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  • 3.ALS Algorithms Advanced Life Support

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    Lucian Alin Dinu
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    1) The document outlines steps for advanced life support for an unresponsive patient with absent or abnormal breathing. 2) It describes providing 30 chest compressions with 2 breaths, attaching a defibrillator/monitor to assess rhythm, and delivering a shock if the rhythm is shockable (ventricular fibrillation or pulseless ventricular tachycardia). 3) It also details continuing chest compressions, identifying and treating reversible causes, and considering interventions like coronary angiography or extracorporeal CPR.

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    1) The document outlines steps for advanced life support for an unresponsive patient with absent or abnormal breathing. 2) It describes providing 30 chest compressions with 2 breaths, attaching a defibrillator/monitor to assess rhythm, and delivering a shock if the rhythm is shockable (ventricular fibrillation or pulseless ventricular tachycardia). 3) It also details continuing chest compressions, identifying and treating reversible causes, and considering interventions like coronary angiography or extracorporeal CPR.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    117 views1 page

    3.ALS Algorithms Advanced Life Support

    Uploaded by

    Lucian Alin Dinu
    1) The document outlines steps for advanced life support for an unresponsive patient with absent or abnormal breathing. 2) It describes providing 30 chest compressions with 2 breaths, attaching a defibrillator/monitor to assess rhythm, and delivering a shock if the rhythm is shockable (ventricular fibrillation or pulseless ventricular tachycardia). 3) It also details continuing chest compressions, identifying and treating reversible causes, and considering interventions like coronary angiography or extracorporeal CPR.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    ADVANCED LIFE SUPPORT

    Unresponsive with absent


    or abnormal breathing

    Call EMS/Resuscitation team

    CPR 30:2
    Attach defibrillator/monitor

    Assess rhythm

    Shockable Non-shockable
    (VF/PULSELESS VT) (PEA/ASYSTOLE)

    1 shock

    Immediately resume chest Return of spontaneous Immediately resume chest


    compressions for 2 minutes circulation (ROSC) compressions for 2 minutes

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

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