POCKET BOOK — NOT YOUR BINDER
What we train to.
AHA 2025, SSC 2026, SCCM RSI, Hamilton T1, PALICC-2, CAMTS, CCT classics. Your medical director owns the real book. This page exists so the simulator’s scoring is not a mystery.
- IV access is first-line for arrest drugs; IO if IV is not feasible.
- Shockable rhythms: defibrillate first. Epinephrine after initial shocks have failed — not before the first shock. Non-shockable: epinephrine as soon as access is up.
- Amiodarone or lidocaine remain the antiarrhythmics for shock-refractory VF/pVT. Vasopressin is not a substitute for epinephrine.
- Do not use ETCO2 in isolation to terminate resuscitation.
- Post-ROSC: MAP ≥65 mmHg. PAPER SpO2 90–98% (AHA 2025 changed this from 92–98). Immediate 12-lead. Trainer wean band 92–98 is HOUSE LINE.
- AF cardioversion: initial energy ≥200 J is preferable.
- Double sequential defibrillation: weak recommendation; usefulness not established. Do not skip high-quality standard shocks.
- Suspected opioid-associated emergency: naloxone is now explicit in the BLS algorithm. It does not replace compressions.
Paper vs house line. Not for clinical use. Verify against current service protocols and the device operator manuals. Not Hamilton software. Not Zoll software. Flight Crew Buddy is the cockpit — diagnosis, treat, live with the call. The T1 academy stays the T1 academy. The 12-lead academy stays the tracing.