Rapid Response — LMC Residents

RSI — Rapid Sequence Intubation

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RSI protocol walkthrough

8-step rapid sequence intubation

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1

Preparation — Team roles assigned, suction on, BVM (bag-valve-mask) ready, drugs drawn, capnography connected, patient positioned ear-to-sternal notch.

2

Preoxygenation — 100% O₂ × 3–5 min via NRB (non-rebreather mask) or HFNC (high-flow nasal cannula) 15 L/min. Target SpO₂ >95% before proceeding.

3

Pretreatment — Not routine per 2023 SCCM (Society of Critical Care Medicine) guidelines. Consider only in specific cases (give 3 min before induction):
• Fentanyl 2–3 mcg/kg IV — elevated ICP without hypotension, aortic dissection, or ischemic heart disease (blunts sympathetic surge)
• Lidocaine 1.5 mg/kg IV — elevated ICP or reactive airway disease; avoid if hypotensive or bradycardic
No evidence supports routine pretreatment in all RSI cases.

4

Induction + paralytic — Administer simultaneously. No BVM ventilation unless SpO₂ critically falling. See drug dosing card below.

5

Cricoid pressure — Apply at induction, release after cuff inflated and confirmed. Use per attending preference (evidence is mixed).

6

Intubation — Laryngoscopy at ~45 sec. Cuffed ETT (endotracheal tube): men 7.5–8.0, women 7.0–7.5. Inflate cuff. Depth: ~23 cm at lip for men, 21 cm for women.

7

Confirmation — Waveform capnography (gold standard), bilateral breath sounds, CXR (chest X-ray), SpO₂ trending up. Document ETT depth at lip.

8

Post-intubation care — Start sedation + analgesia. Vent: TV (tidal volume) 6–8 mL/kg IBW (ideal body weight), PEEP (positive end-expiratory pressure) 5, titrate FiO₂. NG (nasogastric) tube, HOB (head of bed) 30°, restraints per protocol.

Official SCCM 2023 — RSI Clinical Practice Guidelines PubMed — Acquisto et al., Crit Care Med 2023;51(10):1411–1430

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RSI drug dosing

Induction agents + paralytics + reversal

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Induction agents

Ketamine

1–2 mg/kg IV

First-line most cases. Dissociative, analgesic, bronchodilator.

hemodynamically stablebronchospasm

Etomidate

0.3 mg/kg IV

Hemodynamically neutral. Avoid in sepsis — inhibits cortisol synthesis.

cardiac↓ cortisol

Propofol

1.5–2 mg/kg IV

Reduce or avoid if hypotensive.

hypotension risk

Midazolam

0.1–0.3 mg/kg IV

Slower onset. Last resort. Reduce in elderly/hepatic impairment.

slow onset

Paralytics

Succinylcholine

1.5 mg/kg IV

Onset 45 sec. CI (contraindicated): burns, crush, denervation, hyperK (hyperkalemia), MH (malignant hyperthermia) hx.

hyperK riskMH risk

Rocuronium

1.2 mg/kg IV

Onset ~60 sec. Preferred when succinylcholine is CI. Reversible with sugammadex.

use if succs CIreversible

Reversal + rescue

Sugammadex

16 mg/kg IV

CICO (can't intubate, can't oxygenate) rescue. Reverses rocuronium. 4 mg/kg for deep block.

CICO rescue

Neostigmine

0.04–0.07 mg/kg IV

Reverses vecuronium/pancuronium. Give with glycopyrrolate 0.01 mg/kg to prevent bradycardia.

+ glycopyrrolate

Adult doses, normal renal function. Always verify with clinical pharmacist.

Official SCCM 2023 — RSI Guidelines (drug selection, NMBA choice)

Cardiac arrest — shockable & non-shockable

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Adult cardiac arrest — shockable (VF/pVT)

Ventricular fibrillation & pulseless VT

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Cardiac arrest — No pulse / Unresponsive

↓

High-quality CPR (cardiopulmonary resuscitation)
100–120/min · ≥2 in depth · Full recoil · Minimize pauses
IV/IO (intravenous/intraosseous) access — prefer IV · Attach monitor

↓

⬦ Rhythm check → VF (ventricular fibrillation) or pVT (pulseless VT)?

↓ Shockable — shock immediately

Shock: ≥200 J biphasic preferred (follow device)
Resume CPR immediately, 2 min. Check rhythm.

↓ Still shockable after initial shock(s)

Epinephrine 1 mg IV/IO — give after initial shocks fail
Repeat q3–5 min
Amiodarone 300 mg IV/IO (1st dose) → 150 mg (2nd dose)
or Lidocaine 1–1.5 mg/kg IV/IO (alternative to amiodarone)

↓ Continue: CPR 2 min → rhythm check → shock if indicated

Consider advanced airway + capnography
IO if IV access not rapidly achievable
Treat reversible causes (H's & T's)

↓ ROSC (return of spontaneous circulation)

Post-cardiac arrest care — see PCAC algorithm panel below

2025 update: Amiodarone and lidocaine are equivalent alternatives for refractory VF/pVT. No routine calcium, bicarb, or magnesium unless specific indication (hyperK, hypoMg, tox). Do not use vasopressin in place of epi.

H's: Hypoxia, Hypovolemia, H⁺ (acidosis), Hypo/hyperK, Hypothermia · T's: Tension pneumo, Tamponade, Toxins, Thrombosis (PE/MI)

Official AHA 2025 PDF — Adult Cardiac Arrest Algorithm Official AHA 2025 PDF — Circular Algorithm

〰️

Adult cardiac arrest — non-shockable (PEA/asystole)

Pulseless electrical activity & flat line

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Cardiac arrest — PEA (pulseless electrical activity) or asystole

↓

High-quality CPR · IV/IO access
Epinephrine 1 mg IV/IO — give as soon as feasible
Repeat q3–5 min · Consider advanced airway

↓ CPR 2 min, then rhythm check

⬦ Shockable rhythm now? (VF/pVT)

Yes → shockable

Go to VF/pVT algorithm

No — continue

CPR 2 min + Epi q3–5 min
Treat H's & T's aggressively

↓ ROSC

Post-cardiac arrest care — see PCAC panel below

2025: No routine calcium, bicarb, or magnesium in undifferentiated arrest. Treat reversible causes (hyperK → calcium + bicarb; tox arrest → per toxicology).

Official AHA 2025 PDF — Adult Cardiac Arrest Algorithm

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Post-cardiac arrest care (PCAC)

After ROSC — hemodynamics, airway, cath lab

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ROSC achieved — initiate post-cardiac arrest care

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Airway/breathing: Maintain SpO₂ 92–98%, avoid hyperoxia. PaCO₂ 35–45 mmHg.
Hemodynamics: MAP (mean arterial pressure) ≥65 mmHg. Treat hypotension with IV fluids + vasopressors. Avoid hypotension.
12-lead ECG: Immediately. STEMI or suspected cardiac cause?

↓

⬦ STEMI or high suspicion of cardiac cause?

Yes

Emergent coronary angiography
Consider PCI (percutaneous coronary intervention)
Cardiology STAT

No

ICU (intensive care unit) admission
Search for cause
Consider CT head/chest/abd

↓

Neuroprotection: Targeted temperature management — prevent fever, maintain normothermia (36–37.5°C). Avoid hyperthermia >37.7°C.
Glucose: Target 140–180 mg/dL. Avoid hypoglycemia.
Seizure: EEG monitoring. Treat clinical seizures.

↓

Neuroprognostication ≥72 hrs after ROSC if comatose
Multimodal assessment — exam, EEG, SSEP (somatosensory evoked potentials), imaging, biomarkers

2025 update: TTM (targeted temperature management) now recommends preventing fever and maintaining normothermia rather than active cooling to 32–36°C for all patients.

Official AHA 2025 PDF — Post-Cardiac Arrest Care Algorithm

Adult arrhythmias with pulse

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Adult tachyarrhythmia with pulse

SVT, AFib, wide-complex VT — stable vs unstable

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HR (heart rate) >150 bpm — Tachyarrhythmia with pulse
O₂ · IV access · 12-lead ECG · Monitor

↓

⬦ Unstable? (Hypotension, AMS (altered mental status), ischemic chest pain, acute HF (heart failure), shock)?

Yes — Unstable

Synchronized cardioversion
Sedate if conscious
See Cardioversion algorithm

No — Stable

Assess: narrow vs wide QRS?
Regular vs irregular?

↓ Stable narrow regular (likely SVT)

Vagal maneuvers (Valsalva, carotid massage) first
Adenosine 6 mg rapid IV push → 12 mg × 2 if no response

↓ Stable narrow irregular (AFib/AFlutter)

Rate control: IV beta-blocker or non-DHP CCB (calcium channel blocker)
Amiodarone IV for critically ill without preexcitation
If <48 hrs + hemodynamically stable: consider cardioversion
Anticoagulation per CHA₂DS₂-VASc score

↓ Stable wide-complex regular (VT or aberrant SVT)

Assume VT until proven otherwise
Amiodarone, procainamide, or sotalol IV
If uncertain etiology: adenosine 6 mg IV may be diagnostic/therapeutic
Expert consultation

⚠️ 2025: Do NOT give verapamil/diltiazem for wide-complex tachycardia. Avoid CCBs, beta-blockers, digoxin, and IV amiodarone in preexcited AFib (risk of VF). AFib cardioversion: ≥200 J preferred.

Official AHA 2025 PDF — Adult Tachyarrhythmia With a Pulse

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Electrical cardioversion algorithm

Synchronized cardioversion — energy, sedation, steps

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Decision to cardiovert — unstable tachyarrhythmia or elective rhythm control

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If conscious: sedation/analgesia (e.g. midazolam + fentanyl)
Airway equipment ready · Pads in place · Sync mode ON

↓

Energy — synchronized cardioversion:
AFib: ≥200 J biphasic (preferred over lower doses)
AFlutter/SVT: 50–100 J biphasic
Regular/monomorphic VT: 100 J biphasic
Polymorphic VT (pulseless): treat as VF — unsynchronized shock

↓

Deliver shock · Reassess rhythm immediately
Repeat at higher energy if no conversion
Reassess hemodynamics post-shock

⚠️ Sync mode must be re-enabled before each shock — most devices auto-deactivate after delivery. Do NOT use sync mode for pulseless VT/VF.

Official AHA 2025 PDF — Electrical Cardioversion Algorithm

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Adult bradycardia with pulse

Atropine, pacing, chronotropic infusions

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HR typically <50 bpm (if bradyarrhythmia) — with pulse
O₂ · IV access · 12-lead ECG · Monitor

↓

Identify and treat reversible causes
Hypoxia, medications, electrolytes, MI, hypothyroidism, increased vagal tone

↓

⬦ Cardiopulmonary compromise? (Hypotension, AMS (altered mental status), ischemic chest pain, acute HF, shock signs)

No symptoms

Observe & monitor
Identify cause
Cardiology consult

Yes — symptomatic

Atropine 1 mg IV bolus
Repeat q3–5 min
Max 3 mg total

↓ If atropine ineffective or unlikely to work (Mobitz II, 3° AV (atrioventricular) block)

Transcutaneous pacing — initiate promptly, increase mA until capture
or Dopamine 5–20 mcg/kg/min IV infusion (titrate, taper slowly)
or Epinephrine 2–10 mcg/min IV infusion

↓ Persistent or high-degree block

Cardiology — transvenous pacing consideration
Expert consultation

2025 confirmed: Atropine 1 mg bolus (not 0.5 mg). Dopamine 5–20 mcg/kg/min. Pacing is a rapid escalation step — don't delay for Mobitz II or 3° AV block.

Official AHA 2025 PDF — Adult Bradycardia With a Pulse

Special circumstances

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Cardiac arrest in pregnancy

Maternal resuscitation + perimortem C-section

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Cardiac arrest in pregnant patient ≥20 wks gestation

↓

High-quality CPR — standard rate/depth
Manual left uterine displacement (LUD) — push uterus leftward to relieve aortocaval compression
Defibrillate without delay if shockable rhythm
IV access above diaphragm (arm/neck) if possible
Activate OB (obstetrics) emergency team immediately

↓ No ROSC within 4–5 min of arrest

Perimortem cesarean delivery (PMCD)
Goal: delivery within 5 min of arrest onset
Do not transport — perform at bedside
Delivery may improve maternal resuscitation by relieving compression

↓

Continue maternal resuscitation post-delivery
ROSC outcomes often improve after delivery
Neonatal resuscitation team at bedside

Standard ACLS drugs (epi, amiodarone) are used — do not withhold due to pregnancy. Fetal considerations are secondary to maternal resuscitation.

Official AHA 2025 PDF — Cardiac Arrest in Pregnancy

🛑

Termination of resuscitation

BLS universal rule + ALS rule

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BLS (basic life support) universal termination rule

Consider stopping resuscitation when ALL are met:
• Arrest not witnessed by EMS or bystander
• No AED (automated external defibrillator) shock delivered before EMS arrival
• No ROSC after 3 full rounds of CPR and rhythm analysis

ALS (advanced life support) termination rule

Consider stopping resuscitation when ALL are met:
• Arrest not witnessed by EMS
• No bystander CPR before EMS
• No ROSC after full ALS resuscitation
• No AED shock delivered

2025 update: ETCO₂ (end-tidal CO₂) should NOT be used in isolation to terminate resuscitation efforts. Apply TOR (termination of resuscitation) rules based on EMS scope of practice (BLS vs ALS).

Official AHA 2025 PDF — BLS Termination of Resuscitation Official AHA 2025 PDF — ALS Termination of Resuscitation

Critical presentations

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Sepsis — Hour-1 bundle

Surviving Sepsis Campaign — 2021 & 2026 guidelines

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Suspected sepsis — SIRS (systemic inflammatory response syndrome) + suspected infection
qSOFA ≥2: RR >22, AMS, SBP <100

↓

Measure lactate — Re-measure if >2 mmol/L
Blood cultures × 2 — Before ABX (antibiotics), don't delay
Broad-spectrum ABX — Within 1 hr of recognition
Crystalloid 30 mL/kg IV — If hypotension or lactate ≥4
Vasopressors — Norepinephrine 1st line if MAP <65 despite fluids

↓

⬦ MAP (mean arterial pressure) ≥65? UO (urine output) ≥0.5 mL/kg/hr? Lactate clearing?

Improving

Monitor · De-escalate
Source control

Not improving

Vasopressin add-on
Consider steroids
ICU admission

2021 SSC (Surviving Sepsis Campaign) updates: balanced crystalloid (LR/PlasmaLyte) preferred over NS; IV corticosteroids for ongoing vasopressor requirement; peripheral vasopressor initiation acceptable over delaying for central access. The 2026 SSC guidelines (129 statements) are now available — see official link.

Official SSC — Surviving Sepsis Campaign Adult Guidelines (2021 & 2026) PubMed — Evans et al., Crit Care Med 2021;49(11):e1063-e1143

🧠

Acute stroke — code stroke

BEFAST, tPA, LVO workup

›

Suspected stroke — Sudden focal neuro deficit

↓

BEFAST: Balance, Eyes, Face droop, Arm drift, Speech, Time
Code Stroke · CT (computed tomography) head stat · Last known well time

↓

⬦ CT head — Hemorrhagic?

Yes — Hemorrhagic

Neurosurgery consult
Reverse anticoagulation
BP (blood pressure) <140
No tPA!

No — Ischemic

Within 4.5 hrs: tPA (tissue plasminogen activator) 0.9 mg/kg (max 90 mg)
10% bolus, rest over 60 min
BP <185/110 required

↓ LVO (large vessel occlusion) suspected

Mechanical thrombectomy — Neurointerventional consult within 24 hrs

⚠️ 2026 AHA/ASA (American Heart Association/American Stroke Association) Ischemic Stroke Guidelines now available — includes expanded thrombectomy eligibility, updated thrombolysis options, and first-ever pediatric stroke section. See official link below.

Official AHA/ASA — Acute Ischemic Stroke Guidelines (2026) AHA Journals — 2019 Update (Powers et al., Stroke 2019;50:e344–418)

🍬

DKA — Diabetic Ketoacidosis

ADA/EASD 2024 consensus — fluids, insulin, potassium

›

DKA (diabetic ketoacidosis) — Glucose ≥200 mg/dL or DM history
+ BHB (beta-hydroxybutyrate) ≥3.0 mmol/L or urine ketones 2+
+ pH <7.3 or bicarbonate <18 mmol/L
Mild: BHB 3–6 · Severe: BHB >6 mmol/L

↓

Labs: BMP, BHB (bedside preferred), VBG (venous blood gas), CBC, UA, ECG, cultures if infection suspected
Find precipitant: missed insulin, infection, new DM, SGLT2i (sodium-glucose cotransporter-2 inhibitor), MI, pancreatitis

↓

1. Fluids first: 1L isotonic crystalloid (LR or PlasmaLyte preferred over NS) over first hour. Then reassess. Reduce rate for elderly, HF (heart failure), renal failure.
2. Potassium: Do NOT start insulin if K+ <3.5 mEq/L — replace first. If K+ 3.5–5.0: add KCl 20–40 mEq/L to fluids. Goal K+ 4–5 mmol/L. Monitor q2h.
3. Insulin: Start ONLY after K+ ≥3.5 and after first hour of fluids. Regular insulin 0.1 units/kg/hr IV. Goal: ↓ glucose 50–75 mg/dL/hr.

↓ When glucose hits 200 mg/dL

Add dextrose to IV fluids (D5W) to allow continued insulin infusion
Titrate insulin to maintain glucose 150–200 mg/dL until ketosis clears
2024 update: mild/uncomplicated moderate DKA → SQ (subcutaneous) rapid insulin q1–2h acceptable

↓

⬦ DKA resolution: BHB <3.0 mmol/L + pH >7.3 + bicarb ≥18 mmol/L?

↓ Yes — transition to SQ insulin

Give long-acting SQ insulin 1–2 hrs BEFORE stopping IV infusion
Restart home regimen · Endocrinology consult · Diabetes education before discharge

⚠️ Key pitfalls: Never skip potassium check before insulin. Don't use anion gap alone for resolution (use BHB). Bicarb not recommended for mild/moderate DKA. SGLT2i users may have euglycemic DKA (normal glucose with acidosis) — check ketones even if glucose normal.

Official ADA 2024 — Hyperglycemic Crises Consensus Report (Diabetes Care 2024;47:1257–1275) PubMed — Umpierrez et al., Diabetes Care 2024;47(8):1257–1275

🧩

Acute agitation & delirium

ACEP 2024 clinical policy — verbal de-escalation, pharmacotherapy

›

Acute agitation — Identify etiology: medical, psychiatric, substance, or undifferentiated
Rule out reversible causes: hypoxia, hypoglycemia, head injury, sepsis, withdrawal

↓

Step 1 — Verbal de-escalation
Non-confrontational tone · Offer choice · Reduce stimulation
Use if safe and time permits — don't delay care for critically ill

↓ Escalating or immediate safety risk

Preferred combination (ACEP 2024 Level B):
Droperidol 5 mg IM + Midazolam 5 mg IM
or Olanzapine 10 mg IM + Midazolam 5 mg IM

Single agent (Level B):
Droperidol 5–10 mg IM (preferred single agent)
or Olanzapine 10 mg IM
or Haloperidol 5–10 mg IM ± lorazepam 2 mg IM

Ketamine (Level C — safety/rescue):
4–5 mg/kg IM or 1–2 mg/kg IV
Reserve for immediate safety threat. Airway equipment required. ↑ intubation risk.

↓ Etiology-specific guidance

Psychiatric / undifferentiated

Antipsychotics preferred
Droperidol or olanzapine
+ benzo if needed

Alcohol/benzo withdrawal or stimulant intox

Benzodiazepines preferred
Lorazepam 2 mg IM/IV
or midazolam 5 mg IM
Avoid antipsychotics alone

↓

Post-sedation monitoring: SpO₂, RR, ECG (QTc for droperidol/haloperidol)
Medical workup for underlying cause · Psychiatry or addiction consult as indicated

⚠️ Avoid: IV olanzapine + benzo (respiratory depression risk). Don't use haloperidol alone for alcohol withdrawal. "B52" cocktail (Benadryl + Haldol + Ativan) — increasing evidence this combo causes excess sedation and complications vs newer regimens.

Official ACEP 2024 — Clinical Policy: Severe Agitation (Ann Emerg Med 2024;83(1)) Annals of Emergency Medicine — ACEP Severe Agitation Clinical Policy, Jan 2024

BLS (basic life support) — adult

🩺

Adult BLS — healthcare professionals

Basic life support sequence for HCP

›

Unresponsive patient — Activate emergency response + get AED

↓

Check pulse (carotid) ≤10 sec + look for breathing simultaneously
If no pulse OR unsure: start CPR

↓

30 compressions : 2 breaths (if no advanced airway)
Rate 100–120/min · Depth ≥2 in (5 cm) · Full recoil
1 breath q6 sec if advanced airway in place

↓

AED (automated external defibrillator) arrives — power on, attach pads
Analyze rhythm — minimize CPR pause to <10 sec

Shockable

Deliver shock
Resume CPR immediately
2 min then re-analyze

Not shockable

Resume CPR immediately
2 min then re-analyze
Continue until ALS arrives

Official AHA 2025 PDF — Adult BLS for Healthcare Professionals Official AHA 2025 PDF — Adult FBAO (Foreign Body Airway Obstruction)

PALS (pediatric advanced life support) — algorithms

👶

Pediatric cardiac arrest

PALS (pediatric advanced life support) — shockable & non-shockable

›

Pediatric cardiac arrest — No pulse / Unresponsive (infants to puberty)

↓

High-quality CPR
Infant: 2 fingers/thumbs, 1.5 in depth · Child: 2 in depth
100–120/min · 15:2 ratio (2 rescuers) or 30:2 (1 rescuer)
IO or IV access · Attach monitor

↓

⬦ Rhythm check — Shockable? (VF/pVT)

Yes — Shockable

Defibrillate 2 J/kg
Subsequent shocks: 4 J/kg
Max: 10 J/kg or adult dose
Epi 0.01 mg/kg q3–5 min
Amiodarone 5 mg/kg IV/IO (refractory)

No — PEA/Asystole

CPR 2 min
Epi 0.01 mg/kg IV/IO ASAP
Repeat q3–5 min
Treat reversible causes

↓ ROSC

Pediatric post-cardiac arrest care · PICU admission · Avoid hypoxia, hypotension, hyperthermia

Key difference from adult: most pediatric arrest is respiratory in origin — ensure adequate oxygenation and airway early. Epi dose is weight-based: 0.01 mg/kg (not fixed 1 mg).

Official AHA 2025 PDF — Pediatric Cardiac Arrest

🫀

Pediatric bradycardia with pulse (PALS)

Atropine, epi, pacing in children

›

Pediatric HR low for age — Bradycardia with pulse
Usually significant if <60 bpm with signs of compromise

↓

Airway · Oxygen · Cardiac monitor · Pulse ox · IV/IO access
12-lead ECG if available. Identify reversible causes.

↓

⬦ Cardiopulmonary compromise? (Poor perfusion, hypotension, altered consciousness)

No

Observe & support
Expert consultation
Identify cause

Yes

CPR if HR <60 with poor perfusion despite O₂
Atropine 0.02 mg/kg IV/IO
Min 0.1 mg · Max 0.5 mg
Epi 0.01 mg/kg IV/IO if atropine fails

↓ Persistent — refractory to meds

Cardiac pacing (transvenous or external) · Cardiology consult

Official AHA 2025 PDF — Pediatric Bradycardia With a Pulse

💓

Pediatric tachyarrhythmia with pulse (PALS)

SVT, VT — adenosine, cardioversion in children

›

Pediatric tachyarrhythmia — HR fast for age, with pulse
Identify: sinus tachy vs SVT vs VT

↓

⬦ Hemodynamically unstable? (Altered perfusion, hypotension, severe distress)

Yes — Unstable

Synchronized cardioversion
0.5–1 J/kg (narrow QRS)
Increase to 2 J/kg if needed
Sedate if conscious

No — Stable

12-lead ECG
Narrow vs wide QRS?
Regular vs irregular?

↓ Stable narrow (SVT)

Vagal maneuvers (ice to face for infants)
Adenosine 0.1 mg/kg rapid IV push (max 6 mg first dose)
0.2 mg/kg second dose (max 12 mg)

↓ Stable wide (VT)

Amiodarone 5 mg/kg IV over 20–60 min
or Procainamide 15 mg/kg IV over 30–60 min
Expert consultation / cardiology

Official AHA 2025 PDF — Pediatric Tachyarrhythmia With a Pulse Official AHA 2025 PDF — Pediatric BLS (Single Rescuer) Official AHA 2025 PDF — Pediatric BLS (2+ Rescuers)

❤️

All 2025 AHA algorithms

Full library — cpr.heart.org

›

Decision support

📘

UpToDate

Evidence-based clinical decision support

›

🧮

MDCalc

Wells, HEART, CURB-65, GCS (Glasgow Coma Scale), PHQ-9, CHA₂DS₂-VASc + 500 more

›

💊

Micromedex

Drug information, interactions, dosing

›

📗

PDR (Physicians' Desk Reference)

Drug prescribing information

›

Lab & vitals

🧪

Lab reference ranges (ARUP)

Adult & pediatric normal values

›

Hospital

💻

Epic Hyperspace — LMC EHR (electronic health record)

Update to your actual LMC login URL

›

☎️

Poison Control

1-800-222-1222 — 24/7 toxicology

›

Apps

📲

MediCode — iOS

ICD-10 & CPT (Current Procedural Terminology) codes — App Store

›

📲

MediCode — Android

ICD-10 & CPT codes — Google Play

›

❤️

AHA 2025 algorithms — all PDFs

Official algorithm library — cpr.heart.org

›

Scan to open toolkit

This QR code links to this rapid response toolkit. Print it wallet-size and laminate to the back of your LMC badge.

Badge back — actual size preview

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