospital, and after any patient transfer to reduce the risk of unrecognized tube misplacement or displacement.
Reviewed 2/28/16
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