La County Treatment Protocols Questions And
Correct Answers
Non Traumatic Cardiac Arrest Asystole/PEA - Answer 2min/ 5 cycles of Cpr if not
witnessed (establish IV)
Confirm in more than one lead if asystole and attach strip
Epi 1MG IV/IO
Consider Advance Airway
If narrow complex and HR greater than 60 NS 10ml/kg 250 boluses
CPR 2min
-BASE-
EPI 1mg IV/IO
If down greater than 20 min Bicarb. 1mEq/kg IV push repeat .5mEq/kg q 10-15min
12 -lead if ROSC
Consider base for pronouncement if unssuccessful.
(If hypothermic only 1 shock and 1 epi until warmed)
Non Traumatic Cardiac Arrest V-Fib/ Pulseless V-Tach - Answer 2min/ 5 cycles of cpr if
not witnessed
Confirm in more than one lead if asystole and attach strip
SHOCK 200J
CPR 2min
SHOCK
Epi 1mg IV/IO CPR 2min (consider advanced airway)
-BASE-
Amiodarone 300mg IV/IO CPR 2min
, SHOCK
Epi 1mg IV/IO CPR 2min
SHOCK
Ami 150mg IV/IO CPR 2 min
SHOCK
Symptomatic Bradycardia - Answer General ALS
12-lead
Atropine .5mg IV
If hyperkalemia suspected Albuterol 5mg 2 times
No improvement or immediately TCP for HR 40 & SBP 80 in 2nd degree Type 2 or 3rd
degree HB (70bpm/0mA, slowly increase until capture)
(BASE)
If hyperkalemic suspected Calcium Cholride 1g SIVP 60secs repeat once
Consider Bolus
If TCP unavailable 400mg/500ml NS IVPB
Start at 30mcgtts/min titrate to SBP 90-100mmHg or max120mcgtts
awake - Versed 1-2mg sivp titrate, 2.5 im or in q 5min max 10mg or morphine 2-12mg
sivp max 20mg (consider zofran before)
if TCP unavail atropine .5 q 3-5min max 3mg
Tachycardia with pulses (Narrow QRS) -Answer Adequate Perfusion-HR 150 or greater
Valsava, 6mg RIVP, 12mg RIVP 10-20cc FLUSH
Poor Perfusion- Atrial Fib/flutter contact base
Adenosine 12mg RIVP q 1-2min repeat once
Cardiovert may repeat one time
-BASE-
If awake Versed1-2mg sivp titrate, 2.5 im or in q 5min max 10mg
Correct Answers
Non Traumatic Cardiac Arrest Asystole/PEA - Answer 2min/ 5 cycles of Cpr if not
witnessed (establish IV)
Confirm in more than one lead if asystole and attach strip
Epi 1MG IV/IO
Consider Advance Airway
If narrow complex and HR greater than 60 NS 10ml/kg 250 boluses
CPR 2min
-BASE-
EPI 1mg IV/IO
If down greater than 20 min Bicarb. 1mEq/kg IV push repeat .5mEq/kg q 10-15min
12 -lead if ROSC
Consider base for pronouncement if unssuccessful.
(If hypothermic only 1 shock and 1 epi until warmed)
Non Traumatic Cardiac Arrest V-Fib/ Pulseless V-Tach - Answer 2min/ 5 cycles of cpr if
not witnessed
Confirm in more than one lead if asystole and attach strip
SHOCK 200J
CPR 2min
SHOCK
Epi 1mg IV/IO CPR 2min (consider advanced airway)
-BASE-
Amiodarone 300mg IV/IO CPR 2min
, SHOCK
Epi 1mg IV/IO CPR 2min
SHOCK
Ami 150mg IV/IO CPR 2 min
SHOCK
Symptomatic Bradycardia - Answer General ALS
12-lead
Atropine .5mg IV
If hyperkalemia suspected Albuterol 5mg 2 times
No improvement or immediately TCP for HR 40 & SBP 80 in 2nd degree Type 2 or 3rd
degree HB (70bpm/0mA, slowly increase until capture)
(BASE)
If hyperkalemic suspected Calcium Cholride 1g SIVP 60secs repeat once
Consider Bolus
If TCP unavailable 400mg/500ml NS IVPB
Start at 30mcgtts/min titrate to SBP 90-100mmHg or max120mcgtts
awake - Versed 1-2mg sivp titrate, 2.5 im or in q 5min max 10mg or morphine 2-12mg
sivp max 20mg (consider zofran before)
if TCP unavail atropine .5 q 3-5min max 3mg
Tachycardia with pulses (Narrow QRS) -Answer Adequate Perfusion-HR 150 or greater
Valsava, 6mg RIVP, 12mg RIVP 10-20cc FLUSH
Poor Perfusion- Atrial Fib/flutter contact base
Adenosine 12mg RIVP q 1-2min repeat once
Cardiovert may repeat one time
-BASE-
If awake Versed1-2mg sivp titrate, 2.5 im or in q 5min max 10mg
