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Adult Advanced Life Support Algorithm 2021 Aug 2023

This document provides guidance on performing adult advanced life support for unresponsive patients who are not breathing normally. It outlines steps for performing CPR, using a defibrillator to assess and treat shockable rhythms, identifying and treating reversible causes of cardiac arrest, and post-resuscitation care.

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cknihilnew
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Download as PDF, TXT or read online on Scribd
38 views

Adult Advanced Life Support Algorithm 2021 Aug 2023

This document provides guidance on performing adult advanced life support for unresponsive patients who are not breathing normally. It outlines steps for performing CPR, using a defibrillator to assess and treat shockable rhythms, identifying and treating reversible causes of cardiac arrest, and post-resuscitation care.

Uploaded by

cknihilnew
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Adult advanced life support

Unresponsive and
Maintain
personal not breathing normally
safety

Call resuscitation
team/ambulance

CPR 30:2
Attach defibrillator/monitor

Assess rhythm

SHOCKABLE NON-SHOCKABLE
(VF/Pulseless VT) (PEA/Asystole)
Return of spontaneous
circulation
(ROSC)
1 shock

Immediately resume Immediately resume


CPR for 2 min CPR for 2 min

Give high-quality Identify and treat Consider After ROSC


chest compressions, reversible causes • Coronary angiography/ • Use an ABCDE approach
percutaneous coronary
and: • Hypoxia
intervention
• Aim for SpO2 of 94–98% and
• Hypovolaemia normal PaCO2
• Give oxygen • Mechanical chest
• Use waveform capnography • Hypo-/hyperkalaemia/ compressions to facilitate • 12-lead ECG
• Continuous compressions if metabolic transfer/treatment • Identify and treat cause
advanced airway • Hypo/hyperthermia • Extracorporeal CPR
• Temperature control
• Minimise interruptions • Thrombosis – coronary or
to compressions pulmonary
• Intravenous or intraosseous • Tension pneumothorax
access • Tamponade – cardiac
• Give adrenaline every • Toxins
3–5 min
Consider ultrasound imaging
• Give amiodarone after to identify reversible causes
3 shocks
• Identify and treat reversible
causes

UPDATED AUGUST 2023

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