Adult Cardiac Arrest

© ACLS Certification Institutewww.aclscertification.com | 1-800-448-2078

Fast, Convenient and 100% Online ACLS Training and CertificationEarn Your ACLS in 1-2 Hours. Certify or Recertify Today!

1 Establish Unresponsiveness

3 Shockablerhythm?

5 Vfib or Vtach

Yes

Administer defibrillation

_

High-Quality CPR

Compression rate > 100/minCompress chest to depth of at least 2 inchesAllow for complete chest recoilMinimize interruptionsAvoid hyperventilationRotate compressor every 2 min to prevent fatigue

2 Call Code/Activate EMSImmediately begin CPRAdminister oxygen if availableAttach monitor/defibrillator, establish rhythm

7 Immediately resume CPR for 2 minEstablish vascular access

8 Shockablerhythm?

10

Yes

Administer defibrillation

12 Immediately resume CPR for 2 minAdminister Epinephrine every 3-5 minConsider advanced airway, ET CO Monitoring2

14 Shockablerhythm?

16

Yes

Administer defibrillation

18 Immediately resume CPR for 2 minAdminister AmiodaroneEstablish and treat reversible causes

No

No

4 PEA/Asystole

9 Shockablerhythm?

No

13 Shockablerhythm?

17

No

Go to ROSCAlgorithm

6 Immediately resume CPR for 2 minEstablish vascular accessAdminister Epinephrine every 3-5 minConsider advanced airway, ET CO Monitoring2

11 Immediately resume CPR for 2 minEstablish and treat reversible causes

15 ROSC? Yes

No

No

Yes

Yes

Go to 10or 16

Epinephrine 1 mg every 3-5 min

Defibrillation Energy Biphasic:

Manufacturer-recommended Dose

Monophasic:360 J

May replace 1st or 2nd dose with:

Vasopressin 40 units IV Push

Amiodarone 1st dose: 300 mg bolus 2nd dose: 150 mg

H’s and T’s: HypoxiaHypovolemiaHydrogen Ion (Acidosis)Hypo/HyperkalemiaHypothermiaToxinsTamponade (cardiac)Tension PneumothoraxThrombosis (coronary and pulmonary)Trauma

certi�cation institutewww.aclscerti�cation.com

ACLS