Acls Algorithms

Figure 10-1 ACLS VFSpulseless VT, asystole & PEA algorithms

Pulseless Arrest v

Primary ABCD Survey Airway: open airway (head lilt-chin lilt or jaw thrust) Breathing © pressure ventilation (give 2 breaths)

Circulation: chest compressions (1'/i-2 inches. -100/min; 30:2 comp-vent ratio) Qeflbrillation ✓ mythrn ASAP

(200 J biphasic or 360 J monophasic)

ASYSTOLE or PEA

confirm asyatole In >1 lead (t o line VF)

SgC9ndi»rY ABCD Survey Airway remove obstructions; insert airway; ? advanced airway = Intubate Breathing / placement ol airway (clinical & CO., detector); Or; = Ventilate

1 breath q 6-8 sec (8-10 breaths per min) w/o stopping CPR Circulation: IV access = IV access

Differential dx: consider causes (H's & Ts. see below)

' rhythm

(asystol&PEA)

Vasopressor q3-5 min (before or atlar shock) Epinephrine or Vasopressin

Vasopressor q35 min

Epinephrine or Vasopressin

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