Adult Cardiac Arrest © ACLS Certification Institute www.aclscertification.com | 1-800-448-2078 Fast, Convenient and 100% Online ACLS Training and Certification Earn Your ACLS in 1-2 Hours. Certify or Recertify Today! 1 Establish Unresponsiveness 3 Shockable rhythm? 5 Vfib or Vtach Yes Administer defibrillation _ High-Quality CPR Compression rate > 100/min Compress chest to depth of at least 2 inches Allow for complete chest recoil Minimize interruptions Avoid hyperventilation Rotate compressor every 2 min to prevent fatigue 2 Call Code/Activate EMS Immediately begin CPR Administer oxygen if available Attach monitor/defibrillator, establish rhythm 7 Immediately resume CPR for 2 min Establish vascular access 8 Shockable rhythm? 10 Yes Administer defibrillation 12 Immediately resume CPR for 2 min Administer Epinephrine every 3-5 min Consider advanced airway, ET CO Monitoring 2 14 Shockable rhythm? 16 Yes Administer defibrillation 18 Immediately resume CPR for 2 min Administer Amiodarone Establish and treat reversible causes No No 4 PEA/Asystole 9 Shockable rhythm? No 13 Shockable rhythm? 17 No Go to ROSC Algorithm 6 Immediately resume CPR for 2 min Establish vascular access Administer Epinephrine every 3-5 min Consider advanced airway, ET CO Monitoring 2 11 Immediately resume CPR for 2 min Establish and treat reversible causes 15 ROSC? Yes No No Yes Yes Go to 10 or 16 Epinephrine 1 mg every 3-5 min Defibrillation Energy Biphasic: Manufacturer-recommended Dose Monophasic: 360 J May replace 1st or 2nd dose with: Vasopressin 40 units IV Push Amiodarone 1st dose: 300 mg bolus 2nd dose: 150 mg H’s and T’s: Hypoxia Hypovolemia Hydrogen Ion (Acidosis) Hypo/Hyperkalemia Hypothermia Toxins Tamponade (cardiac) Tension Pneumothorax Thrombosis (coronary and pulmonary) Trauma certification institute www.aclscertification.com ACLS