First 30 seconds
- 1ABCDE + arterial + central line
- 2Vasopressor (norad first-line)
- 3Inotrope (dobutamine 2.5–20 mcg/kg/min OR milrinone if on β-blocker)
A
Airway
- • Patency, protect
- • Adjuncts / definitive airway
B
Breathing
- • RR, SpO₂
- • O₂ to target sats
C
Circulation
- • HR, BP, IV access
- • Fluids/vasopressors
D
Disability
- • AVPU/GCS, pupils, glucose
E
Exposure
- • Full exposure, bleeding, source
