| Rhythm |
Stable Tx Assess perfusion first |
Unstable Tx |
| Bradycardia |
Monitor, identify cause |
Atropine → pacing → dopamine/epi |
| SVT |
Vagal → Adenosine |
Synchronized cardioversion |
| Atrial fibrillation/flutter |
Rate control, anticoagulate |
Synchronized cardioversion |
| VT (monomorphic) |
Amiodarone |
Synchronized cardioversion |
| Torsades |
Magnesium |
Defibrillation if pulseless |
| VF / pulseless VT |
Defib + CPR + Epi/Amio |
Defib + CPR |
| PEA / Asystole |
CPR + Epi |
CPR + Epi |