PALS Protocol: Asystole
1. Check two leads and pulse
2. CPR
3. Intubate/Hyperventilate
4. IV/IO Access
5. Epinephrine 0.01 mg/kg of 1:10,000 IV/IO (or 0.1 mg/kg ET
of 1:1000)
6. Repeat Epinephrine dose 0.1 mg/kg of 1:10,000 IV/IO (repeat
q3-5 minutes)
7. If metabolic acidosis (present even with good ventilation)
1-2 mEq/kg bicarbonate
After rhythm is restored, if BP remains low
1. Hypovolemia: 20 cc/kg IV fluid
2. Normovolemia: Dopamine drip at 10 mcg/kg/minute
Please direct all comments to: 
Last modification: September 27, 1998