Immediate cath lab activation if STEMI or high suspicion of coronary occlusion
Termination of resuscitation and documentation
Resuscitation end-points
Sustained ROSC
Transition to ECPR pathway if eligible and available
Termination of resuscitation criteria
Persistent asystole or PEA despite appropriate ACLS
No reversible cause identified or treated
Prolonged downtime with poor prognostic features
Local protocol and medical control requirements
Organ donation referral pathway when appropriate
Documentation set
Witnessed status
Bystander CPR
Initial rhythm
Time intervals
Defibrillation count and energy
Medications and times
Airway details and confirmation method
ETCO2 trends
POCUS use and impact on pauses
ROSC time and hemodynamics
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.