VF / Pulseless VT Arrest

Shockable rhythm — defib every 2 min

First 30 seconds

  1. 1Confirm arrest
  2. 2Start CPR 30:2
  3. 3Attach defibrillator ASAP
  4. 4Shock 200 J biphasic
  5. 5Adrenaline 1 mg IV after 3rd shock, then q3–5 min
  6. 6Amiodarone 300 mg IV after 3rd shock
A

Airway

  • Patent? Talking? Stridor?
  • Suction, jaw-thrust, adjuncts, definitive airway if needed
B

Breathing

  • RR, SpO₂, auscultate, percuss
  • O₂ to target sats, NIV / intubate as required
C

Circulation

  • HR, BP, cap refill, JVP
  • 2× large-bore IV, bloods, monitor, ECG
D

Disability

  • AVPU/GCS, pupils, glucose, temp
E

Exposure

  • Full exposure, skin, rash, bleeding, lines, infection source
View flowchart algorithm
WardRound

WardRound

Clinical Decisions in Seconds