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- " witnessed arrest? -> precordial thump"
- " DX: Asystole, or bradycardia w. NO pulse"
- " Start I.V. (consider INTUBATION now)"
- "EPI 0.5-1 MG IV (child .01 MG/KG) - give by E.T. tube if no I.V.!"
- " INTUBATE (if possible)"
- " ATROPINE 1 MG IV (child .01 MG/KG) - may also be given E.T."
- "if unwitnessed, consider: BICARBONATE 1 MEQ/KG (ideally use ABG)"
- " no pulse?"
- " repeat EPINEPHRINE every 5 minutes"
- " repeat ATROPINE in 5 minutes"
- " ACIDOSIS or ELECTROLYTE abnormality?"
- " no pulse?"
- " EXTERNAL PACER"
- "or if not available, consider ISOPROTERENOL DRIP 0.3 mic/kg/min"
- " "
- " if good rhythm obtained only after pacer"
- " or isoproterenol, prepare for transvenous pacemaker"
- " "
- "end"
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