Medical Protocols

Emergency medical protocols and treatment guidelines for critical care

Ventricular Fibrillation
(Pulseless Ventricular Tach)

Ensure scene safety
Check responsiveness
Call 911 + Get AED
Check pulse (max 10 sec)

START CPR IMMEDIATELY

• 30:2 ratio (30 compressions : 2 breaths)
• Rate: 100-120/min
• Depth: 2-2.4 inches

Shock 1st
Resume CPR

• 30:2 ratio (30 compressions : 2 breaths)
• Rate: 100-120/min
• Depth: 2-2.4 inches
• Reversible Causes (H's & T's)

Rhythm check after 2 min

Shock 2 sec
Resume CPR

• Epinephrine/Adrenaline 1 mg IV/IO q3-5min
• 30:2 ratio (30 compressions : 2 breaths)
• Rate: 100-120/min
• Depth: 2-2.4 inches
• check if shockable Rhythm
• Reversible Causes (H's & T's)

Shock 3rd
Resume CPR

• Amiodarone 300 mg
• 30:2 ratio (30 compressions : 2 breaths)
• Rate: 100-120/min
• Depth: 2-2.4 inches
• check if shockable Rhythm
• Reversible Causes (H's & T's)

Rhythm check after 2 min

Shock 4th
Resume CPR

• Epinephrine/Adrenaline 1 mg IV/IO q3-5min
• 30:2 ratio (30 compressions : 2 breaths)
• Rate: 100-120/min
• Depth: 2-2.4 inches
• Reversible Causes (H's & T's)

Rhythm check after 2 min

Shock 5th
Resume CPR

• • Amiodarone 150 mg
• 30:2 ratio (30 compressions : 2 breaths)
• Rate: 100-120/min
• Depth: 2-2.4 inches
• Reversible Causes (H's & T's)

Shock 6th
Resume CPR

• Epinephrine/Adrenaline 1 mg IV/IO q3-5min
• 30:2 ratio (30 compressions : 2 breaths)
• Rate: 100-120/min
• Depth: 2-2.4 inches
• Reversible Causes (H's & T's)

PEA
ASYSTOLE

Ensure scene safety
Check responsiveness
Call 911 + Get AED
Check pulse (max 10 sec)

START CPR IMMEDIATELY

• 30:2 ratio (30 compressions : 2 breaths)
• Rate: 100-120/min
• Depth: 2-2.4 inches