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Recover CPR Algorithm

The document outlines the CPR algorithm for unresponsive, apneic patients, emphasizing the immediate initiation of Basic Life Support (BLS) with a cycle of 2 minutes of uninterrupted chest compressions and ventilations. It details the steps for Advanced Life Support (ALS), including monitoring, obtaining vascular access, and administering reversal agents for specific drug overdoses. Additionally, it provides guidance on evaluating the patient post-cardiac arrest and the appropriate responses based on the patient's condition.

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8 views1 page

Recover CPR Algorithm

The document outlines the CPR algorithm for unresponsive, apneic patients, emphasizing the immediate initiation of Basic Life Support (BLS) with a cycle of 2 minutes of uninterrupted chest compressions and ventilations. It details the steps for Advanced Life Support (ALS), including monitoring, obtaining vascular access, and administering reversal agents for specific drug overdoses. Additionally, it provides guidance on evaluating the patient post-cardiac arrest and the appropriate responses based on the patient's condition.

Uploaded by

diaurisie
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

CPR Algorithm

Unresponsive, Apneic Patient

Initiate CPR Immediately


Basic Life Support
1 full cycle = 2 minutes
uninterrupted compressions/ventilation
1 Chest Compressions 2 Ventilation

or

100-120/min 10/min C:V 30:2


• Lateral recumbency • Intubate in lateral • Interpose compressions
• ⅓- ½ chest width • Simultaneous compressions

Advanced Life Support


3 Initiate Monitoring 4 Obtain 5 Administer Reversals
• Electrocardiogram (ECG) • Opioids – Naloxone
• End Tidal CO2 (ETCO2) Vascular Access • α2 agonists – Atipamezole
• >15 mmHg = good compressions • Benzodiazepines – Flumazenil

Evaluate Patient Post-CPA


ROSC Algorithm
Check ECG

VF / Pulseless VT Asystole / PEA

• Continue BLS, charge defibrillator • Low dose Epinephrine and/or Vasopressin


• Clear and give 1 shock every other BLS cycle
or Precordial Thump if no defibrillator
• Consider Atropine every other BLS cycle
• With prolonged VF/VT, consider
• Amiodarone or Lidocaine • With prolonged CPA > 10 min, consider
• Epinephrine / Vasopressin every other cycle • High dose Epinephrine
• Increase defibrillator dose by 50% • Bicarbonate therapy

Basic Life Support


Change compressor u Perform 1 full cycle = 2 minutes
Reprinted with permission from Fletcher et al., J Vet Emerg Crit Care, 22(S1): S102-S131, 2012

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