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Continue BLS/ACLS + High-quality CPR = Defibrillation when indi Other ACLS interventions epinephrine) Consider etiology of arrest Perform obstetric interventions *» Provide continuous lateral uterine displacement * Detach fetal monitors * Prepare for perimortem cesarean delivery Perform maternal interventions + Perform airway management + Administer 100% O,, avoid excess ventilation + PlacelV above diaphrag * IfreceivingIV magnesium, stop and give calcium chloride or gluconate Continue BLS/ACt High-quality CPR * Defibrillation when indicate« * Other ACLS interventions es Perform perimortem cesarean delivery + IfnoROSCin5 minutes, consider immediate perimortem cesarean delivery pinephrine) Neonatal team to receive neonate m planning should be done in collaboration with the obstetric neonatal, emergency, anesthesiology, intensive care, and cardiac arrest serv * Priorities for pregnant w in carciac ar iid ine! pr ity CPRani relief c sl compression with lateral uterine displacement. delivery is to improve maternal and fetal outcomes * Ideally, perform perimortem cesarean delivery in 5 minute * Inpregnaney, a difficult airway is common. Use the most experienced provider * Provide endotracheal intubation o supraglottic advanced airway, * Perform waveform cap! capnometry to confirm a ET tube placement, + Once advanced airways in place, give 1 breath every 6 seconds ths/min) with continuous ‘nesthetic complication B Bleeding G General nonobstetric cat cardiac arrest (H's andT H Hypertension

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