0 | Patient becomes unresponsive and exhibits decorticate rigidity |
Pulseless polymorphic VT |
CPR started |
1 | First defibrillation with 200 J |
3 | Pulseless VF |
Second defibrillation with 200 J |
4 | 1 mg of IV epinephrine administered (dose 1) |
5 | Pulseless polymorphic VT |
Third defibrillation with 200 J |
7 | 1 mg of IV epinephrine administered (dose 2) |
8 | ROSC with return of consciousness (spontaneous movements) |
CPR stopped |
9 | Loss of consciousness |
Re-arrest with pulseless polymorphic VT |
CPR resumed |
Patient makes purposeful movements against CPR provider |
10 | CPR stopped |
Patient loses consciousness |
Pulseless polymorphic VT |
Fourth defibrillation with 200 J |
Patient cries out with defibrillation |
CPR resumed immediately |
11 | Patient makes purposeful movements against CPR provider |
CPR stopped |
Pulseless VF with no consciousness |
CPR resumed |
12 | Pulseless VF with no consciousness |
Fifth defibrillation with 200 J |
CPR resumed immediately |
Patient makes purposeful movements against CPR providers |
No palpable pulse |
CPR resumed |
4-point restraint applied |
13 | 2 g of IV magnesium sulfate administered |
14 | 300 mg of IV amiodarone administered |
15 | Pulseless VT |
Sixth defibrillation with 200 J |
16 | 1 mg of IV epinephrine administered (dose 3) |
17 | ROSC |