Begin transportation of the patient and other Basic Life Support Traumatic Cardiac Arrest procedures.
During transport, or if transport is delayed:
Perform Endotracheal Intubation only when other methods of airway control are not effective.
Begin rapid IV (IO) infusion of Ringer's Lactate (RL) 20 ml/kg, via a large bore IV (18-22 gauge) or IO catheter. Attempt IV or IO only once each. (See Appendix J.)
If abdominal distention occurs, pass a Nasogastric Tube.
NOTE: DO NOT PASS A NASOGASTRIC TUBE IN PATIENTS WITH CRANIOFACIAL TRAUMA.
Contact Medical Control for implementation of one or more of the following options:
Repeat Ringer's Lactate (RL) 20 ml/kg, rapid IV (IO) infusion. (See Appendix J.)
OPTION B:
Begin rapid IV (IO) infusion of Ringer's Lactate (RL) 20 ml/kg, via a second large bore IV (18-22 gauge) or IO catheter. Attempt second IV or IO only once each. (See Appendix J.)
OPTION C:
Administer Epinephrine 0.01 mg/kg (0.1 ml/kg of a 1:10,000 solution), IV (IO) bolus, or via the Endotracheal Tube. (See Appendix J.)
Medical Control Options