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. 2018 Jul;64(7):514–517.

Table 1.

Summary of cardiac arrest events and actions

TIME ELAPSED, MIN RESUSCITATION EVENTS AND ACTIONS
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

CPR—cardiopulmonary resuscitation, IV—intravenous, ROSC—return of spontaneous circulation, VF—ventricular fibrillation, VT—ventricular tachycardia.