EUROPEAN Advanced Life Support RESUSCITATION

Published October 2015 by European Resuscitation Council vzw, Emile Vanderveldelaan 35, 2845 Niel, Belgium ... Poster_ALS_Algorithm_ENG_20150930 Advan...

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EUROPEAN RESUSCITATION COUNCIL

Advanced Life Support

Unresponsive and not breathing normally? Call Resuscitation Team CPR 30:2 Attach defibrillator/monitor Minimise interruptions

Assess rhythm

Shockable (VF/Pulseless VT)

Non-shockable (PEA/Asystole)

1 Shock Minimise interruptions

Return of spontaneous circulation

Immediately resume CPR for 2 min Minimise interruptions

IMMEDIATE POST CARDIAC ARREST TREATMENT n Use ABCDE approach n Aim for SaO of 94-98% 2 n Aim for normal PaCO 2 n 12 Lead ECG n Treat precipitating cause n  Targeted temperature management

DURING CPR n E  nsure high quality chest compressions n  Minimise interruptions to compressions n  Give oxygen n  Use waveform capnography n C  ontinuous compressions when advanced airway n

n n

in place V  ascular access (intravenous or intraosseous) G  ive adrenaline every 3-5 min G  ive amiodarone after 3 shocks

Immediately resume CPR for 2 min Minimise interruptions

TREAT REVERSIBLE CAUSES Hypoxia Hypovolaemia Hypo-/hyperkalaemia/metabolic Hypothermia/hyperthermia

Thrombosis – coronary or pulmonary Tension pneumothorax Tamponade – cardiac Toxins

CONSIDER n U  ltrasound imaging n Mechanical chest compressions to facilitate transfer/treatment n C  oronary angiography and percutaneous coronary intervention n E  xtracorporeal CPR

www.erc.edu | [email protected] Published October 2015 by European Resuscitation Council vzw, Emile Vanderveldelaan 35, 2845 Niel, Belgium Copyright: © European Resuscitation Council vzw Product reference: Poster_ALS_Algorithm_ENG_20150930