ACLS Cardiac Arrest PEA and Asystole Algorithm

1. Perform the initial assessment
   • Perform high-quality CPR
   • Establish an airway and provide oxygen to keep oxygen saturation > 94%
   • Monitor the victim’s heart rhythm and blood pressure
2. If the patient is in asystole or PEA, this is NOT a shockable rhythm
3. Continue high-quality CPR for 2 minutes (while others are attempting to establish IV or IO access)
4. Give epinephrine 1 mg as soon as possible and every 3-5 minutes
5. After 2 minutes of CPR, check rhythm
6. If the monitor and assessment show VTach or VFib, move to VTach/VFib algorithm
7. Evaluate and treat reversible causes
8. If the patient attains Return of Spontaneous Circulation (ROSC), provide Post Cardiac Arrest Care