Progress Note - Cardiac Arrest Timeline

[TIME] Patient presents via [EMS/private vehicle] unresponsive with no palpable pulse with evidence of [asystole/pulseless electrical activity (PEA)/ventricular tachycardia/fibrillation].  Patient noted to have [no] evidence of shockable rhythm [with defibrillation delivered].  CPR initiated at this time while [IV/IO] access was obtained.

[TIME] Patient noted to be in [asystole/pulseless electrical activity (PEA)/ventricular tachycardia/fibrillation] on first rhythm check [with no indication for defibrillation/defibrillation at ### J delivered at this time and CPR immediately resumed].  Patient given [Epinephrine/Amiodarone/Atropine] as noted in nursing paperwork.

[TIME] Patient noted to be in [asystole/pulseless electrical activity (PEA)/ventricular tachycardia/fibrillation] on second rhythm check [with no indication for defibrillation/defibrillation at ### J delivered at this time and CPR immediately resumed].  Patient also given [additional/second dose of Epinephrine/Amiodarone/Atropine] as noted in nursing paperwork.

[TIME] Patient noted to be in [asystole/pulseless electrical activity (PEA)/ventricular tachycardia/fibrillation] on third rhythm check [with no indication for defibrillation/defibrillation at ### J delivered at this time and CPR immediately resumed].  Patient given [Epinephrine/Amiodarone/Atropine] as noted in nursing paperwork.  We considered additional reversible causes at this time to include hypoxia, hypovolemia, hypothermia, hyperkalemia, acidosis, tension pneumothorax, tamponade, pulmonary and cardiac thrombosis, and various etiologies of overdose, and initiated treatment with [describe intervention].

[TIME] Patient noted to be in [asystole/pulseless electrical activity (PEA)/ventricular tachycardia/fibrillation] on fourth rhythm check [with no indication for defibrillation/defibrillation at ### J delivered at this time and CPR immediately resumed].  Patient given [Epinephrine/Amiodarone/Atropine] as noted in nursing paperwork.

[TIME] Patient noted to have palpable [carotid/femoral/radial] pulse on [number] rhythm check with [sinus rhythm/bradycardia/tachycardia] on the monitor consistent with return of spontaneous circulation (ROSC).  Post-resuscitative care initiated to include maximizing oxygenation and ventilation [with advanced airway placed at this time], addressing hypotension [with IV/IO fluid bolus/vasopressor initiation/further consideration of treatable causes], and initiation of targeted temperature management [with cool IV fluids/etc.].  We also obtained a 12-lead EKG which was [noted to be unremarkable/notable for evidence of STEMI with discussion with Cardiology and plan for transfer of the patient to the catheterization lab].