Cardiac Arrest
(Non-Traumatic)(Adult CCC CPR)
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General Adult Assessment
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Go to General Adult Assessment
Refer to Termination
of Resuscitation
or
DNR/POLST Protocol
as appropriate
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Go Termination
of Resuscitation
Yes
Meets criteria for
Prehospital Death Determination
or
DNR/POLST present?
⚠️ AT ANY TIME
Return of
Spontaneous
Circulation,
go to Therapeutic
Hypothermia & Post-
Resuscitation Care
Protocol
Continue Assessment
Go to Therapeutic Hypothermia
No
If unwitnessed by EMS
or no CPR in progress
perform 2 min of CCC
If witnessed by EMS or CPR in progress
and patient is unresponsive with no pulse,
begin Continuous Chest Compressions (CCC)
Push hard (≥2 Inches) Push fast (100-120/min)
⚠️ IF HYPOXIA IS THE
CAUSE OF THE ARREST, EARLY
VENTILATION IS
RECOMMENDED
Apply AED and defibrillate, if prompted
Insert NPA or OPA and begin BVM at
8 BPM
Apply cardiac monitor
Epi Count
Shock Count
VF/ VT
Yes
Rhythm shockable?
No
Asystole/PEA
Defibrillate
Continue CPR for 2 min
Vascular Access
Continue Assessment
Go to Vascular Access
Continue CPR for 2 min
Vascular Access
Continue Assessment
Go to Vascular Access
EPINEPHRINE
1.0 mg IV/IO q 3-5 min
ETT Administration
requires 2 to 2.5 times the
dose
Consider
Extraglottic Airway Device
Continue Assessment
Go to Extraglottic Airway
Consider
Endotracheal Intubation
Continue Assessment
Go to Endotracheal Intubation
Rhythm shockable?
Yes
Defibrillate if prompted
(AED)
Defibrillate
Continue CPR for 2 min
EPINEPHRINE
1.0 mg IV/IO q 3-5 min
ETT Administration
requires 2 to 2.5 times the
dose
Consider
Extraglottic Airway Device
Continue Assessment
Go to Extraglottic Airway
Consider
Endotracheal Intubation
Continue Assessment
Go to Endotracheal Intubation
Rhythm shockable?
No
No
Continue CPR for 2 min
Address H's & T's
Rhythm shockable?
No
No
Rhythm shockable?
Yes
Yes
Yes
Use VF/ VT side
as indicated
Defibrillate if prompted
(AED)
Defibrillate
Continue CPR for 2 min
AMIODARONE
300 mg IV/IO; may repeat
one dose of 150 mg if
refractory after 5th shock;
Address H’s & T’s
Use Asystole/PEA
side as indicated
Check pulse, if organized rhythm
If patient remains unresponsive to
resuscitation efforts, consider
Termination of Resuscitation Protocol
Continue Assessment
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