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BLS Healthcare Provider

Adult Cardiac Arrest Algorithm2015 Update


Verify scene safety.

Victim is unresponsive.
Shout for nearby help.
Activate emergency response system
via mobile device (if appropriate).
Get AED and emergency equipment
(or send someone to do so).

Monitor until
emergency
responders arrive.

Normal
breathing,
has pulse

No normal
breathing,
has pulse

Look for no breathing


or only gasping and check
pulse (simultaneously).
Is pulse definitely felt
within 10 seconds?

No breathing
or only gasping,
no pulse

Provide rescue breathing:


1 breath every 5-6 seconds, or
about 10-12 breaths/min.
Activate emergency response
system (if not already done)
after 2 minutes.
Continue rescue breathing;
check pulse about every
2 minutes. If no pulse, begin
CPR (go to CPR box).
If possible opioid overdose,
administer naloxone if
available per protocol.

By this time in all scenarios, emergency


response system or backup is activated,
and AED and emergency equipment are
retrieved or someone is retrieving them.
CPR
Begin cycles of
30 compressions and 2 breaths.
Use AED as soon as it is available.

AED arrives.

Check rhythm.
Shockable rhythm?

berikan bantuan napas :


1 napas setiap 5-6 detik,
atau
sekitar 10-12 napas /
Give 1 shock. Resume CPR
Resume CPR immediately for menit.
immediately for about 2 minutes
about 2 minutes (until prompted Aktifkan sistem
(until prompted by AED to allow
by AED to allow rhythm check). tanggap
Monitor, Berikan 1 kejutan,
Pasien
Lanjutkan
Lihat
tak respon
pernapasan
(Lanjutkan CPR segera selama
rhythm check).
Continue until ALS providers take darurat (jika belum)
sampai tim
CPR
tanggap
segera
selama
Panggil
(tak
sekitar
bernapas
bantuan,
2
sekitar
/gasping?)
2 menit (Sampai
alatsetelah 2 menit.
Continue until ALS providers take
over or victim starts to
move.semua
Saat
di atas dilakukan,
CPR
darurat datang
menit
Aktifkan
sistem
Cek
NADI
AED
tanggap
bisa
cek
irama
lagi).
over or victim starts to move.
Lanjutkan
bantuan
sistem
tanggap
darurat
(Sampai alat AEDdarurat
Mulai
bisa cek
(lakukan
siklus
irama
30serentak,
Lanjutkan
kompresi sampai
:
pasien mulai
napas
diaktikan.
lagi).
Lanjutkan
sampai
Siapkan
Cek
pasien
nadi
2ventilasi
AED
maks
&jantung
bergerak/
peralatan
10 dtk)tindakan
ALS
bisacek nadi setiap 2
2015 American Heart
Association
Napas
Napas
normal
Ya,
(-)
Cek
/ gasping
Pastikan
irama
AED
situasi
siap
Tidak
Napas
tak
AED
& peralatan emergensi
mulai
bergerak/tindakan
Pergunakan
emergensi
ALS
AED
dilakukan
sesegera
menit. Jika tidak ada
BLS (BHD)
bagidikejut
petugas
kesehatan
Bisa
Nadi
jantung
(+)
Nadi
Perlu
(-)
kejut APD
Tak bisa
normal
dikejut
AMAN,
pakai
lain disiapkan
bisa dilakukan
mungkin
jantung ?
jantung
Nadi (+) denyut nadi, mulai CPR
Yes,
shockable

No,
nonshockable

Algoritma Cardiac Arrest 2015 AHA

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