Chest compressions HR < 60 beats/min and poor perfusion despite oxygenation and ventilation

Identify and treat possible causes: 6H's and a T

Hypoxemia: Attempt/verify ET intubation High acid: Correct acidosis Intracranial Hypertension: Maintain euvolemia, avoid hypercarbia and fever, controlled hyperventilation, consider mannitol Hypothermia: Rewarming measures Hypothyroidism

Primary Heart (cardiac) condition: Cardiology consult Toxins: Antidote, if available

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