IV/IO epinephrine
IV/IO epinephrine. The patient has pulseless electrical activity (PEA). For patients with non-shockable rhythms such as PEA or asystole, the earlier epinephrine is administered after CPR initiation, the more likely the patient is to survive. A normal saline bolus may be indicated during resuscitation of this patient, but epinephrine should not be delayed. Lidocaine is not indicated for PEA. PEA is a non-shockable rhythm so administering a shock of 2J/kg is not recomended. [Topjian 2020; F&L pp 44-71]