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(o- lr oy ire Training Circular Algorithm Serer ACLS Online Since 1998 Shout for Help/Activate Emergency Response Start CPR es io 2 minutes Return of Spontaneous Circulation (OSC) Cr Drug Therapy IMO access Finephine every 3-5 minutes ‘miodarone fr re¥acory VEATT Cee Cree eee ener Does/Details for the Cardiac Arrest Algorithms CPR Quality Return of Spontaneous (©. Push hard (22 inches [5 em and fast(>100/min) and bMS] allow complete chest recoil 1@ Pulse and blood pressure (©. Minimize interruptions in compressions {@ Abrupt sustained increase in PETCO (typically @ Avoid excessive ventilation >40 mm Hg) {© Rotate compressor every 2 minutes ‘@ Spontaneous arterial pressure waves with ints: © tno advanced aimvay, 30:2 compression arterial mentoring ‘ventilation ratio. © Guanstatve waveform capnography © ¢PETCO <10 mm Hg. attempt to improve CPR quality (Ines: arterial pressure SnocREnEnLGY, = Iftelaxation phase (diastole) pressure <20 mm @ Eiphasic: Manufacturer recommendation (e9, intial Hg, aftempt tp improve CPR quality. dose of 120-200 J) if unknown, use maximum avaiable. le renee dtr ec tlere etal eter Pencils Oni gee nar beer {@ Epinephrine IVIIO Does: 1 mg every 3-5 minutes @ Vasopressin IViIO Does: 40 unite can replace first ot Fi second dose of epinephrine Reversible Causes {@ Amiodarone IV/IO Does: Fist dase: 300 mg bolus ‘second dose :160 mg = Hypovolemia + Tension pneumothorax =Hypoxia sTamponade, cardiac A Hydrogen ion (acidosis) = Toxins Ultra E = HypelHyperkalemia = Thrombosis, pulmonary Hypothermia Thrombosis, coronary © Supraglottic advanced airway ot endotracheal intubation ‘@ Waveform capnography to confirm and monitor ET tube placement (©. 2-10 breaths per mincte with continuous chest compressions Training tes ACLS Online Since 1998 v vy 9 VENT Asystole/PEA 12 +f no signs of retina of spontaneous circultaion {ROSC), go to 10 or 11 + IfROSC, go to Post - Cardiac Arrest Care + © Rhythm. Mockable? -@

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