This algorithm provides a comprehensive guide for managing adult victims of cardiac arrest, emphasizing early recognition, CPR, and the use of an Automated External Defibrillator (AED). It is designed to facilitate prompt and effective resuscitation efforts by bystanders and emergency responders.
Ensure Scene Safety: Always ensure the scene is safe before approaching the victim.
Check Responsiveness: Attempt to wake the victim by shouting and gentle shaking. If there is no response, shout for nearby help.
Activate Emergency Response System (ERS): Instruct someone to call the emergency services and obtain an AED. If alone, make the call yourself.
Check Pulse and Breathing: Quickly assess the victim’s pulse and breathing for no more than 5-10 seconds. Look for normal breathing, gasping, or no breathing at all.
No Pulse and No Breathing:
Irregular Pulse with Abnormal Breathing:
Administer Naloxone: If there is a possibility of an opioid overdose and naloxone is available, administer according to prescribed guidelines.
Continue CPR and AED Use: If the initial or subsequent rhythm checks with the AED are not shockable, continue performing CPR uninterruptedly until advanced life support (ALS) providers arrive or the victim shows signs of movement.
ALS Arrival: Once ALS providers arrive, they will take over and continue advanced resuscitation and post-resuscitation care.
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The Advanced Cardiac Life Support (ACLS) is an accredited online medical certification course that teaches medical professionals to respond to nearly all cardiopulmonary emergencies.
The Pediatric Advanced Life Support (PALS) Recertification instructs medical professionals on performing pediatric cardiopulmonary resuscitation in emergencies.
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