PEA / Asystole Algorithm

[IV/IO access]

Begin CPR & EPINEPHRINE 1 mg ASAP and every 3-5 min
[Consider advanced airway, capnography]

2 Min if pulseless

Shock if Rhythm shockable anytime.

CPR & Treat reversible causes H’s & T’s

2 Min if pulseless

CPR & EPINEPHRINE 1 mg

2 Min if pulseless

CPR & Treat reversible causes H’s & T’s

2 Min if pulseless

CPR & EPINEPHRINE 1 mg

2 Min if pulseless

CPR & Treat reversible causes H’s & T’s

2 Min if pulseless

CPR & EPINEPHRINE 1 mg

2 Min if pulseless

CPR & Treat reversible causes H’s & T’s

Reversible Causes H’s & T’s
• Hypovolemia
• Hypoxia
• Hydrogen ion (acidosis)
• Hypo-/hyperkalemia
• Hypothermia


• Tension pneumothorax
• Tamponade, cardiac
• Toxins
• Thrombosis, pulmonary
• Thrombosis, coronary

Leave a Comment

This site uses Akismet to reduce spam. Learn how your comment data is processed.