CPR Poster

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Advanced Life Support Algorithm

Department of Onco-Anaesthesia & Palliative Medicine


Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi

Recognition of Cardiac Arrest


• All Staff • Response: Look for absence of sign of life and normal breathing
donned in • Call for help.
proper PPE • Airway: Open mouth and apply oxygen through bag mask, if not intubated.
Secure airway at earliest.
• Limited staff in • Breathing: Don’t check and feel for breathing by putting your hand or ear
the room close to the patient's mouth.
• Attach monitors/ Defibrillator.

Start CPR
30 Chest Compressions: 2 Breaths
Minimize interruptions.

AIRWAY
• 2 Handed BMV with
Assess Rhythm
viral filter, etCO2.
• NO BAGGING.
• Intubate at earliest SHOCKABLE NON SHOCKABLE
with viral filter and
etCO2.
• SAD as back up or SHOCK TREAT
to delay the REVERSIBLE
CAUSES
intubation.
CPR for 2 mins
CPR for 2 mins

Consider Mechanical Return of


Compression devices to spontaneous circulation
minimize number of people.

POST RESUSCITATION CARE

Doff properly
Decontaminate all the eqipments with precautions.
Clean and sanitize all the surfaces.

DRUGS Consider and correct: Return of Spontaneous Post Resuscitation


Shockable: • Hypovolemia Care
Circulation
• Epinephrine IV/IO dose:
• Hypoxia • Pulse and blood pressure • 12 Lead ECG.
• 1 mg after second shock, then in
every 2nd loop. • Hydrogen ion (acidosis) • Abrupt sustained increase • Treat precipitating
• Amiodarone IV/IO dose: First • Hypo-/hyperkalaemia in Petco2 (typically ≥40 causes.
• dose: 300 mg bolus after 3 • Hypothermia mm Hg) • Maintain
shocks. Second dose: 150 mg. normoglycaemia,
• Tension pneumothorax • Spontaneous arterial
or normocapnia.
• Lidocaine IV/IO dose: • Tamponade, cardiac pressure waves with intra-
• Targeted temperature
• First dose: 1-1.5 mg/kg. Second • Toxins arterial monitoring.
management.
• dose: 0.5-0.75 mg/kg. • Thrombosis, pulmonary
Non Shockable: • Thrombosis, coronary .
• Epinephrine 1mg immediately,
then repeat in every second
loop.

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