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IV access/fluids/ Rx to manage BP & rhythms. If PETCO2 < 10 mmHg: NEED to improve CPR. MONITOR with Quantitative waveform capnography: Give oxygen to maintain O2 Sat> 94% on Pulse ox.Ī. MONITOR airway placement with Quantitative waveform capnography.Ī. Provide support use of artificial airways (OPA/ NPA)Į. Open the airway with tilt-chin lift, OPA or NPA.ĭ. A: AIRWAY is MAINTAINED, CONFIRMED, SECURED.Ī. START RESCUE BREATHING -> With BAG-MASK OR ADVANCE AIRWAY DEVICE -> PROVIDE 1 breath per 5-6 sec -> 10 -12 breaths per min-> Check Pulse q2 min. Respirations absent /inadequate for oxygenation

Look for reversible causes /contributing factors & TX.ġ. Attach ECG leads: Id & Tx arrhythmias -> use AED. Obtain IV access: giving fluids if needed. Monitor adequacy of ventilation and oxygenation. Give bag-mask ventilation, provide supplemental oxygen, and avoid excessive ventilation. Confirm THE of placement of an advanced airway & Maintain airway and use advanced airway if needed. If (-) pulse: START (30:2) CPR: "CAB sequence" + Check for a shockable rhythm with the AED -> Follow the instructions provided by the AED or Begin ACLS SURVEY ABCD & Protocol.

Check for a carotid pulse x 5-10 seconds. (2) Activate the emergency response system: Scan x 5-10 sec for absent or abnormal breathing: Silent atrial fibrillation (subclinical AF), more frequently known as AHRE (atrial heart rhythm episodes), is a non-symptomatic, repetitive tachyarrhythmia of short duration (e.g., minutes), especially occurring in patients with electronic cardiac devices (PM, CRT, ICD). By tapping and shouting, "Are you all right?" The BLS Survey is the first 4 steps that you will take when treating ANY emergency situation: FUNDAMENTAL to every ACLS Algorithm is the BLS survey.