Resuscitation Checklist

Size: px
Start display at page:

Download "Resuscitation Checklist"

Transcription

1 Resuscitation Checklist Actions if multiple responders are on scene Is resuscitation appropriate? Conditions incompatible with life Advanced decision in place Based on the information available, the senior clinician (Paramedic, Nurse or Doctor) on scene agrees that resuscitation would not be in the best interest of the patient, as progressive disease or terminal illness would mean that death is imminent and unavoidable Try to achieve 360 access to patient Establish team leader Assign tasks to named individuals Confirm sufficient resources have been mobilised request enhanced care Are relatives being supported? Establish circumstances leading to arrest Ensure full monitoring availability ASAP During CPR Checklist Scribe Sheet Post Resuscitation Paediatrics Special Circumstances ALS Algorithm For Reference Only Do not return to Clinical Audit - Destroy after use Clinical Quality Improvement

2 During CPR Checklist Ensure high quality chest compressions Rate per min 1/3 chest depth with full recoil Plan actions before interrupting CPR Ensure sufficient supplies are available Use waveform ETCO 2 at earliest opportunity To guide ventilations (10 per min) and good quality chest compressions Aim for above 2.7 KPa Gain vascular access (IV, EJV or IO) Connect fluid for flush and volume resuscitation If periferral IV access is not possible consider external jugular vein or IO Monitor ETCO 2 at all times and prepare for ROSC Hypoxia Airway - oxygenation Hyperkalaemia BM (Metabolic imbalance) Hypothermia Temperature Hypovolaemia Catasphrophic haemmorrhage Tension Pneumothorax Equal chest rise - Consider decompression Tamponade Traumatic cause Toxins Consider Naloxone Thrombosis PPCI

3 Responder Cardiac Arrest Checklist 1 DANGER to you, others and then the patient. Withdraw from scene if unsafe to continue and call the response desk 2 RESPONSE No response, shout for help 3 4 AIRWAY Ensure it s open and clear of the tongue and any vomit BREATHING Assess for up to 10 sec. If not breathing normally and call not given as cardiac arrest. Update Hub via Tetra or hands free mobile ATTACH AED Follow its instructions 30 chest compressions at per min, at one third of the chest depth (5-6cm in adults) Followed by 2 ventilations using the BVM On the AED s second analysis, connect the BVM to Oxygen On the AED s third analysis consider OP airway & suction as required if having airway difficulties Gain immediate history as continuing BLS Continue until the patient is breathing normally or if asked to stop by the attending clinicians Complete AED Event form

4 Handover to Crew Do not write patient identifiable data Age Time of incident Mechanism of injury Injuries sustained Signs and Symptoms Treatment/Needs

5 Resuscitation Scribe Sheet Time of collapse AED switched on Time Rhythm Shock Drugs Post ROSC If potentially appropriate to cease resuscitation outside of guidance - consider and document senior clinical advice

6 Post Resuscitation Remain on scene for at least 10 minutes, unless in-hospital intervention is required Airway Stepwise approach Anticipate spontaneous respirations Conduct and Document 12 Lead ECG Breathing Titrate SpO 2 to 94-98% Optimise ETCO 2 Monitor waveform Circulation Maintain BP >90mmHg or presence of a radial pulse Give 250ml sodium chloride 0.9% if hypotensive Consider low dose adrenaline if indicated 12 Lead ECG BM Temperature SpO 2 ETCO 2 BP Disability Targeted temperature management Measure blood glucose Saline (if required) Transport checklist Post ROSC adrenaline Secure Airway - confirmed following movement connect to waveform ETCO2 Observations taken and recorded Reassess 5 mins after 250mls saline If hypotensive, aged 18+ and with HR <100 despite fluids Oxygen sufficient for transfer Withdraw 1ml of adrenaline 1:10,000 into a 10ml syringe Extrication prepare equipment and plan Dilute with 9ml saline and label syringe Family consider getting patient details and informing them of any plan Administer a 1ml bolus of adrenaline 10mcg Suction available and plugged into power Repeat post ROSC adrenaline as required Destination confirmed with all on scene ATMIST - including sending ECG if applicable Consider atropine for symptomatic and absolute bradycardia

7 Paediatric Paediatric Airway Establish clear airway Manage with a stepwise approach Monitor SpO 2 and ETCO 2 Newborn Stimulate by rubbing patient Establish clear airway Manage with a stepwise approach Monitor SpO 2 and ETCO 2 Breathing 5 initial inflation breaths Circulation Sufficient to depress sternum by at least 1 / 3 depth of the chest: 4cm for an infant 5cm for a child Rate per minute Ratio 15:2 If heart rate is not detectable or slow (<60bpm) start chest compressions Ratio 3:1 No adrenaline or amiodarone Disability Targeted temperature management Ensure newborn babies are kept warm Measure blood glucose Patients age Years Months Last known weight Weight 1-12months 1-5yrs 6-12yrs Sodium chloride 0.9% Adrenaline Amiodarone Glucose (0.5 x age in months) + 4 (2 x age in yrs) + 8 (3 x age in yrs) + 7 Medical 20ml / kg Burns 10ml / kg Trauma 5ml / kg 10mcg / kg 5mg / kg 2ml / kg All patients <18 years old must be conveyed to ED by the ambulance service irrespective of whether a resuscitation attempt is made with appropriate safeguarding completed

8 Special Circumstances Trauma Confirm enhanced care team have been mobilised where available Treat reversible causes early and aggressively If not available, scoop and run to nearest suitable receiving unit Hypovolemia Control catastrophic bleeding Splint suspected fractures of long bones and pelvis Oxygenation Ensure patent airway Maximize oxygen administration Tension Pneumothorax Bilateral needle decompression Also consider in diving incidents and asthma Pregnancy Early intubation Early left lateral displacement of uterus Transfer to ED consider pre-alert for peri-mortem C-Section if >24 weeks gestation Drowning and/or where hypothermia is the cause Early intubation Do not use abdominal thrusts to remove water from lungs or stomach Below 35 C double intervals between drugs should be used e.g. adrenaline every 6 10mins Do not stop resuscitation in the prehospital setting without senior clinical support

9 ALS Algorithm Advanced Life Support Unresponsive and not breathing normally CPR 30:2 Attach defibrillator/monitor Minimise interruptions Call for P1 backup Assess rhythm Shockable (VF/Pulseless Assess rhythm VT) Return of spontaneous circulations Non-Shockable (PEA/Asystole) 1 Shock Minimise interruptions 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 mins Give amiodarone after 3 shocks IMMEDIATE POST - CARDIAC ARREST TREATMENT Use ABCDE approach Aim SpO 2 of 94-98% Aim for normal ETCO 2 range (4-5.7 KPa) 12-lead ECG Treat precipitating causes Targeted temperature management Immediately resume CPR for 2 min Minimise interruptions CONSIDER where available and trained Ultrasound imaging Coronary angiography and Mechanical chest percutaneous coronary compressions to facilitate intervention transfer/treatment Extracorporeal CPR

10 Notes Age Observations: : AVPU Observations: : AVPU Time Medical/Trauma Interventions Signs Time of arrival GCS - EVM RR HR SpO 2 ETCO 2 BM BP Temp GCS - EVM RR HR SpO 2 ETCO 2 BM BP Temp

Adult Basic Life Support

Adult Basic Life Support Adult Basic Life Support UNRESPONSIVE? Shout for help Open airway NOT BREATHING NORMALLY? Call 112* 30 chest compressions 2 rescue breaths 30 compressions *or national emergency number Fig 1.2_Adult BLS

More information

Advanced Life Support

Advanced Life Support Standard Operating Procedure 2.1 Advanced Life Support Position Responsible: Head of Operations CGC Approved: October 2017 Related Documents Further Information 1.0 Background Magpas Resuscitation Policy

More information

Future of Cardiac Arrest Management for Paramedics

Future of Cardiac Arrest Management for Paramedics Future of Cardiac Arrest Management for Paramedics EMS TODAY 2013 Mark Whitbread Consultant Paramedic London Ambulance Service London Ambulance Service NHS Trust 620 sq miles 8.2 million population 2011/12

More information

national CPR committee Saudi Heart Association (SHA). International Liason Commission Of Resuscitation (ILCOR)

national CPR committee Saudi Heart Association (SHA). International Liason Commission Of Resuscitation (ILCOR) 2 It is our pleasure to present to you this work as a result of team work of the national CPR committee at the Saudi Heart Association (SHA). We adapted the 2010 guidelines as per International Liason

More information

Lecture. ALS Algorithm

Lecture. ALS Algorithm Lecture ALS Algorithm 1 Learning outcomes The ALS algorithm Treatment of shockable and non-shockable rhythms Potentially reversible causes of cardiac arrest 2 Adult ALS Algorithm 3 To confirm cardiac arrest

More information

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia

More information

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia

More information

Routine Patient Care Guidelines - Adult

Routine Patient Care Guidelines - Adult Routine Patient Care Guidelines - Adult All levels of provider will complete an initial & focused assessment on every patient, and as standing order, use necessary and appropriate skills and procedures

More information

MICHIGAN. State Protocols. Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.

MICHIGAN. State Protocols. Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6. MICHIGAN State Protocols Protocol Number Protocol Name Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.3 Tachycardia PEDIATRIC CARDIAC PEDIATRIC CARDIAC ARREST

More information

Manual Defibrillation. CPR AGE: 18 years LOA: Altered HR: N/A RR: N/A SBP: N/A Other: N/A

Manual Defibrillation. CPR AGE: 18 years LOA: Altered HR: N/A RR: N/A SBP: N/A Other: N/A ROC AMIODARONE, LIDOCAINE OR PLACEBO FOR OUT OF HOSPITAL CARDIAC ARREST DUE TO VENTRICULAR FIBRILLATION OR TACHYCARDIA (ALPS) STUDY: MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE An Advanced Care Paramedic

More information

Post Resuscitation (ROSC) Care

Post Resuscitation (ROSC) Care Standard Operating Procedure 2.10 Post Resuscitation (ROSC) Care Position Responsible: Medical Director Approved: Clinical Governance Committee Related Documents: This document is the intellectual property

More information

Department of Paediatrics Clinical Guideline. Advanced Paediatric Life Support. Sequence of actions. 1. Establish basic life support

Department of Paediatrics Clinical Guideline. Advanced Paediatric Life Support. Sequence of actions. 1. Establish basic life support Advanced Paediatric Life Support Sequence of actions 1. Establish basic life support 2. Oxygenate, ventilate, and start chest compression: - Provide positive-pressure ventilation with high-concentration

More information

ACLS Review. Pulse Oximetry to be between 94 99% to avoid hyperoxia (high oxygen tension can lead to tissue death

ACLS Review. Pulse Oximetry to be between 94 99% to avoid hyperoxia (high oxygen tension can lead to tissue death ACLS Review BLS CPR BLS CPR changed in 2010. The primary change is from the ABC format to CAB. After establishing unresponsiveness and calling for a code, check for a pulse less than 10 seconds then begin

More information

TEACHING BASIC LIFE SUPPORT (& ALS)

TEACHING BASIC LIFE SUPPORT (& ALS) TEACHING BASIC LIFE SUPPORT (& ALS) Anton Koželj, R.N., B. Sc., lecturer Faculty of Health Sciences, University of Maribor Žitna ulica 15, 2000 Maribor, Slovenia Fact s To know-how to perform basic life

More information

INSTITUTE FOR MEDICAL SIMULATION & EDUCATION ACLS PRACTICAL SCENARIOS

INSTITUTE FOR MEDICAL SIMULATION & EDUCATION ACLS PRACTICAL SCENARIOS Practical Teaching for Respiratory Arrest with a Pulse (Case 1) You are a medical officer doing a pre-operative round when 60-year old patient started coughing violently and becomes unconscious. Fortunately

More information

Advanced Resuscitation - Child

Advanced Resuscitation - Child C02C Resuscitation 2017-03-23 1 up to 10 years Office of the Medical Director Advanced Resuscitation - Child Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia Algorithm

More information

Yolo County Health & Human Services Agency

Yolo County Health & Human Services Agency Yolo County Health & Human Services Agency Kristin Weivoda EMS Administrator John S. Rose, MD, FACEP Medical Director DATE: December 28, 2017 TO: Yolo County Providers and Agencies FROM: Yolo County EMS

More information

Portage County EMS Patient Care Guidelines. Cardiac Arrest

Portage County EMS Patient Care Guidelines. Cardiac Arrest Portage County EMS Patient Care Guidelines Cardiac Arrest Note: These guidelines are based on (or adapted from) the current American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency

More information

Advanced Resuscitation - Adult

Advanced Resuscitation - Adult C02A Resuscitation 2017-03-23 17 years & older Office of the Medical Director Advanced Resuscitation - Adult Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia Algorithm

More information

Advanced Cardiac Life Support (ACLS) Science Update 2015

Advanced Cardiac Life Support (ACLS) Science Update 2015 1 2 3 4 5 6 7 8 9 Advanced Cardiac Life Support (ACLS) Science Update 2015 What s New in ACLS for 2015? Adult CPR CPR remains (Compressions, Airway, Breathing Chest compressions has priority over all other

More information

Advanced Resuscitation - Adolescent

Advanced Resuscitation - Adolescent C02B Resuscitation 2017-03-23 10 up to 17 years Office of the Medical Director Advanced Resuscitation - Adolescent Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia

More information

ILCOR, ARC & NZRC PAEDIATRIC RESUSCITATION RECOMMENDATIONS 2010

ILCOR, ARC & NZRC PAEDIATRIC RESUSCITATION RECOMMENDATIONS 2010 ILCOR, ARC & NZRC PAEDIATRIC RESUSCITATION RECOMMENDATIONS 2010 Jim Tibballs Officer, RCH Convenor, Paediatric Sub-Committee, (ARC) ARC Paediatric Representative International Liaison Committee on (ILCOR)

More information

2

2 1 2 3 4 5 6 7 8 Please check regional policy on this Tetracaine and Morgan lens may be optional in region *Ketamine and Fentanyl must be added to your CS license if required by your region *Midstate will

More information

THE FOLLOWING QUESTIONS RELATE TO THE RESUSCITATION COUNCIL (UK) RESUSCITATION GUIDELINES 2005

THE FOLLOWING QUESTIONS RELATE TO THE RESUSCITATION COUNCIL (UK) RESUSCITATION GUIDELINES 2005 THE FOLLOWING QUESTIONS RELATE TO THE RESUSCITATION COUNCIL (UK) RESUSCITATION GUIDELINES 2005 1. The guidelines suggest that in out-of-hospital cardiac arrests, attended but unwitnessed by health care

More information

Consider Treatable Underlying Causes Early

Consider Treatable Underlying Causes Early Page 1 of 8 Cardiac Arrest Timeout Checklist Assign roles for Pit Crew CPR o Compressors x 2 o Airway o Lead responsible for coordinating team, making decisions o Medications Continuous compressions at

More information

Pediatric Cardiac Arrest General

Pediatric Cardiac Arrest General Date: November 15, 2012 Page 1 of 5 Pediatric Cardiac Arrest General This protocol should be followed for all pediatric cardiac arrests. If an arrest is of a known traumatic origin refer to the Dead on

More information

THE EVIDENCED BASED 2015 CPR GUIDELINES

THE EVIDENCED BASED 2015 CPR GUIDELINES SAUDI HEART ASSOCIATION NATIONAL CPR COMMITTEE THE EVIDENCED BASED 2015 CPR GUIDELINES (EXECUTIVE SUMMARY) Page 1 FORWARD Since 2000, the International Liaison Committee on Resuscitation (ILCOR) has published

More information

MICHIGAN. State Protocols

MICHIGAN. State Protocols MICHIGAN State Protocols Protocol Number 5.1 5.2 5.3 5.4 5.5 Protocol Name Adult Cardiac Table of Contents General Cardiac Arrest Bradycardia Tachycardia Pulmonary Edema/CHF Chest Pain/Acute Coronary Syndrome

More information

CARDIAC ARREST GENERAL CONSIDERATION

CARDIAC ARREST GENERAL CONSIDERATION CARDIAC ARREST GENERAL CONSIDERATION A. Age delineation: Infant CPR guidelines apply to victims less than one year of age; Child CPR guidelines apply to victims one year of age to the onset of adolescence

More information

European Resuscitation Council

European Resuscitation Council European Resuscitation Council Objectives To know basic elements to evaluate patients with rythm disturbance To know advanced treatment of paediatric cardiac arrest To know emergency treatment of most

More information

Traumatic Cardiac Arrest Protocol

Traumatic Cardiac Arrest Protocol Traumatic Cardiac Arrest Protocol Background: Major Trauma continues to be the leading worldwide cause of death in young adults. Mortality remains high but there are reports of good neurological outcomes

More information

Nassau Regional Emergency Medical Services. Advanced Life Support Pediatric Protocol Manual

Nassau Regional Emergency Medical Services. Advanced Life Support Pediatric Protocol Manual Nassau Regional Emergency Medical Services Advanced Life Support Pediatric Protocol Manual 2014 PEDIATRIC ADVANCED LIFE SUPPORT PROTOCOLS TABLE OF CONTENTS Approved Effective Newborn Resuscitation P 1

More information

The ALS Algorithm and Post Resuscitation Care

The ALS Algorithm and Post Resuscitation Care The ALS Algorithm and Post Resuscitation Care CET - Ballarat Health Services Valid from 1 st July 2018 to 30 th June 2020 2 Defibrillation Produces simultaneous mass depolarisation of myocardial cells

More information

2

2 1 2 3 4 5 6 7 8 Please check regional policy on Tetracaine and Morgan Lens this may be optional in your region. *Ketamine and Fentanyl must be added to your controlled substance license if required by

More information

Cardiac Arrest & Therapeutic Hypothermia. Continuing Education May 2012

Cardiac Arrest & Therapeutic Hypothermia. Continuing Education May 2012 Continuing Education May 2012 Cardiac Arrest & Therapeutic Hypothermia Questions/comments on this CE are welcome and should be directed to: Diana Neubecker RN BSN PM NWC EMSS In-Field Coordinator dneubecker@nch.org

More information

table of contents pediatric treatment guidelines

table of contents pediatric treatment guidelines table of contents pediatric treatment guidelines P1 PEDIATRIC PATIENT CARE...70 P2 APPARENT LIFE-THREATENING EVENT (ALTE)...71 P3 CARDIAC ARREST INITIAL CARE AND CPR...72 73 P4 NEONATAL CARE AND RESUSCITATION...74

More information

SUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC

SUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC SUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC The following is a summary of the key issues and changes in the AHA 2010 Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac

More information

ADVANCED LIFE SUPPORT

ADVANCED LIFE SUPPORT ANSWERS IN ITALICS WITH REFERENCES 1. The guidelines suggest that in out-of-hospital cardiac arrests, attended but unwitnessed by health care professionals equipped with a manual defibrillator, the providers

More information

Cardiopulmonary Resuscitation in Adults

Cardiopulmonary Resuscitation in Adults Cardiopulmonary Resuscitation in Adults Fatma Özdemir, MD Emergency Deparment of Uludag University Faculty of Medicine OVERVIEW Introduction Pathophysiology BLS algorithm ALS algorithm Post resuscitation

More information

Adult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular

Adult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Adult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care 1 DR. Alireza Abootalebi Assistant Professor Of

More information

Level 5 Paramedic Primary Skills

Level 5 Paramedic Primary Skills Title: Paramedic Primary Assessment Sheets V-4 Page: 1 of 15 Owner: LD Approved by: Examination Quality Group Approval date: March 2017 PHECC National Qualification in Emergency Medical Technology (NQEMT)

More information

Prehospital Resuscitation for the 21 st Century Simulation Case. VF/Asystole

Prehospital Resuscitation for the 21 st Century Simulation Case. VF/Asystole Prehospital Resuscitation for the 21 st Century Simulation Case VF/Asystole Case History 1 (hypovolemic cardiac arrest secondary to massive upper GI bleed) 56 year-old male patient who fainted in the presence

More information

Summary of the main changes in the Resuscitation Guidelines ERC GUIDELINES 2015

Summary of the main changes in the Resuscitation Guidelines ERC GUIDELINES 2015 Summary of the main changes in the Resuscitation Guidelines ERC GUIDELINES 2015 Published by: European Resuscitation Council vzw, Emile Vanderveldelaan 35, 2845 Niel, Belgium Website: www.erc.edu Email:

More information

Intensive Care Paramedic

Intensive Care Paramedic Doc Control Ref: TEM-003 Version 2.0 (Admin use only) Version no: (Admin use only) Effective Date: (Admin use only) 1. Principle Post-return of spontaneous circulation (ROSC) management is an important

More information

ACLS Prep. Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep.

ACLS Prep. Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep. November, 2013 ACLS Prep Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep. ACLS Prep Preparation is key to a successful ACLS experience.

More information

Adrenaline 1mg in 10mL (1:10,000) Pre-filled syringe 3 Amiodarone 300mg/10mL Pre-filled syringe 5

Adrenaline 1mg in 10mL (1:10,000) Pre-filled syringe 3 Amiodarone 300mg/10mL Pre-filled syringe 5 Quick Reference Guide for: Cardiac Arrest Medicines Box (BLUE) Please Note: Any medicines given must form part of an Airway, Breathing, Circulation, Disability and Exposure (ABCDE) Assessment (9)999 must

More information

Insight. Resuscitation Guidelines Summary of Key Changes

Insight. Resuscitation Guidelines Summary of Key Changes Insight Resuscitation Guidelines 2015 - Summary of Key Changes Introduction Our 2020 Vision is to help save 500,000 more lives every year and therefore it seems fitting that we should help disseminate

More information

1 Pediatric Advanced Life Support Science Update What s New for 2010? 3 CPR. 4 4 Steps of BLS Survey 5 CPR 6 CPR.

1 Pediatric Advanced Life Support Science Update What s New for 2010? 3 CPR. 4 4 Steps of BLS Survey 5 CPR 6 CPR. 1 Pediatric Advanced Life Support Science Update 2010 2 What s New for 2010? 3 CPR Take no longer than seconds for pulse check Rate at least on per minute (instead of around 100 per minute ) Depth change:

More information

Cardiac arrest simulation teaching (CASTeach) session

Cardiac arrest simulation teaching (CASTeach) session Cardiac arrest simulation teaching (CASTeach) session Instructor guidance Key learning outcomes Overall aim: Scenarios should be facilitated by the Instructor in such a way that they are performed correctly.

More information

COUNTY OF SACRAMENTO EMERGENCY MEDICAL SERVICES AGENCY

COUNTY OF SACRAMENTO EMERGENCY MEDICAL SERVICES AGENCY COUNTY OF SACRAMENTO EMERGENCY MEDICAL SERVICES AGENCY Document # 8024.31 PROGRAM DOCUMENT: Initial Date: 10/26/94 Cardiac Dysrhythmias Last Approval Date: 11/01/16 Effective Date: 11/01/18 Next Review

More information

Simulation 15: 51 Year-Old Woman Undergoing Resuscitation

Simulation 15: 51 Year-Old Woman Undergoing Resuscitation Simulation 15: 51 Year-Old Woman Undergoing Resuscitation Flow Chart Flow Chart Opening Scenario Section 1 Type: DM Arrive after 5-6 min in-progress resuscitation 51 YO female; no pulse or BP, just received

More information

INFORMAL COPY WHEN PRINTED

INFORMAL COPY WHEN PRINTED Doc Control Ref: TEM-003 Version 2.0 (Admin use only) Version no: (Admin use only) Effective Date: (Admin use only) 1. Principle Post-return of spontaneous circulation (ROSC) management is an important

More information

Advanced Life Support. Algorithm. Learning outcomes. Shockable rhythms (VF/VT) Introduction. Treatment of shockable rhythms (VF/VT) CHAPTER

Advanced Life Support. Algorithm. Learning outcomes. Shockable rhythms (VF/VT) Introduction. Treatment of shockable rhythms (VF/VT) CHAPTER CHAPTER Advanced Life Support 6 Algorithm Learning outcomes To understand: The function of the advanced life support (ALS) algorithm The importance of minimally interrupted high quality chest compressions

More information

Traumatic Cardiac Arrest

Traumatic Cardiac Arrest HELICOPTER OPERATING PROCEDURE Traumatic Cardiac Arrest HOP No: C/06 Issued: April 2013 Page: 1 of 5 Revision No: 2 TRIM No: 09/300 Document No: D13/5679 Distribution: Sydney X Illawarra X Orange X Helicopter

More information

CAPNOGRAPHY. 1.1 To set forth the policy and procedure for performing continuous end-tidal waveform capnography.

CAPNOGRAPHY. 1.1 To set forth the policy and procedure for performing continuous end-tidal waveform capnography. OFFICE OF MEDICAL AFFAIRS DIRECTIVE 2009-02 CAPNOGRAPHY 1. PURPOSE 1.1 To set forth the policy and procedure for performing continuous end-tidal waveform capnography. 2. SCOPE 2.1 This procedure applies

More information

HealthCare Training Service

HealthCare Training Service HealthCare Training Service Advanced Life Support Exam Time: Perusal Time: 20 minutes 5 minutes Total Marks: 25 Instructions: Read each question carefully. Using a pencil, record your response to each

More information

Johnson County Emergency Medical Services Page 23

Johnson County Emergency Medical Services Page 23 Non-resuscitation Situations: Resuscitation should not be initiated in the following situations: Prolonged arrest as evidenced by lividity in dependent parts, rigor mortis, tissue decomposition, or generalized

More information

Pediatric Resuscitation

Pediatric Resuscitation Pediatric Resuscitation Section 24 Pediatric Cardiac Arrest Protocol The successful resuscitation of a child in cardiac arrest is dependent of a systematic approach of initiating life-saving CPR, recognition

More information

ITLS Pediatric Provider Course Advanced Pre-Test

ITLS Pediatric Provider Course Advanced Pre-Test ITLS Pediatric Provider Course Advanced Pre-Test 1. You arrive at the scene of a motor vehicle crash and are directed to evaluate a child who was in one of the vehicles. The patient appears to be a child

More information

Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket

Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket BLS BASICS: Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket facemask or AMBU bag) Adults call it in, start CPR, get AED Child CPR First, Phone call second

More information

San Benito County EMS Agency Section 700: Patient Care Procedures

San Benito County EMS Agency Section 700: Patient Care Procedures Purpose: To outline the steps EMTs & paramedics will take to manage possible life threats in any child or adult patient they encounter. This policy is in effect for all treatment protocols & is to be referred

More information

ADULT TREATMENT GUIDELINES

ADULT TREATMENT GUIDELINES A1 Adult Patient Care A2 Chest Pain / Suspected ACS A3 Cardiac Arrest Initial Care and CPR A4 Ventricular Fibrillation / Ventricular Tachycardia A5 PEA / Asystole A6 Symptomatic Bradycardia A7 Ventricular

More information

Pediatric CPR. Mustafa SERİNKEN MD Professor of Emergency Medicine, Pamukkale University, TURKEY

Pediatric CPR. Mustafa SERİNKEN MD Professor of Emergency Medicine, Pamukkale University, TURKEY Pediatric CPR Mustafa SERİNKEN MD Professor of Emergency Medicine, Pamukkale University, TURKEY What are the differences? Normal limits ADULT CARDIOPULMONARY ARREST CAUSES INFANTS AND CHILDREN İschemic

More information

Pediatric advanced life support. Management of decreased conscious level in children. Virgi ija Žili skaitė 2017

Pediatric advanced life support. Management of decreased conscious level in children. Virgi ija Žili skaitė 2017 Pediatric advanced life support. Management of decreased conscious level in children Virgi ija Žili skaitė 2017 Life threatening conditions: primary assessment, differential diagnostics and emergency care.

More information

Advanced Cardiac Life Support G 2010

Advanced Cardiac Life Support G 2010 Advanced Cardiac Life Support G 2010 Produced by the Advanced Cardiac Life Support Council of the Irish Heart Foundation March 2012 Introduction: The Arrhythmia and ACLS Councils of the Irish Heart Foundation

More information

Outline of the 2005 European Resuscitation Council Guidelines

Outline of the 2005 European Resuscitation Council Guidelines Practice Guidelines Launch Outline of the 2005 European Resuscitation Council Guidelines Mary Rose Cassar, Diane Tabone Introduction Resuscitation guidelines are revised and updated about every 5 years

More information

Medical First Responder Program Protocols

Medical First Responder Program Protocols Medical Scene Safety Protocol Verify Scene Safety with Police or Dispatch UNKWN Scene Safe? Enter Continue to Appropriate Protocol Possible to Make Safe Make Safe Then Continue Exit Area and Stage Outside

More information

THE EVIDENCED BASED 2015 CPR GUIDELINES

THE EVIDENCED BASED 2015 CPR GUIDELINES SAUDI HEART ASSOCIATION NATIONAL CPR COMMITTEE THE EVIDENCED BASED 2015 CPR GUIDELINES Page 1 Chapter 3 ACLS AND SPECIAL SITUATIONS CHAPTER The International Liaison Committee on Resuscitation (ILCOR)

More information

ANZCOR Guideline 11.2 Protocols for Adult Advanced Life Support

ANZCOR Guideline 11.2 Protocols for Adult Advanced Life Support ANZCOR Guideline 11.2 Protocols for Adult Advanced Life Support Summary Who does this guideline apply to? This guideline applies to adults who require advanced life support (ALS). Who is the audience for

More information

Michigan Adult Cardiac Protocols TABLE OF CONTENTS

Michigan Adult Cardiac Protocols TABLE OF CONTENTS Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Asystole Section 2-1 Bradycardia Section 2-2 Cardiac Arrest General Section 2-3 Cardiac Arrest ROSC Section 2-4 Chest Pain Acute Coronary Syndrome

More information

What works? What doesn t? What s new? Terry M. Foster, RN

What works? What doesn t? What s new? Terry M. Foster, RN What works? What doesn t? What s new? Terry M. Foster, RN 2016 Changes Updated every 5 years Last update was 2010 All recommendations have been heavily researched with studies involving large number of

More information

Restore adequate respiratory and circulatory conditions. Reduce pain

Restore adequate respiratory and circulatory conditions. Reduce pain Pre-hospital management of the trauma patient is best performed by an integrated team focused on minimizing the time from injury to definitive care at an appropriate trauma center. Dispatchers, first responders,

More information

2015 AHA Guidelines: Pediatric Updates

2015 AHA Guidelines: Pediatric Updates 2015 AHA Guidelines: Pediatric Updates Advances in Pediatric Emergency Medicine December 9, 2016 Karen O Connell, MD, MEd Associate Professor of Pediatrics and Emergency Medicine Emergency Medicine and

More information

Management of Cardiac Arrest Based on : 2010 American Heart Association Guidelines

Management of Cardiac Arrest Based on : 2010 American Heart Association Guidelines Management of Cardiac Arrest Based on : 2010 American Heart Association Guidelines www.circ.ahajournals.org Elham Pishbin. M.D Assistant Professor of Emergency Medicine MUMS C H E S Advanced Life Support

More information

Drips requiring OLMC. Adult Amiodarone Drip Dose is mg/min

Drips requiring OLMC. Adult Amiodarone Drip Dose is mg/min Step 1 Drips requiring OLMC Adult Amiodarone Drip Dose is 0.5-1 mg/min Determine Concentration Step 2 Determine Rate Mix 90 mg (1.8 ml) of Amiodarone in 50 ml NS (must use 60 drop set) Dose in mg/min 0.5

More information

Preparing for your upcoming PALS course

Preparing for your upcoming PALS course IU Health PALS Study Guide Preparing for your upcoming PALS course UPDATED November 2016 Course Curriculum: 2015 American Heart Association (AHA) Guidelines for Pediatric Advanced Life Support (PALS) AHA

More information

PEDIATRIC TREATMENT GUIDELINES - CARDIAC VENTRICULAR FIBRILLATION - PULSELESS VENTRICULAR TACHYCARDIA (SJ-PO1) effective 05/01/02

PEDIATRIC TREATMENT GUIDELINES - CARDIAC VENTRICULAR FIBRILLATION - PULSELESS VENTRICULAR TACHYCARDIA (SJ-PO1) effective 05/01/02 PEDIATRIC TREATMENT GUIDELINES - CARDIAC VENTRICULAR FIBRILLATION - PULSELESS VENTRICULAR TACHYCARDIA (SJ-PO1) effective 05/01/02 Revision #5 04/19/02 Identify Dysrhythmia DEFIBRILLATE: 2 J/kg, 4 J/kg,

More information

A silent chest is. Pediatrics II Asthma, seizures and cardiac arrest. Children are different. Cough variant asthma. Symptoms of severe distress

A silent chest is. Pediatrics II Asthma, seizures and cardiac arrest. Children are different. Cough variant asthma. Symptoms of severe distress Asthma ~21% of all asthma cases are school aged Pediatrics II Asthma, seizures and cardiac arrest Identify 3 symptoms of an asthma exacerbation Bronchospasm Edema of the bronchi Increased mucus production

More information

CARDIAC ARREST IN SPECIAL CIRCUMSTANCES 2

CARDIAC ARREST IN SPECIAL CIRCUMSTANCES 2 CARDIAC ARREST IN SPECIAL CIRCUMSTANCES 2 M1 Objectives To understand how resuscitation techniques should be modified in the special circumstances of: Hypothermia Immersion and submersion Poisoning Pregnancy

More information

Supplemental Digital Content 1. Simulation scenarios and critical action checklist for debriefing

Supplemental Digital Content 1. Simulation scenarios and critical action checklist for debriefing Supplemental Digital Content 1. Simulation scenarios and critical action checklist for debriefing Simulation Scenario #1 I. Title (ACS)-VF-Asystole-ROSC II. Target learner 6-7 medical students per team

More information

PALS Review 2015 Guidelines

PALS Review 2015 Guidelines PALS Review 2015 Guidelines BLS CPR BLS CPR changed in 2010. The primary change is from the ABC format to CAB. 1. Scene Safety 2. Establish Unresponsiveness 3. Check for breathing if absent or agonal (No

More information

SAFE approach. Unresponsive? Shout or call for help. Open Airway. Not Breathing normally? 30 chest compressions. 2 rescue breaths

SAFE approach. Unresponsive? Shout or call for help. Open Airway. Not Breathing normally? 30 chest compressions. 2 rescue breaths Basic Life Support Dial 2222 Chin lift, head tilt jaw thrust Look, listen, feel For 10 seconds Rate 100/min *Lateral tilt* SAFE approach Unresponsive? Shout or call for help Open Airway Not Breathing normally?

More information

Medical NREMT-PTE. NREMT Paramedic Trauma Exam.

Medical NREMT-PTE. NREMT Paramedic Trauma Exam. Medical NREMT-PTE NREMT Paramedic Trauma Exam https://killexams.com/pass4sure/exam-detail/nremt-pte Question: 41 Which of the following most accurately describes the finding of jugular venous distension

More information

MEDICAL KIT - ALGORITHMS

MEDICAL KIT - ALGORITHMS MEDICAL KIT - ALGORITHMS Page 2 : BRONCHOSPASM / ASTHMA Page 3 : TENSION PNEUMOTHORAX Page 4 : Page 5 : Page 6 : CONGESTIVE HEART FAILURE/ PULMONARY EDEMA ANAPHYLACTIC SHOCK / ALLERGIC REACTION ANGINA

More information

ABCDE HOW TO RECOGNISE AND TREAT THE SERIOUSLY ILL CHILD

ABCDE HOW TO RECOGNISE AND TREAT THE SERIOUSLY ILL CHILD ABCDE HOW TO RECOGNISE AND TREAT THE SERIOUSLY ILL CHILD A B C D E Possible Problems Airway obstruction Partial or complete Foreign body Secretions/blood/vomit Infection Swelling e.g. anaphylaxis trauma

More information

Utah EMS Protocol Guidelines: Cardiac

Utah EMS Protocol Guidelines: Cardiac Utah EMS Protocol Guidelines: Cardiac Version 1 / November 1, 2013 Cardiac Patient Care Guidelines These guidelines were created to provide direction for each level of certified provider in caring for

More information

Resuscitation policy. Document Author: Lead Paramedic for Clinical Development

Resuscitation policy. Document Author: Lead Paramedic for Clinical Development Resuscitation policy Document Author: Lead Paramedic for Clinical Development Date Approved: April 2018 1 Document Reference Resuscitation policy Version V:6.0 Responsible Committee Clinical Governance

More information

Paediatric Advanced Life Support SUPERSEDED

Paediatric Advanced Life Support SUPERSEDED Paediatric Advanced Life Support Introduction There is concern that resuscitation from cardiac arrest is not performed as well as it might because the variations in guidelines for different age groups

More information

Chain of Survival. Highlights of 2010 American Heart Guidelines CPR

Chain of Survival. Highlights of 2010 American Heart Guidelines CPR Highlights of 2010 American Heart Guidelines CPR Compressions rate of at least 100/min. allow for complete chest recoil Adult CPR depth of at least 2 inches Child/Infant CPR depth of 1/3 anterior/posterior

More information

Pediatric Trauma Care

Pediatric Trauma Care 2013 Standard Trauma Care Procedures (Pediatric) Traumatic injuries require prompt care and transportation. Always suspect cervical injury. Note the mechanism of injury and any other condition that may

More information

MICHIGAN. Table of Contents. State Protocols. General Treatment Protocols

MICHIGAN. Table of Contents. State Protocols. General Treatment Protocols MICHIGAN State Protocols General Treatment Protocols Table of Contents Protocol Number Protocol Name 1.1 General Pre-hospital Care: Regional Protocol 1.2 Abdominal Pain 1.3 Nausea and Vomiting: Regional

More information

Resuscitation efforts for Mom & Baby

Resuscitation efforts for Mom & Baby Resuscitation efforts for Mom & Baby Beth Ann Clayton, CRNA, MS AmSol Obstetric Anesthesia CRNA Educator Obstetric Anesthesia Clinical Coordinator Mercy Health-Fairfield Hospital Assistant Professor, University

More information

Cardiac Arrest Guidelines Trauma Resuscitation Guidelines Prehospital Resuscitation Guidelines

Cardiac Arrest Guidelines Trauma Resuscitation Guidelines Prehospital Resuscitation Guidelines Resuscitation Guidelines Chapter 49 Resuscitation Guidelines NICHOLAS T. Tarmey, FRCA,* and R. Scott Frazer, FFARCSI INTRODUCTION EXISTING GUIDELINES Cardiac Arrest Guidelines Trauma Resuscitation Guidelines

More information

Advanced Cardiac Life Support ACLS

Advanced Cardiac Life Support ACLS Essential Medical Training, LLC Providing Quality, Professional Training Advanced Cardiac Life Support ACLS Course Study Guide and Agenda 772-781-9249 office 772-382-0607 fax Email: treasurecoastcpr@gmail.com

More information

Updated Policies and Procedures # s 606, 607, 610, 611, 612, 613, 625, 628, 630, 631, and 633 (ACLS Protocols and Policies)

Updated Policies and Procedures # s 606, 607, 610, 611, 612, 613, 625, 628, 630, 631, and 633 (ACLS Protocols and Policies) SLO County Emergency Medical Services Agency Bulletin 2012-09 PLEASE POST Updated Policies and Procedures # s 606, 607, 610, 611, 612, 613, 625, 628, 630, 631, and 633 (ACLS Protocols and Policies) July

More information

Asystole / PEA (PEDIATRIC)

Asystole / PEA (PEDIATRIC) FRRCKSBURG MS Asystole / A (ATRC) 1 Check for Responsiveness Check for Breathing Check for Carotid ulse nitiate CR o As soon as a mechanical external compression device (i.e. Lucas 2) (rocedure 11) becomes

More information

ITLS Pediatric Provider Course Basic Pre-Test

ITLS Pediatric Provider Course Basic Pre-Test ITLS Pediatric Provider Course Basic Pre-Test 1. You arrive at the scene of a motor vehicle collision and are directed to evaluate a child who was in one of the vehicles. The patient appears to be a child

More information

Paediatric Advanced Life Support

Paediatric Advanced Life Support Paediatric Advanced Life Support CNHE- Ballarat Health Services Valid from 1 st March 2016 to 31 st June 2018 1 Pathways leading to cardiac arrest in childhood 2 Age Groups Neonate: Newborn - 28days Infant:

More information

Checklist 3: Transporting a Patient in Cardiac Arrest

Checklist 3: Transporting a Patient in Cardiac Arrest Checklist 3: Transporting a Patient in Cardiac Arrest The procedures surrounding the transport of a patient in cardiac arrest are complex and it is important for Paramedics to understand the impact on

More information

Don t let your patients turn blue! Isn t it about time you used etco 2?

Don t let your patients turn blue! Isn t it about time you used etco 2? Don t let your patients turn blue! Isn t it about time you used etco 2? American Association of Critical Care Nurses National Teaching Institute Expo Ed 2013 Susan Thibeault MS, CRNA, APRN, CCRN, EMT-P

More information