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Managing Asystole
Apr 27, 2018
Version control: This document is current with respect to 2015 American Heart Association® Guidelines for CPR and ECC. These guidelines are current until they are
replaced on October 2020. If you are reading this page after October 2020, please contact ACLS Training Center at support@acls.net (mailto:support@acls.net?
subject=Pulseless%20Arrest%20Algorithm%20for%20Managing%20Asystole&body=Hi%2C%20I%20had%20questions%20about%20your%20Pulseless%20Arrest%20Algorithm
for an updated document.
Management of a patient in cardiac arrest with asystole follows the same pathway as management of PEA. The top priorities stay the same: Following the steps in the ACLS
Pulseless Arrest Algorithm and identifying and correcting any treatable, underlying causes for the asystole. The algorithm assumes that scene safety has been assured,
personal protective equipment is being used, and no signs of obvious death are present.
IV/IO access is a priority over advanced airway management. If an advanced airway is placed, change to continuous chest compressions without pauses for breaths. Give 10
breaths per minute (once every 6 seconds) and check rhythm every 2 minutes.
Without a pulse or electrical activity on the ECG, the emergency care team needs to decide when resuscitation efforts should stop. The patient's wishes and the family's
concerns need to be considered.
(https://www.acls.net/judy-bio.html) Written by Judy Haluka (https://www.acls.net/judy-bio.html) and last updated May 7, 2017
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