ACLS.net ACLS 2005 Asystole Algorithm

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The following directs AHA accepted actions as part of the Secondary ABCDs for pulselessness when properly functioning equipment shows asystole. If the patient is a candidate for resuscitation provide 2 minute cycles of CPR-rhythm checks and think:

P E A

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Letter Intervention
P Problem search (see Differential Diagnosis Table). Treat accordingly. Continue this algorithm if indicated.
E Epinephrine 1 mg IV/IO q3-5 min. Or vasopressin 40 U IV/IO, once, in place of the 1st or 2nd dose of epi.
A Atropine 1 mg IV/IO q3-5 min. (3mg max.)
Consider termination of efforts if asystole persists despite appropriate interventions.

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