Scenario data: A 65-year-old male collapses as he is out for his morning walk. A bystander witnessed the collapse, activates EMS, and begins CPR. The EMS team arrives 6 minutes later. The monitor is attached and the assessment is as follows:

Skin: cold/clammy/cyanotic
Cardiovascular: no pulse
Respiratory: no respirations
CNS: no response
Monitor: rhythm strip below

What ACLS algorithm are you going to begin this scenario with?

As an EMS provider in the out of hospital setting, your first step is to:

While the EMS team is providing 5 cycles of CPR what other activities can be completed?

After your IV is secure, your next step involves giving a medication. What medication should be used?

(True or False)
Vasopressin 40 U IV can replace the 1st or 2nd dose of epinephrine in the cardiac arrest algorithm.

Epinephrine should be repeated at what frequency for the treatment of Asystole?

You give epinephrine 1 mg IV and finish the cycle of CPR. What is your next intervention?

After giving the first dose of epinephrine you finish the cycle of CPR. A rhythm check shows that the patient's rhythm changed from asystole to the rhythm below. He also remains pulseless. Your first action is to:

You deliver 1 shock of 120J. After the shock what is the your next step?

You have resumed CPR. Your next intervention after 5 cycles of CPR is to:

Your rhythm check reveals continued pulseless VT. What are your next 2 steps?

You give a second shock and perform 5 cycles of CPR. What medication should you give after the second shock during CPR?

The epinephrine is given and the round of CPR completed. A rhythm check reveals no change in the rhythm and pulseless VT continues. You shock with 300 J and start another cycle of CPR. What medication are you going to give at this time?

You give amiodarone 300 mg IV and finish the cycle of CPR, your rhythm check reveals continued pulseless VT, continuing on, you shock the patient with 360 J. What is your intervention at this time.

After completing 5 cycles of CPR a rhythm check reveals the following:

Your pulse check reveals a faint palpable pulse. VS are: HR 30; BP 78/58; and the patient does not have spontaneous breathing. What is the next step?

You recognize this rhythm because there is no apparent relationship between the P-waves and the QRS complexes. What is the rhythm?

After you initiate TCP the patient continues to stabilize. VS are: HR 70; BP 105/75; RR 5; You continue to support ventilation with the bag valve mask, and TCP continues. If transcutaneous pacing was not available, what medication can be considered as an alternative?