CPR Record (Code Sheet)
Cardiopulmonary resuscitation record
Arrest
01
Team
02
Cycle log
One line per two-minute cycle| Cycle | Time | Rhythm | Compressor | Drug & dose given | Shock (J) | EtCO₂ | Notes |
|---|---|---|---|---|---|---|---|
| 1 | |||||||
| 2 | |||||||
| 3 | |||||||
| 4 | |||||||
| 5 | |||||||
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| 8 | |||||||
| 9 | |||||||
| 10 | |||||||
| 11 | |||||||
| 12 | |||||||
| 13 | |||||||
| 14 | |||||||
| 15 |
03
Outcome
Code leader signature
Recorder signature