EMS Protocol of the Week - Ventricular Fibrillation/Pulseless Ventricular Tachycardia (Adult)

Last week, we went over the cardiac arrest protocol for non-shockable rhythms. For this week, it’s all about the ventricles, BABY!

The VF/pulseless VT protocol for EMS isn’t vastly different than the PEA/asystole one from last week. ACLS is still at its core, with consistent, high quality CPR and regular doses of epinephrine. This time, however, Standing Orders also include defibrillation of the offending rhythm, along with the initial 300mg bolus of amiodarone. On the Medical Control Options front, you’ll still find bicarb and calcium, but you’ll also find an option for the second amiodarone bolus (150mg), along with magnesium sulfate if you’re considering things like Torsades de Pointes. 

And there you have it! You all now have a grasp of what paramedics can do for adults in cardiac arrest here in NYC. But what if you want them to do…nothing??? I’ll leave you to chew on that cliffhanger until we discuss Termination of Resuscitation next week! Until then, www.nycremsco.org and the protocols binder for more!

Dave