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