•

• Check tube position
• Reconfirm bilateral A/E
• Adjust tube tie (around head, not the neck)
• Consider bite block
• Replace extraglottic device (if necessary)

•

• Ventilate 5-10cc/kg
  • Based on Lean Body Mass
  • Average adult is 350-450cc
  • 1/4 to 1/3 of the BVM
• Ventilate 10-12/min (Standard)
  • Ventilate 8-10/min for COPD/asthma
  • Consider 12-14/min for EtCO2 >45
  • Target End-tidal CO2 of 30–40 mm Hg for a PaCO2 of 35–45 mm Hg
• Target SpO2 of 94% (Standard)
  • Target SpO2 of 88-92% for COPD
  • Titrate O2 down
• PEEP 5cm (Standard)
  • Consider 10cm for CHF

•

• Correct Rhythm
  • Wait 5 minutes to cardiovert SVT
  • Cardiovert WCT immediately
  • Consider amiodarone infusion
  • Consider epinephrine infusion if HR <50 & BP <90mmHg
  • Consider pacing if HR <50
• Correct Pressure
  • Target MAP of ≥ 65mmHg
  • Fluid bolus
  • Consider push dose epinephrine per Vasopressor Guideline
• Post Arrest 12 Lead
  • Wait-5-10 minutes for reperfusion
  • 12 lead in car prior to transport

•

• Head of the bed up 30º
• Check/correct glucose
• Temperature neutral - No warming