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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
Advanced Life Support
Unresponsive and
not breathing normally?
CPR 30:2
Attach defibrillator/monitor
Minimise interruptions
Call Resuscitation Team
Assess rhythm
Shockable
(VF/Pulseless VT)
Non-shockable
(PEA/Asystole)
Return of
spontaneous
circulation
1 Shock
Minimise
interruptions
Immediately resume
CPR for 2 min
Minimise interruptions
Immediately resume
CPR for 2 min
Minimise interruptions
IMMEDIATE POST CARDIAC
ARREST TREATMENT
n Use ABCDE approach
n Aim for SaO2
of 94-98 %
n Aim for normal PaCO2
n 12 Lead ECG
n Treat precipitating cause
n  Targeted temperature
management
DURING CPR
n Ensure high quality chest compressions
n  Minimise interruptions to compressions
n  Give oxygen
n  Use waveform capnography
n Continuous compressions when advanced airway
in place
n Vascular access
(intravenous or intraosseous)
n Give adrenaline every 3-5 min
n Give amiodarone after 3 shocks
TREAT REVERSIBLE CAUSES
Hypoxia	 Thrombosis – coronary or pulmonary
Hypovolaemia	 Tension pneumothorax
Hypo-/hyperkalaemia/metabolic	 Tamponade – cardiac
Hypothermia/hyperthermia 	 Toxins
CONSIDER
n Ultrasound imaging
n Mechanical chest compressions to facilitate transfer/treatment
n Coronary angiography and percutaneous coronary intervention
n Extracorporeal CPR
EUROPEAN
RESUSCITATION
COUNCIL