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Advanced Cardiac Arrest Algorithm

This document outlines the procedures for managing advanced cardiac arrest in both adults and children, emphasizing the importance of scene safety, appropriate PPE, and regular patient reassessment. It details the steps for CPR, including chest compressions and rescue breaths, as well as the use of defibrillators and medications like adrenaline and amiodarone. Additionally, it highlights the need to identify reversible causes and provides guidelines for high-quality CPR and post-resuscitation care.

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proaidkits
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5 views1 page

Advanced Cardiac Arrest Algorithm

This document outlines the procedures for managing advanced cardiac arrest in both adults and children, emphasizing the importance of scene safety, appropriate PPE, and regular patient reassessment. It details the steps for CPR, including chest compressions and rescue breaths, as well as the use of defibrillators and medications like adrenaline and amiodarone. Additionally, it highlights the need to identify reversible causes and provides guidelines for high-quality CPR and post-resuscitation care.

Uploaded by

proaidkits
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

Advanced Cardiac Arrest

Adult and Paediatric


HAZARDS
HELLO?
HELP!
2025 Ensure the scene is safe 2025
Wear appropriate PPE
If unresponsive, check for breathing HAS PULSE BUT NO EFFECTIVE
HAS PULSE AND BREATHING and pulse BREATHING
Place in recovery position Call for Defibrillator
Monitor breathing and pulse Give rescue breaths
Reassess patient regularly - Adult: every 6 seconds
Call for help as required - Child: every 3 seconds
- Infant: every 2 seconds
Reassess patient regularly
NO PULSE OR NOT SURE
Pulse rate <60/min in children and infants despite adequate ventilation Call for help as required

LOOK FOR REVERSIBLE CAUSES


Hypoxia Tension Pneumothorax
Hypovolaemia
Hypothermia
Tamponade (cardiac)
Toxins
CHEST COMPRESSIONS Hands only
Hydrogen ion (Acidosis) Trauma continous compressions
Hypo/Hyper-kalaemia Thrombosis (Coronary) Start chest compressions, rate 100-120 per minute until ventilation equipment arrives
Hypoglycaemia Thrombosis (Pulmonary) Push hard | Ensure full chest recoil | Minimise interruptions

BREATHS
Attempt 2 breaths at 1 breath/second (with oxygen if available), Avoid excessive ventilation
Chest compression to breath ratio Adult 30:2 | Children or infants 30:2 (2-rescuer 15:2)
With advanced airway in place, do continous compressions with:
Adult: 1 breath every 6 seconds
Child: 1 breath every 3 seconds
Infant: 1 breath every 2 seconds

Continue until AED/Defibrillator arrives


Consider caponography and arterial line monitoring

HIGH QUALITY CPR


Continuous CPR with compressions and breaths for 2 minute cycles
Consider CPR coach and feedback device
Search for reversible causes
Give high levels oxygen
Obtain IV (or IO) access and draw blood gas

ANALYSE RHYTHM EVERY 2 MINUTES


Attach AED/Defibrillator immediately

SHOCK ADVISED (VF/pVT)


NO SHOCK ADVISED
Give 1 Shock (PEA/Asystole)
AED: Follow instructions
Adult: 120-360 J (max joules if unknown) Immediately resume CPR starting
Paediatric: 4J/kg with compressions, 2 minute cycle
If refractory to shocks, consider: Consider Adrenaline early 1mg
Adrenaline 1mg every 3-5 minutes (0.01mg/kg
every 3-5 minutes (0.01mg/kg paediatric) paediatric)
AND
Amiodarone 300mg followed by 150mg
(5mg/kg paeds, max 3 doses)
OR
Lignocaine 1mg/kg followed by 0.5mg/kg If signs of life present,
provide post-ROSC care

ADDITIONAL CONSIDERATIONS
- Consider 1-2g Magnesium if Torsades de pointes
- After 3 refractory shocks, consider changing vectors or double sequence defibrillation
- VA ECMO may be considered in appropriate centres where available
- Ultrasound can be considered as a diagnostic and procedural tool where expertise and resources exist; and CPR is not interrupted

[Link]

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