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Provides task-and-actions checklists for crisis resources, immediate steps, CPR parameters, airway and IV access guidance, medication dosing, and differential diagnosis cues (e.g., H’s and T’s) with cross-references by numbered sections.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/epic-manual-cognitive-aids-for-peri-operative-crises-v44-2022-stanford-anesthesia-cognitive-aid-program-emergency-manual/371013/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/epic-manual-cognitive-aids-for-peri-operative-crises-v44-2022-stanford-anesthesia-cognitive-aid-program-emergency-manual/371013.png","ImageObject",300,407,{"name":92,"@type":93},"Guten tag","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-01","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"When should CPR pulse checks be performed in Asystole/PEA?","Question",{"text":113,"@type":114},"Check pulse only if there are signs of ROSC such as sustained increased EtCO2, spontaneous arterial waveform, or rhythm change. Otherwise proceed with CPR and rhythm reassessment.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What are the key CPR targets in the Asystole/PEA treatment section?",{"text":118,"@type":114},"Provide CPR at 100–120 compressions/min with minimal breaks and depth ≥ 5 cm. Keep EtCO2 > 10 mmHg and diastolic BP > 20 mmHg, rotate compressors every 2 minutes, and apply/assess defibrillator pads.",{"name":120,"@type":111,"acceptedAnswer":121},"How does the manual guide treatment for suspected hypoxemia during perioperative crises?",{"text":122,"@type":114},"Use 100% O2 at 10–15 L/min and confirm breathing circuit connections and ETT placement with CO2. Verify breath sounds, suction the ET tube, and consider chest x-ray or bronchoscopy while cross-referencing the hypoxemia section.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},371013,1790218405,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":26,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},687212321768,"https://ap-avatar.wpscdn.com/avatar/a0010bdbe886d2fe77?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789897067658708522","Cognitive Aids for Peri operative Crises - V4 .4 2022 Stanford Anesthes ia Cognitive Aid Program  \nEMERGENCY MANUAL  \nPhone List (Back Cover)  \n\n| ACLS |\n| --- |\n| OTHER EVENTS |\n| RESOURCES |\n\nAsystole / PEA .................. 1  \nBradycardia ..................... 2  \nSVT-Unstable and Stable ..... 3  \nVFIB / VTACH .................... 4  \nAnaphylaxis ..................... 5  \nBronchospasm ................. 6  \nDelayed Emergence ............ 7  \nDifficult Airway / Cric .......... 8  \nEmbolism-Pulmonary......... 9  \nFire-Airway..................... 10  \nFire-Non-Airway ............... 11  \nHemorrhage .................... 12  \nHigh Airway Pressure .......... 13  \nHigh Spinal ...................... 14  \nHypertension ................... 15  \nHypotension .................... 16  \nHypoxemia ...................... 17  \nLocal Anesthetic Toxicity ..... 18  \nMalignant Hyperthermia ..... 19  \nMyocardial Ischemia .......... 20  \nOxygen Failure ................. 21  \nPneumothorax ................. 22  \nPower Failure ................... 23  \nRight Heart Failure ............. 24  \nTransfusion Reaction .......... 25  \nTrauma .......................... 26  \nCrisis Resource Management. 27  \nEmergency Manual Use ....... 28  \nInfusion List .................... 29  \n1  \nAsystole / PEA  \nNo pulse AND non-shockable rhythm on ECG  \ne.g. asystole or any non-VFIB/VTACH  \nTask  \nActions  \nCrisis  \nResources  \n•  \n•  \nInform team •Identify leader Call a code • Call for code cart  \n•Assign team member to read cognitive aid out loud  \nTREATMENT  \n| CPR | • Rate 100-120 compressions/min, minimize breaks\u003Cbr>• Depth ≥ 5 cm; allow chest recoil; consider backboard\u003Cbr>•Keep EtCO2 > 10 mmHg and diastolic BP > 20 mmHg\u003Cbr>• Rotate compressors with rhythm check every 2 min. Place defibrillator pads. If becomes shockable VF/VT: defibrillate 200 J biphasic or 360 J monophasic\u003Cbr>\u003Cbr>See VFIB/VTACH \\#4\u003Cbr>• Check pulse ONLY if signs of ROSC (sustained increased EtCO2, spontaneous arterial waveform, rhythm change)\u003Cbr>• Prone CPR at lower edge of scapula OK ifairway secured\u003Cbr>• Place defibrillator pads and check rhythm every 2 min |\n| --- | --- |\n| Airway | • 100% O2 10-15 L/min\u003Cbr>• If mask ventilation: ratio 30 compressions to 2 breaths\u003Cbr>• If airway secured: 10 breaths/min, tidal volume 6-7 mL/kg |\n| IV Access | • Ensure functional IV or IO access |\n| Meds | • Turn off volatile anesthetic and vasodilating drips\u003Cbr>•Epinephrine 1 mg IV push every 3-5 minutes\u003Cbr>• If hyperkalemia: calcium chloride 1 g IV; sodium bicarbonate 1 amp IV (50 mEq); regular insulin 5-10 units IV with dextrose/D50 1 amp IV (25 g)\u003Cbr>• If acidosis: sodium bicarbonate 1 amp IV (50 mEq)\u003Cbr>• If hypocalcemia: calcium chloride 1 g IV\u003Cbr>• If hypoglycemia: dextrose/D50 1 amp IV (25 g) |\n| ECMO/CPB | • Consider ECMO or cardiopulmonary bypass |\n| Post Arrest • If ROSC: arrange ICU care and consider cooling |  |\n\nCauses • Explore H’s and T’s on next page  \nGO TO NEXT PAGE »  \nPage 2 Asystole / PEA   \nTEE / TTE and labs will aid diagnosis; Invite input from team  \nHeart Rate-Vagal Stimulus  \n• Desufflate abdomen  \n• Remove surgical retractorsand sponges  \nHyperthermia  \n See Malignant Hyperthermia \\#19  \nHypothermia  \nDIAGNOSIS  \nDIFFERENTIAL  \n• Remove pressure from eyes, neck, ears, and brain. Drain bladder  \nHypovolemia  \n• Give rapid IV fluid bolus  \n• Check Hgb  \n• If anemia or hemorrhage:  \n See Hemorrhage \\#12  \n• Consider relative hypovolemia:  \n-If auto-PEEP: disconnect circuit  \n-IVC compression  \n-Obstructive or distributive shock  \nSee Anaphylaxis \\#5 See High Spinal \\#14  \nHypoxemia  \n•  \n•  \n•  \n•  \nO2 100% 10-15 L/min  \nCheck breathing circuit connections Confirm ETT placement with CO2 Check breath sounds  \n• Suction ET tube  \n• Consider chest x-ray; bronchoscopy  \n See Hypoxemia \\#17  \nHydrogen Ions-Acidosis  \n• Consider bicarbonate  \n• Balance increasing ventilation with potential decrease in CPR quality  \nHyperkalemia  \n• Calcium chloride 1g IV  \n• Bicarbonate 1 amp IV (50 mEq)  \n• In","cbCaiikCT7pVnO96","https://ap.wps.com/l/cbCaiikCT7pVnO96","pdf",5099053,"English","# Asystole / PEA\n## Task, Actions, Crisis Resources\n## Treatment (CPR, Airway, IV Access, Meds, ECMO/CPB, Post Arrest)\n# Bradycardia\n## Task, Actions\n## Treatment (Pulse check, Airway, Stop Vagal Stimuli)\n# Other Crisis Sections (Numbered)\n## SVT (Unstable/Stable), VFIB/VTACH\n## Anaphylaxis, Bronchospasm, Delayed Emergence\n## Difficult Airway / Cric, Fire-Airway / Fire-Non-Airway\n## Embolism (Pulmonary), Hemorrhage\n## High Airway Pressure, High Spinal, Hypotension/Hypoxemia\n## Local Anesthetic Toxicity, Malignant Hyperthermia\n## Myocardial Ischemia, Oxygen/Power Failure\n## Pneumothorax, Right Heart Failure, Transfusion Reaction\n## Trauma, Crisis Resource Management\n## Emergency Manual Use, Infusion List","[{\"question\":\"When should CPR pulse checks be performed in Asystole/PEA?\",\"answer\":\"Check pulse only if there are signs of ROSC such as sustained increased EtCO2, spontaneous arterial waveform, or rhythm change. Otherwise proceed with CPR and rhythm reassessment.\"},{\"question\":\"What are the key CPR targets in the Asystole/PEA treatment section?\",\"answer\":\"Provide CPR at 100–120 compressions/min with minimal breaks and depth ≥ 5 cm. Keep EtCO2 \\u003e 10 mmHg and diastolic BP \\u003e 20 mmHg, rotate compressors every 2 minutes, and apply/assess defibrillator pads.\"},{\"question\":\"How does the manual guide treatment for suspected hypoxemia during perioperative crises?\",\"answer\":\"Use 100% O2 at 10–15 L/min and confirm breathing circuit connections and ETT placement with CO2. Verify breath sounds, suction the ET tube, and consider chest x-ray or bronchoscopy while cross-referencing the hypoxemia section.\"}]","epic-manual - Cognitive Aids for Peri operative Crises - V4.4 2022 Stanford Anesthes ia Cognitive Aid Program - Emergency Manual | PDF",1790191033,151]