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restarting algorithm for rhythm change
- Thread starter Emt512
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NYMedic828
Forum Deputy Chief
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You do not restart, ever.
You gave 2 epi then you gave 2 epi for every algorithm.
Patient converts to VF, you give amio, they go asystole and then back to VF you don't give amio again and start over.
You gave 2 epi then you gave 2 epi for every algorithm.
Patient converts to VF, you give amio, they go asystole and then back to VF you don't give amio again and start over.
You do not restart, ever.
You gave 2 epi then you gave 2 epi for every algorithm.
Patient converts to VF, you give amio, they go asystole and then back to VF you don't give amio again and start over.
I'm sorry I just realized that was a stupid question... Since I've now realized I'm way to tired to study right now...thanks for reply though
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The trick is learning to transition between protocols, like NY said, you don't restart.
So in your example first rhythm check reveals PEA, epi x1 and CPR for 2 minutes then the next rhythm check shows VF, epi is first in the VF algorithm but you've already given it per the PEA algorithm so next up is amio.
Does that make sense?
So in your example first rhythm check reveals PEA, epi x1 and CPR for 2 minutes then the next rhythm check shows VF, epi is first in the VF algorithm but you've already given it per the PEA algorithm so next up is amio.
Does that make sense?
AustinNative
Forum Crew Member
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If the rhythm transitions into VF, then wouldn't defibrillation come before another round of Epi?
NYMedic828
Forum Deputy Chief
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If the rhythm transitions into VF, then wouldn't defibrillation come before another round of Epi?
Yes.
You need to realize they expect you to have some knowledge of what you are doing while following their algorithm.
When you transition into something, you move to the primary treatment for that rhythm but the only treatments you ever repeat are vasopressors and electrical therapies. De-fibrillation and CPR ALWAYS comes first. If it is time to shock, fire away.
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If the rhythm transitions into VF, then wouldn't defibrillation come before another round of Epi?
Sorry, kinda figured that was implied, should have been more specific.
Like NY said, you need to understand why you're doing what you're doing rather than just blindly following an algorithm.
Random fun fact, we don't defibrillate fine VF if it presents as the initial rhythm where I work. 2 minutes of quality CPR then reassess.
Check out the electrical, circulatory and metabolic phases of cardiac arrest.