Adult Advanced Life Support

Unresponsive and not

breathing normally

Call resuscitation
team

CPR 30:2
Attach defibrillator/monitor
Minimise interruptions

Assess rhythm

Shockable Return of spontaneous Non-shockable

(VF/Pulseless VT) circulation (PEA/Asystole)

1 Shock Immediate post cardiac

Minimise interruptions
Immediately resume
CPR for 2 min
Minimise interruptions
arrest treatment
 Use ABCDE approach
 Aim for SpO2 of 94-98%
 Aim for normal PaCO2
 12-lead ECG
 Treat precipitating cause Immediately resume
 Targeted temperature CPR for 2 min
management Minimise interruptions

During CPR Treat Reversible Causes Consider

 Ensure high quality chest compressions  Hypoxia  Ultrasound imaging
 Minimise interruptions to compressions  Hypovolaemia  Mechanical chest
 Give oxygen  Hypo-/hyperkalaemia/metabolic compressions to facilitate
 Use waveform capnography  Hypothermia
transfer/treatment
 Continuous compressions when
advanced airway in place  Thrombosis - coronary or  Coronary angiography and
 Vascular access (intravenous or pulmonary percutaneous coronary
intraosseous)  Tension pneumothorax intervention
 Give adrenaline every 3-5 min  Tamponade – cardiac  Extracorporeal CPR
 Give amiodarone after 3 shocks  Toxins