You are called emergent to a 86 year old male patient who recently fell from standing. The patient is at a nursing home and staff state that they do not perform CPR at this facility due to liability. You find the patient unconscious, unresponsive, not breathing.
With a BVM or other basic airway adjunct, the compression to ventilation ratio should be 30:2 for adult patients.
· Later on in the cardiac arrest, you have administered 1mg epinephrine 1:10, amiodarone 300mg, 1mg epinephrine 1:10, amiodarone 150mg, and the patient remains in V-Fib despite defibrillation every 2 minutes.
Treatment of reversible causes is always a factor, but in this case it is very important. Termination of resuscitation is not recommended unless patient converts to asystole, but will be based on local protocol.