If the rhythm has switched from shockable or to shockable, then switch algorithms. After every 2 minutes of CPR, check for a pulse and check the cardiac rhythm. Therefore, the provider must be able to accurately assess and adapt to changing circumstances. While ACLS provides algorithms for each of these cardiac arrest rhythms, in the real world a patient may move between these rhythms during a single instance of cardiac arrest. The primary intervention for ventricular fibrillation and pulseless ventricular tachycardia is unsynchronized cardioversion, more commonly known as a “shock.” The primary intervention for pulseless electrical activity and asystole is pharmacological, beginning with the administration of epinephrine. Four rhythms may occur during cardiac arrest: ventricular fibrillation, pulseless ventricular tachycardia, pulseless electrical activity, and asystole. Keep going until EMS arrives or the victim regains circulation.Ĭardiac arrest is the sudden sensation cessation of blood flow to the tissues in brain the results from a heart that is not pumping effectively. After providing a shock, immediately resume CPR.
Check for a pulse and cardiac rhythm every two minutes.If you cannot provide respiration, just give chest comps.If you can provide respiration, 2 breaths for 30 comps.Fast and deep compressions, 100 compressions per minute.If you suspect asphyxia: 2 min of CPR, Activate EMS, get AED, use AED.If you suspect cardiac arrest: Activate EMS, get AED, 2 min of CPR, use AED.If you find an unresponsive adult, tailor response to the presumed cause of injury.If you can get an AED quickly, you may activate EMS, leave the victim to get an AED, CPR for 2 minutes, and use AED
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