CPR revised guidelines: Think C-A-B COMPRESSIONS AIRWAY BREATHING Push atleast 2 inches | Open the airway and Tilt chin back for the ‘on adult breastbone, ‘check for breathing or unobstructed passing 100 times per minute, - blockage; watch for of air; give two to move oxygenated = rise of chest and listen breaths and resume blood to vital organs for air movernent chest compressions 53 NOTE: Those untrained in CPR can simply do chest compressions until help arrives. Adult Cardiac Arrest ‘cra cuaty Shea ee nya: Gta sow ope ‘Shout for Help/Activate Emergency Response 1 trod mcneve weaton ss os SirPee, omnis tore more or ty * Nene at pean rn at neue seman ron 080 1 houpt nana crass 69, pea 0 nH) 1 potter rene wees ih eral matoag *DpnasesNnfactse comrade a oe 120200 J ‘Eicoun ina mnrnan ava Second so bene oes ess eur wa grr nen ay Cecwmaes ices 2 pina WO Doe: m9 wa 2 5 eer hn an: St ec te cn oe Sepa + moana 0 Doc: Fre or: 50mg Bs. Seco do 180. 8d Away ‘Soenlte sevarced arn ordeal eutuion 1 Wet canspacy corn re onto Tue placemat compres(ive 1 shock * Manual biphasic: dice spoctic {yptealy 120 0 200). + AED! dulce spectie * Monophasi: 200 J ‘Resume CPR immediately ‘Resume CPR immediately for 5 eyetes When 10 avavable, give vasoprescor “Epinaphrine img NiO Repeat every 310 § min ‘+ May ave dose of vasopressin 40 U 110 to roplte frat or second docs of epinephrine ‘Give 5 cycles of cPAY (Consider atropine 1 mg VIO. for ante or ow BEA rte peat every 3 0.8 min (opto 9 doses) Continue CPR while detonator eneaing {ve 1 shock * Manual biphasic: device specs (came ae st shoo or higher ose) + AED: device spent + Monophase: 360.) Resume GPR immodiatly after the shock ‘When NO avalatle, ge vasopresor dung CPR (bette orator tne sock) Epinephrine 19 NO FRepoat every Sto 8 min + May ave "dose of vasopressin 40 U I/O 10 replace frst or second dose of epinephrine + Hayter 9019 Gos 10 tical activity, check * pa no pulse, Go to pulse present, bogin postresuecttation eave uring CPR ‘+ Push hard and fact 100m)» Rotate compressors every Seca cack ese 2rminutes win hen checks “+ Minimize interruptions in chest * Ssa¥ch or and et posse Compressions| + One cyle of GPR: 20 compressions than 2 beats; 8 eyes "2 min + Avoid mperventiation + Secure alway and corm placomant Continue CPR whie defbiltoris charging ‘Give t shock + Manuel bipeake: deve specie (came as fet shook or high dose) + AED: doves spect + Monophase: 360 5 Resume CPR immediately after the shock Concer aniarytnoe; go dung GPR (Bates o after the ane) amiodarone G0 a N/0 one, en Soni aetion 150 mg W/O anes oF lidocaine to 15 mg/h rst dose, then 0: to 75 mah NAO, maximum 3 doses er Smo) Conse magnesium, losing dose 7 t02g W/O fr torsades de portes [After 5 cycles of CPR,” got to Box 5 above * pete anes ory en SFE Gee cotnoue Set com Pressone without pauses fr train. Eve to 10 beaten creck rh rey 2 rates+ Eetablieh WV access: + Obtain 12-ead ECG. (nen avaiabie) cor yt sitio 4s ORS narrow (0.1200)? + Atempt vagal maneuvers + Gwe adenasine 6 mg pid IV push. tno conversion. ‘ive 12 mg api IV push: may repeal 12 mg dose once Whythm converts, probable reontry SVT (reentry supraventricul tachycardia) *Obeare fr reeurence + Troat recurrence with adenosine longer ‘acting AV nodal locking ‘gens (eg, litlazem, Blockers) Wide (20.12 sec), Irregular Narrow-Compiex TTachycarcia Probabie atrial tbeitation or possible arial ltter or MAT (rulbocal aa! tachyeara * Consider expert consuation * Control at (eg, aitiazem, Brblockor; use Bosker with ‘saubon in pulmonary cisoase orcHF) rhythm does NOT convert, possible atrial flutter ‘ectopic atrial tachycardia, fr junctional tachyeardi "Control at (og, itazom, Blocker; use icckers with ‘caution in pulmonary dleease or CHF + Treal underying cause + Consider export consultation tachycardia or tincertaln shyt ‘amiodarone 180 ma IV over 10 min FRopoat as needed tomeximum dose of 22 gi2s hours + Prepare for elective ‘synchronizod ‘cardioversion W SVT with sberrancy "Give adenosine (goto Box7) * See iegular Nao CComplox Tachyearcia ox) It pre-oxcted atrial Aiilation (AF + WPW) + Exper consutaton advaed + Avoid AV nada locking agents og, adenosine, digon dlitiazem, verapamil) + Consider antarthyth 19, amiodarone 150 mg lV over 10 min) recurrent polymer hie VF, cook oxport oneutation torsades de pointes, ‘give magnesium (lose witn 1-2 g over 5-60 min, then ks)