ACP: Cardiac arrest due to suspected hyperkalemia (e.g., renal failure, diabetic ketoacidosis)
ACP: Suspected hyperkalemia with cardiovascular toxicity (e.g., wide QRS complexes, peaked T waves, or hemodynamic instability)
ACP: Calcium channel blocker overdose with symptomatic bradycardia or hemodynamic instability
Calcium shall not be routinely given in cardiac arrest in the absence of evidence of hyperkalemia
ACP: All indications
ACP: Cardiac arrest
ACP: All other causes
Calcium is essential for a wide range of biological processes, including nerve conduction, muscle contraction, renal function, and coagulation. Administration of calcium in the out-of-hospital context is intended to improve myocardial contractility and ventricular automaticity.
Prefilled Syringes: 10% solution in 10 mL syringes (100 mg/mL)
Do not administer calcium IM or SC. Extravasation of calcium can cause tissue necrosis.