Page 98 - 2023 SMOG Digital

MILITARY WORKING DOG (MWD)

MWD CPR Management

Cardiopulmonary Arrest Confirmed

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BEGIN BASIC LIFE SUPPORT–SUSTAIN CPR for 2–3 minute cycles
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- Circulation–Chest compressions, FAST and HARD, 100 compressions per minute
- Airway–Clear airway and intubate; perform tracheostomy if obstructed airway
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- Breathing–Manually ventilate with 100% O₂ at 8–10 breaths per minute
BEGIN ADVANCED LIFE SUPPORT
ECG (determine arrest rhythm)
IV/IO access for drug delivery
VF or VT ASYSTOLE/BRADYCARDIA/PEA
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- Defibrillate – 2–5J/kg biphasic - Drug therapy:
- Resume chest compressions x 1 cycle (2 min) • Atropine 0.04mg/kg IV/IO only if
- Defibrillate twice more, with 1 compression bradycardia preceded arrest
cycle between each counter–shock, if refractory • Epinephrine 0.01mg/kg IV/IO
- Drug therapy if counter-shock no successful: and
• Epinephrine 0.01mg/kg IV/IO Vasopressin 0.8U/kg IV/IO once
or
Vasopressin 0.8U/kg IV/IO once and
• Lidocaine 2mg/kg IV/IO
or
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• Amiodarone 5–10mg/kg IV/IO
- Repeat counter–shock (50% INCREASED
initial energy) if refractory

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