/reference/algorithms
Crisis algorithms
Interactive decision-tree walkthroughs. Free. Optional Kokoro voice walkthrough for paid users. Education only — not a substitute for clinical judgment.
Malignant Hyperthermia
Dantrolene 2.5 mg/kg → repeat. Cooling. Bicarb. Hyperkalemia management.
Anaphylaxis
Stop trigger. Epi 10–100 mcg IV titrate. Fluids. H1+H2. Steroid.
Amniotic Fluid Embolism
ACLS, atropine-ondansetron-ketorolac (A-OK), fluids, vasopressors, FFP/cryo.
LAST (Local Anesthetic Systemic Toxicity)
Stop injection. ACLS modified (low-dose epi). Lipid emulsion 20% bolus 1.5 mL/kg.
Laryngospasm
100% FiO2 → noxious removal → deepen → CPAP 15–20 → Larson's → succinylcholine.
Unintended Intraoperative Awareness
Recognition. Disclosure protocol. Documentation. Follow-up plan.
High / Total Spinal
Airway protection. Vasopressor + fluid. Trendelenburg if patent airway.
Intraoperative PE
Hemodynamic support. Heparin if no contraindication. Consider TPA if cardiac arrest.
CVCI (Cannot Ventilate / Cannot Intubate)
DAS algorithm. Wake patient if possible. Front-of-neck access.
OR Cardiac Arrest
ACLS. Reverse causes (Hs/Ts). Anesthetic depth review. Surgical pause.
OR Fire
Stop O2/N2O. Remove burning material. Saline. Evacuate. Document.
Tension Pneumothorax
Recognize trio (hypoxia, hypotension, ↑PIP). Needle decompression 2nd ICS MCL.