Adult Advanced Life Support

Unresponsive and not breathing normally

Call resuscitation team

CPR 30:2
Attach debrillator/monitor
Minimize interruptions

End

Immediately resume CPR for 2 min
Minimize interrruptions

Assess rhythm

One shock
Minimize interruptions

Shockable (VF/pulseless VT)

Return of spontaneous circulation

Non-shockable (PEA/asystole)

Immediately resume CPR for 2 min
Minimize interruptions

Immediate post cardiac arrest treatment

Use ABCDE approach
Aim for SpO₂ of 94%–98%
Aim for normal PaCO₂
12-lead ECG
Treat precipitating cause
Targeted temperature management

During CPR

Ensure high quality chest compressions
Minimize interruptions to compressions
Give oxygen
Use waveform capnography
Continuous compressions when advanced airway in place
Vascular access (intravenous or intraosseous)
Give adrenaline every 3–5 min
Give amiodarone after 3 shocks

Treat reversible causes

Hypoxia
Hypovolaemia
Hypo-/hyperkalaemia/metabolic
Hypothermia
Thrombosis – coronary or pulmonary
Tension pneumothorax
Tamponade – cardiac
Toxins

Consider

Ultrasound imaging
Mechanical chest compressions to facilitate transfer/treatment
Coronary angiography and percutaneous coronary intervention
Extracorporeal CPR