Please register or login to view the chart

Adult Advanced Life Support

ALS algorithm- reproduced with kind permission of Resuscitation Council (UK)

Unresponsive and not
breathing normally-Call resuscitation
team-CPR 30:2
Attach defibrillator/monitor
Minimise interruptions

Assess rhythm -Shockable
(VF/Pulseless VT)
1 Shock
Minimise interruptions
Immediately resume
CPR for 2 min
Minimise interruptions
Return of spontaneous
circulation
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
Non-shockable
(PEA/Asystole)
Immediately resume
CPR for 2 min
Minimise interruptions

During CPR
 Ensure high quality chest compressions
 Minimise 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
Assess rhythm
Consider
 Ultrasound imaging
 Mechanical chest
compressions to facilitate
transfer/treatment
 Coronary angiography and
percutaneous coronary
intervention
 Extracorporeal CPR

From https://www.resus.org.uk/resuscitation-guidelines/adult-advanced-life-support/

Share

Related Charts:

Add Your Comments

Your email address will not be published. Required fields are marked *

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

A4 Medicine  - Search Less and Learn More

Welcome to the A4 medicine community where we are constantly working to provide exceptional educational material to primary health care professionals. Subscribe to our website for complete access to our A4 Charts. They are aesthetically designed charts that contain 300 (plus and adding) common and complex medical conditions with the all information required for primary care in one single page that can help you in consultation/practice and exam.

Additionally, you will get complete access for our Learn From Experts : A4 Webinar Series in which domain experts share the video explainer presentation on one medical condition in one hour for the primary care. And you will also get a hefty discount on our publications and upcoming digital products.

We are giving a lifetime flat 30% discount to our first thousand users, discount code already applied to checkout.