When working to resuscitate a patient in sudden cardiac arrest, Epinephrine is the first IV medication we administer.

When we give the first dose of epinephrine depends on whether the patient is in a shockable or non-shockable rhythm.

When to give the first dose of epinephrine and its frequency for patients in asystole or PEA following the right side of the Adult Cardiac Arrest algorithm.

When to give the first dose of epi and its frequency for patients in V-Fib or pulseless V-Tach following the left side of the Adult Cardiac Arrest algorithm.

Example chronology of events for a scenario where a patient is found unresponsive with only gasping/agonal breathing.

Administration of epi via the IO or endotracheal route in the absence of an IV.

The maximum cumulative dose of epinephrine that can be administered to patients in cardiac arrest.

When do we stop administering epinephrine.

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If a person suddenly develops symptoms such as weakness, slurred or garbled speech, loss of balance, or a massive & severe headache; it’s possible they could be having a stroke.

The Cincinnati Prehospital Stroke Scale.

There are several conditions that can mimic a stroke.

Identification & treatment of hypoglycemia or hyperglycemia.

Identification & treatment of hypoxia using a pulse oximeter.

Some seizures, electrolyte imbalance, sepsis, brain tumors, and Bell’s Palsy can also mimic a stroke.

Prehospital providers should transport suspected stroke patients to a stroke center following their local protocols.

Hospital providers should active their stroke team to ensure rapid assessment and treatment.

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Give back & help others. Your support will help cover the monthly cost of software and podcast & website hosting. Donations made via Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated.

Good luck with your ACLS class!

Most ACLS medications are given IV push. But, what happens if we can't get an IV?

Why IO is better than ETT as an alternative route.

The locations we should place an IO when running a code and a location we should avoid.

The ACLS medications that can be given intraosseous.

Where you can find more information about intraosseous access during resuscitation efforts.

In the absence of an IV or IO, some medications may be given down the endotracheal tube.

The disadvantages of medication administration via ETT.

Review of the medications that can be given down the tube and how they should be given.

Medications should not be given down the tube when anything other than an endotracheal tube is used as an advanced airway.

Connect with me:

Website: https://passacls.com

@PassACLS on X (formally known as Twitter)

@Pass-ACLS-Podcast on LinkedIn

Give back & help others. Your support will help cover the monthly cost of software and podcast & website hosting. Donations made via Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated.

Good luck with your ACLS class!