How to Manage Cardiac and Respiratory Arrest in Wards?

by admin on May 4, 2010



Many times you will face this in your wards, you may reach near the patient when you see there is no pulse, no blood pressure, no respiration, or may be patient may be gasping. Gasping is extremely important because it is an indication that the brain is still alive, and it tells you that the person has a high chance of surviving.

You should intubate the patient immediately and start cardiopulmonary resuscitation with Ambubag  (also see how to resuscitate a new born watch video).

Give the following injection and in the same sequence via intravenous route.

Injection Atropine

Injection Adrenaline

Injection Deriphylline

Injection Sodium bi carbonate

Injection Effcorlin

if no response to it start Dopamine Drip, remember you need not to give injections yourself ask the nurse to do it all, you keep on doing CPR i.e cardiopulmonary resuscitation.

check b.p, pulse etc, patient may continue gasping, try to hear s1, s2 sounds by stethescope.

Give one more shot of injection Atropine and Adrenaline, keep on doing CPR, check for pulse, check for pupils dilations, pupil may show light reflex or it may be fixed or dilated, check ECG if it comes to be straight line, declare the patient is dead clinically. Or if pulse comes you are very lucky, you have saved one life, our results are that out of 20 persons we are able to save 2 persons.

See how to do CPR from

People who see an adult collapse and who is unresponsive should call 9-1-1 and begin CPR, according to American Heart Association guidelines.  You can listen to the recent calls made on 911 and how they saved life of their dear ones on

Heart Image credits

For Further Reading :


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