Confirm unresponsiveness and absence of breathing or abnormal breathing
2
Call code or alert emergency response system
3
Check pulse no more than 10 sec
4
Start chest compressions
5
Provide initial 2 breaths
6
Continue cycles of CPR
7
Retrieve and set up manual or AED defibrillator
8
Analyze rhythm with team members
9
Approval: Rhythm Analysis
10
If shockable rhythm, charge device
11
Clear patient and deliver shock
12
Immediate post-shock CPR beginning with chest compressions
13
Administer appropriate medication
14
Continue CPR while re-assessing rhythm every 2 minutes
15
Approval: Medication Administration
16
If no ROSC, consider and correct reversible causes
17
If ROSC, initiate post-cardiac arrest care
Confirm unresponsiveness and absence of breathing or abnormal breathing
Confirm if the person is unresponsive and not breathing or breathing abnormally. This task is crucial as it helps determine the need for immediate intervention. The desired result is to accurately assess the person's condition. Remember to check for gasping or abnormal breathing patterns. In case of any doubts, consider it an abnormal breathing pattern. If needed, perform a detailed assessment of breathing. Are you able to confirm unresponsiveness and absence of breathing or abnormal breathing?
1
No
2
Yes
Call code or alert emergency response system
Activate the code or alert the emergency response system to ensure rapid assistance arrives. The task's role is to notify the designated response team or individuals responsible for initiating the ACLS protocol. The desired result is a timely response and arrival of the emergency medical team. Who will you call or alert?
Check pulse no more than 10 sec
Check the person's pulse within 10 seconds to determine the presence or absence of a pulse. This task plays a vital role in assessing the person's cardiac activity. The desired result is an accurate assessment of pulse. Remember to check for at least 2 major sites. Which sites did you check for the pulse?
1
Carotid
2
Femoral
3
Radial
4
Brachial
5
Dorsalis Pedial
Start chest compressions
Initiate chest compressions to provide essential circulation during cardiac arrest. This task is crucial as it helps maintain oxygen and nutrient delivery to vital organs. The desired result is the prompt initiation of high-quality chest compressions. The key challenge might be maintaining the appropriate compression depth and rate. How will you ensure high-quality chest compressions?
1
At least 2 inches
2
At least 2.4 inches
3
At least 2.8 inches
4
At least 3 inches
5
At least 3.5 inches
1
100-120 compressions per minute
2
110-130 compressions per minute
3
120-140 compressions per minute
4
130-150 compressions per minute
5
140-160 compressions per minute
1
Two-finger technique
2
Two-thumb-encircling hands technique
3
Hand-over-hand technique
4
Two-hand technique
5
Undetermined
Provide initial 2 breaths
Provide an initial 2 breaths to deliver oxygen to the person's lungs. This task is important for gas exchange and reoxygenation. The desired result is the prompt and effective delivery of breaths. Remember to use appropriate personal protective equipment. How will you ensure a good seal during breath delivery?
1
Mouth-to-mouth
2
Mouth-to-mask with supplemental oxygen
3
Bag-mask ventilation with supplemental oxygen
4
Supraglottic airway device
5
Endotracheal intubation
Continue cycles of CPR
Continue cycles of cardiopulmonary resuscitation (CPR) to maintain circulation and oxygenation during cardiac arrest. This task plays a critical role in sustaining life until advanced cardiac life support interventions are available. The desired result is the provision of continuous and high-quality CPR. Remember to minimize interruptions between compressions and ventilations. How will you ensure minimal interruptions between compressions and ventilations?
1
Ensure synchronized compressions and ventilations
2
Rotate compressor and ventilator roles
3
Use feedback devices for compression and ventilation coordination
4
Undetermined
5
Other
Retrieve and set up manual or AED defibrillator
Retrieve and set up a manual or automated external defibrillator (AED) for the assessment and potential treatment of any shockable rhythms. This task is essential as it ensures the availability of a defibrillator for potential defibrillation. The desired result is the prompt retrieval and preparation of the defibrillator. Remember to follow the manufacturer's instructions for use. Do you have a manual or AED defibrillator?
1
Manual Defibrillator
2
Automated External Defibrillator (AED)
Analyze rhythm with team members
Analyze the person's cardiac rhythm with the assistance of team members to determine the appropriate intervention. This task is crucial as it informs the decision to deliver a shock or continue CPR. The desired result is an accurate assessment of the rhythm for appropriate intervention. Remember to consider any artifacts or interference. Who will help you analyze the rhythm?
Approval: Rhythm Analysis
Will be submitted for approval:
Retrieve and set up manual or AED defibrillator
Will be submitted
Analyze rhythm with team members
Will be submitted
If shockable rhythm, charge device
If a shockable rhythm is identified, charge the defibrillator to the appropriate energy level. This task is essential as it prepares the defibrillator for potential defibrillation. The desired result is the appropriate charging of the defibrillator. Remember to follow the manufacturer's instructions for use. What is the appropriate energy level for charging?
1
120 Joules
2
150 Joules
3
200 Joules
4
250 Joules
5
Undetermined
Clear patient and deliver shock
Ensure the area is clear and deliver the shock using the charged defibrillator. This task is critical as it aims to restore a viable cardiac rhythm through defibrillation. The desired result is the appropriate delivery of a shock. Remember to announce 'clear' before delivering the shock. Have you effectively delivered the shock?
1
Yes
2
No
Immediate post-shock CPR beginning with chest compressions
Immediately resume CPR starting with chest compressions after delivering a shock. This task is crucial to maintain circulation and oxygenation post-defibrillation. The desired result is the prompt resumption of high-quality CPR. Remember to minimize interruptions between compressions and ventilations. How will you minimize interruptions between compressions and ventilations?
1
Ensure synchronized compressions and ventilations
2
Rotate compressor and ventilator roles
3
Use feedback devices for compression and ventilation coordination
4
Undetermined
5
Other
Administer appropriate medication
Administer the appropriate medication based on the person's condition and the healthcare provider's orders. This task is important as it aims to provide targeted pharmacological interventions during cardiac arrest. The desired result is the timely and accurate administration of medications. Remember to follow the medication dosages and administration protocols. Which medication will you administer?
1
Epinephrine
2
Amiodarone
3
Lidocaine
4
Atropine
5
Undetermined
Continue CPR while re-assessing rhythm every 2 minutes
Continue CPR while re-assessing the person's cardiac rhythm every 2 minutes to determine the need for defibrillation or other interventions. This task is crucial as it helps monitor the effectiveness of interventions and guides decision-making. The desired result is the continuous assessment of rhythm and prompt intervention when needed. Remember to minimize interruptions between compressions and ventilations. How will you minimize interruptions between compressions and ventilations?
1
Ensure synchronized compressions and ventilations
2
Rotate compressor and ventilator roles
3
Use feedback devices for compression and ventilation coordination
4
Undetermined
5
Other
Approval: Medication Administration
Will be submitted for approval:
Administer appropriate medication
Will be submitted
If no ROSC, consider and correct reversible causes
If the person does not achieve return of spontaneous circulation (ROSC), consider and address any reversible causes during resuscitation efforts. This task is important as it aims to identify and rectify any correctable factors contributing to the cardiac arrest. The desired result is the recognition and appropriate management of reversible causes. Remember to consider the H's and T's. Which reversible causes will you consider?
1
Hypovolemia
2
Hypoxia
3
Hydrogen Ion (Acidosis)
4
Hyper-/Hypokalemia
5
Hypothermia
6
Tension Pneumothorax
7
Tamponade (Cardiac)
8
Toxins
9
Thrombosis (Pulmonary Embolism)
10
Thrombosis (Myocardial Infarction)
If ROSC, initiate post-cardiac arrest care
If the person achieves return of spontaneous circulation (ROSC), initiate post-cardiac arrest care to optimize outcomes. This task is critical as it focuses on stabilizing the person and preventing further complications. The desired result is the prompt initiation of comprehensive post-cardiac arrest care. Remember to manage the ABCDEs. What post-cardiac arrest care measures will you initiate?
