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Cardiac / ResuscitationCritical Care and Paramedic Levels
Chest Pain—ACS
• Replaces “Chest Pain” protocol
• More focused on cardiac chest pain
• Early EKG • Cardiac equivalents– Shortness of breath,
epigastric pain, nausea, altered mental status, weakness
STEMI
• NEW PROTOCOL• Contact Medical
Direction prior to transport– Destination decision– Possible helicopter
transport• Chest Pain Checklist
Symptomatic Bradycardia
• Changes:– Treatment based on
symptoms only– Sedation option if
pacing– Glucagon now in
“Overdose” protocol
Tachycardia with a Pulse
• Changes:– Treatment options more
symptoms based• Still requires some
interpretation of rhythm
– Sedation option– Early EKG
Cardiac Arrest—Initial Care
• NEW PROTOCOL• References rhythm
based protocols• Reinforces BLS– Good CPR– Intubation not required
if ventilation adequate– Consider supraglottic
airway
VF/Pulseless VT
• Changes:– Reinforces good CPR– Discourages transport
unless ROSC– Field termination
allowed and encouraged if unsuccessful after 20 minutes of ALS and poor EtCO2
PEA/Asystole
• Changes:– Combines previous
protocols– NO MORE Atropine– Again, discourages
automatically transporting unless ROSC achieved
Post Cardiac Arrest
• Changes:– More encompassing
than just Therapeutic Hypothermia• ASA administration• EKG acquisition
Pediatric Cardiac Arrest
• General Approach• Intubation is
deemphasized• Understand
Termination Rules
Pediatric Cardiac Arrest
• Intubation Deemphasized
• Epi, Epi, Epi!
Peds: Bradycardia
• Epinephrine preferred over Atropine
Peds: Tachycardia
Neonatal Resuscitation