Attempt defibrillation
(up to 3 shocks if VF/VT persists)


CPR for 1 minute
and perform
The Secondary ABCD Survey

  • Airway: attempt to place airway device
  • Breathing: confirm and secure airway device, ventilate, oxygenation
  • Circulation: gain intravenous access; give adrenergic agent; consider antiarrhythmics, buffer agents, pacing
  • Vasopressin 40 U IV, single dose, 1 time only (or)
  • Epinephrine 1mg IV, repeat every 3 to 5 minutes (if no response after single dose of vasopressin, may resume epinephrine 1mg IV push; repeat every 3-5 minutes)
  • Differnential Diagnosis: search for and treat reversible causes

Algorithm Repeats

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