First Due Academy CardiacEMREMTAEMTParamedic

Cardiac Arrest — Utah 2025 Protocol

High-quality CPR + early defibrillation. AEMT lidocaine drip REMOVED November 2025.

Steps by Cert Level

ALL: High-quality CPR immediately — push hard (2–2.4 in), push fast (100–120/min), full recoil, minimize interruptions. 30:2 until advanced airway → then continuous compressions + breath q6sec.
ALL: SHOCKABLE (VF/pVT): Defibrillate ASAP — 200J biphasic. CPR 2min post-shock before rhythm check.
ALL: NON-SHOCKABLE (PEA/Asystole): CPR + treat H's and T's: Hypovolemia, Hypoxia, Acidosis, Hypo/Hyperkalemia, Hypothermia | Tension pneumo, Tamponade, Toxins, Thrombosis.
AEMT: IV/IO during CPR. Epinephrine 1mg IV/IO q3–5min. Amiodarone 300mg IV/IO for VF/pVT (2nd dose 150mg). LIDOCAINE DRIP REMOVED — do NOT administer.
PARAMEDIC: All AEMT drugs. Advanced airway. Waveform ETCO2 (goal >10 during CPR — sudden rise = ROSC). Sodium bicarb 1mEq/kg if prolonged arrest or known acidosis.