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Adult Cardiac Arrest © ACLS Certification Institute www.aclscertification.com | 1-800-448-2078 Fast, Convenient and 100% Online ACLS Training and Certification Earn Your ACLS in 1-2 Hours. Certify or Recertify Today! 1 Establish Unresponsiveness 3 Shockable rhythm? 5 Vfib or Vtach Yes Administer defibrillation _ High-Quality CPR Compression rate > 100/min Compress chest to depth of at least 2 inches Allow for complete chest recoil Minimize interruptions Avoid hyperventilation Rotate compressor every 2 min to prevent fatigue 2 Call Code/Activate EMS Immediately begin CPR Administer oxygen if available Attach monitor/defibrillator, establish rhythm 7 Immediately resume CPR for 2 min Establish vascular access 8 Shockable rhythm? 10 Yes Administer defibrillation 12 Immediately resume CPR for 2 min Administer Epinephrine every 3-5 min Consider advanced airway, ET CO Monitoring 2 14 Shockable rhythm? 16 Yes Administer defibrillation 18 Immediately resume CPR for 2 min Administer Amiodarone Establish and treat reversible causes No No 4 PEA/Asystole 9 Shockable rhythm? No 13 Shockable rhythm? 17 No Go to ROSC Algorithm 6 Immediately resume CPR for 2 min Establish vascular access Administer Epinephrine every 3-5 min Consider advanced airway, ET CO Monitoring 2 11 Immediately resume CPR for 2 min Establish and treat reversible causes 15 ROSC? Yes No No Yes Yes Go to 10 or 16 Epinephrine 1 mg every 3-5 min Defibrillation Energy Biphasic: Manufacturer-recommended Dose Monophasic: 360 J May replace 1st or 2nd dose with: Vasopressin 40 units IV Push Amiodarone 1st dose: 300 mg bolus 2nd dose: 150 mg H’s and T’s: Hypoxia Hypovolemia Hydrogen Ion (Acidosis) Hypo/Hyperkalemia Hypothermia Toxins Tamponade (cardiac) Tension Pneumothorax Thrombosis (coronary and pulmonary) Trauma certification institute www.aclscertification.com ACLS

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Page 1: Adult Cardiac Arrest Algorithm

Adult Cardiac Arrest

© ACLS Certification Institutewww.aclscertification.com | 1-800-448-2078

Fast, Convenient and 100% Online ACLS Training and CertificationEarn Your ACLS in 1-2 Hours. Certify or Recertify Today!

1 Establish Unresponsiveness

3 Shockablerhythm?

5 Vfib or Vtach

Yes

Administer defibrillation

_

High-Quality CPR

Compression rate > 100/minCompress chest to depth of at least 2 inchesAllow for complete chest recoilMinimize interruptionsAvoid hyperventilationRotate compressor every 2 min to prevent fatigue

2 Call Code/Activate EMSImmediately begin CPRAdminister oxygen if availableAttach monitor/defibrillator, establish rhythm

7 Immediately resume CPR for 2 minEstablish vascular access

8 Shockablerhythm?

10

Yes

Administer defibrillation

12 Immediately resume CPR for 2 minAdminister Epinephrine every 3-5 minConsider advanced airway, ET CO Monitoring2

14 Shockablerhythm?

16

Yes

Administer defibrillation

18 Immediately resume CPR for 2 minAdminister AmiodaroneEstablish and treat reversible causes

No

No

4 PEA/Asystole

9 Shockablerhythm?

No

13 Shockablerhythm?

17

No

Go to ROSCAlgorithm

6 Immediately resume CPR for 2 minEstablish vascular accessAdminister Epinephrine every 3-5 minConsider advanced airway, ET CO Monitoring2

11 Immediately resume CPR for 2 minEstablish and treat reversible causes

15 ROSC? Yes

No

No

Yes

Yes

Go to 10or 16

Epinephrine 1 mg every 3-5 min

Defibrillation Energy Biphasic:

Manufacturer-recommended Dose

Monophasic:360 J

May replace 1st or 2nd dose with:

Vasopressin 40 units IV Push

Amiodarone 1st dose: 300 mg bolus 2nd dose: 150 mg

H’s and T’s: HypoxiaHypovolemiaHydrogen Ion (Acidosis)Hypo/HyperkalemiaHypothermiaToxinsTamponade (cardiac)Tension PneumothoraxThrombosis (coronary and pulmonary)Trauma

certi�cation institutewww.aclscerti�cation.com

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