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RESUSCITATION COUNCIL (UK)

ADVANCED LIFE SUPPORTPROVIDER COURSE

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Cardiovascular Disease

In Europe cardiovascular disease

accounts for 40% of all deaths < 75 years

One third of all people developing an MI

die before reaching hospital

Presenting rhythm in most of these cases

is VF/VT

In-hospital cardiac arrest more likely non-

VF/VT

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Chain of Survival

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Cardiac ArrestUnresponsive?

Not breathing or only occasional gasps

BLS Algorithm if appropriate

Attach Defib-Monitor

Assess

Rhythm

VF/VT Non-VF/VT

Defibrillate X 1as necessary

CPR 2 minCPR 2 min

During CPRCorrect reversible causes

If not already:

check electrodes, paddle position and

contactattempt / verify airway & O2

i.v. access

give epinephrine every 3 min

Consider:

amiodarone, atropine / pacing buffers

Potential reversible causes:

HypoxiaHypovolaemiaHypo/hyperkalaemia & metabolic disorders

Hypothermia

Tension pneumothorax

Tamponade

Toxic/therapeutic disordersThrombo-embolic & mechanical obstruction

Universal ALS

Algorithm