Advanced Life Support Algorithm (2006)
Ensure safe to approach
Gowns/barriers/gloves
?Unresponsive
Open airway + Look for signs of life
Call for help - put bed down
CPR 30:2 if no signs of life
Assess rhythm
- Shockable rhythm (VF/Pulseless VT)
- 1 shock 150-360J Biphasic
- CPR 30:2 for 2 mins
- 1mg 1:10000 (10mls) Adrenaline before 3rd shock (then every 2nd cycle)
- 300mg Amiodarone or 100mg iv lidocaine before 4th shock
- Non-shockable rhythm
- CPR 30:2
- 1mg 1:10000 (10mls) when access established (then every 2nd cycle)
- 3mg Atropine when asystole
Once airway secured, ventilate at 10/min + 100/min chest compressions
IV access + bloods + blood sugar
Reversible causes
Hypovolaemia
Hypoxia
Hypo/hyperkalaemia/Metabolic
Hypothermia
Tension pneumothorax
Tamponade: pericardiocentesis, echo
Toxic
Thrombosis (coronary or pulmonary)
