Hyperkalemia: Bicarbonate 1 mEq/kg, Calcium 1 g IV
Hypokalemia: 10mEq KCl over 30 minutes
Hypothermia: rewarm body core
Digitalis: Digibind (Digitalis antibodies)
Ca-channel blockers: Calcium
Asystole & PEA Differentials (The 5Hs & 5Ts)
Hydrogen ions (Acidosis)
Tablets (Drug OD)
Confirm Asystole in two leads
Reasons to NOT continue?
Differential Diagnosis (5Hs & 5Ts)
TCP (if early)
Epinephrine 1:10,000 1 mg IV q 3-5 min.
Atropine 1 mg IV q 3-5 min, max 0.04 mg/kg
Analyze the Rhythm What are you going to do for this patient?
Case Presentation The patient is a 16-year-old male who was stabbed in the left lateral chest with a butcher knife. He responds only to pain. His respirations are rapid, shallow, and labored. Central cyanosis is present. Breath sounds are absent on the left side. The neck veins are distended. The trachea deviates to the right. Radial pulses are absent. Carotids are rapid and weak. Now, what are you going to do for this patient?