1. european
resuscitation
council
Advanced Life Support
Universal Algorithm
Unresponsive?
Not breathing or only occasional gasps
Call
Resuscitation Team
CPR 30:2
Attach defibrillator/monitor
Minimise interruptions
Assess
rhythm
Shockable Non-shockable
(VF/Pulseless VT) (PEA/Asystole)
Return of
1 Shock spontaneous
circulation
Immediately resume: Immediate post cardiac Immediately resume:
arrest treatment
CPR for 2 min CPR for 2 min
• Use ABCDE approach
Minimise interruptions • Controlled oxygenation and Minimise interruptions
ventilation
• 12-lead ECG
• Treat precipitating cause
• Temperature control /
therapeutic hypothermia
During CPR Reversible causes
• Ensure high-quality CPR: rate, depth, recoil • Hypoxia
• Plan actions before interrupting CPR • Hypovolaemia
• Give oxygen • Hypo-/hyperkalaemia/metabolic
• Consider advanced airway and capnography • Hypothermia
• Continuous chest compressions when advanced airway in place
• Thrombosis
• Vascular access (intravenous, intraosseous)
• Tamponade - cardiac
• Give adrenaline every 3-5 min
• Toxins
• Correct reversible causes
• Tension pneumothorax
www.erc.edu | info@erc.edu
Published October 2010 by European Resuscitation Council Secretariat vzw, Drie Eikenstraat 661, 2650 Edegem, Belgium
Product reference: Poster_10_ALS_01_01_ENG Copyright European Resuscitation Council