Basic Life Support
Algorithm
2021
HAZARDS 2021
Ensure the scene is safe
Don appropriate PPE
HELLO
Unresponsive?
Not breathing or only gasping?
Pulse?
HAS PULSE AND HELP HAS PULSE BUT
BREATHING Call for assistance NO EFFECTIVE
and AED/Defibrillator
• Place in recovery BREATHING
position Emergency No: …………………...………….............…
Give rescue breaths
• Check for continued
• Adult: every 6 seconds
breathing
• Child: every 3 seconds
• Reassess continuously
No Pulse or not sure • Infant: every 2 seconds
Pulse rate <60/min in children and infants • Reassess continuously
START CHEST COMPRESSIONS
Compress the chest fast (almost 2 per second)
Push hard | Ensure full chest recoil | Minimise interruptions
BREATHS
If unable/unwilling to
Attempt 2 breaths at 1 breath/second (with O2 if available) perform breaths, do
after every 30 compressions continuous compressions
Adult ratio 30:2 | Children/Infants 30:2 (2-rescuer 15:2) until equipment arrives.
Continue until AED/Defibrillator arrives
Attach AED/Defibrillator immediately
Shock ANALYSE No Shock
Advised RHYTHM Advised
(VF/VT) (PEA/Asystole)
Give 1 Shock • If signs of life present
Monophasic – 360J monitor and provide post
Biphasic – 120 – 360J ROSC care
Paediatric – 4J/kg • If absent – continue CPR
AED energy – factory preset
Immediately resume CPR Immediately resume CPR
starting with compressions starting with compressions
Continue for 2 minutes or Continue for 2 minutes or
until the AED re-analyses until the AED re-analyses
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