If your defibrillator has Quick-Look paddles use them! Do not waste time connecting wire leads to the patient. Wait until after your set of stacked shocks to connect leads, intubate, and attempt intravenous (IV) access.^[6]

If IV access is unavailable the following medications from this algorithm can be administered via the endotracheal (ET) tube, atropine, lidocaine, epinephrine, at 2 to 2.5 times their usual dose diluted in 10cc normal saline (NS) or flushed with 10cc NS.

IV medications MUST be circulated to the heart in order to improve myocardial response to defibrillation, i.e., after an IV medication is given via a peripheral line (and flushed with at least 20cc of NS) continue CPR for 30-60 seconds to circulate the medication through the heart before shocking.