Shock
For patients with
known adrenal
insufficiency, administer
patients's own Solu-Cortef
(hydrocortisone) as
prescribed
General Adult Assessment
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Oxygen Keep SpO
2
>94%
Vascular Access
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Cardiac monitor/Capnography
Alternative appropriate treatment
protocols as indicated
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Trauma -
related
Non-Trauma,
Non-
cardiogenic
Cardiogenic
General Trauma
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NS bolus
1000 ml;
may repeat x1 with
no rales on lung exam
Appropriate arrhythmia
protocol as indicated
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Go to Bradycardia
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12-Lead ECG
Obtain waveform
capnography
PUSH DOSE EPINEPHRINE
1:100,000
5.0mcg ‐ 10mcg IV, may repeat q
2-5 min to maintain SBP >90
(0.5ml-1.0ml of a 1:100,000
solution)
To prepare: mix cardiac epinephrine
1:10,000 1ml PLUS 9ml Normal
Saline=10ml Epinephrine 1:100,000
at 10mcg/ml
Obtain waveform capnography
OR
NS bolus
500 ml;
if no rales on lung exam;
may repeat x 1
Consider
DOPAMINE
5-20 mcg/kg/min;
titrate to SBP >90 mmHg
Obtain waveform
capnography
Continue General Adult Assessment
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