Advanced Life Support (ALS)

Continue uninterrupted chest compressions while applying chest pads (until ready for a rhythm check).

  • Call “Compressions continue – stand clear” as you charge defibrillator and remove free-flowing oxygen (and confirm all but compressor are standing clear)
  • Once charged, call “hands off” (rescuer stands clear and places both hands in the air making eye contact and saying “I’m safe“)
  • Confirm / check rhythm ⇒ ± 200 J shock ideally within 5 seconds

Immediately resume chest compressions (30:2 for 2 minutes). Do not interrupt compressions until rhythm check (unless obvious signs of ROSC).

  • Call “Compressions continue – stand clear” as you charge defibrillator and remove free-flowing oxygen (and confirm all but compressor are standing clear)
  • Once charged, call “hands off” (rescuer stands clear and places both hands in the air making eye contact and saying “I’m safe“)
  • Confirm / check rhythm ⇒ ± 360 J shock ideally within 5 seconds

Immediately, give adrenaline 1 mg and continue uninterrupted chest compressions (30:2 for 2 minutes) until rhythm check (unless obvious signs of ROSC).

  • Call “Compressions continue – stand clear” as you charge defibrillator and remove free-flowing oxygen (and confirm all but compressor are standing clear)
  • Once charged, call “hands off” (rescuer stands clear and places both hands in the air making eye contact and saying “I’m safe“)
  • Confirm / check rhythm ⇒ ± 360 J shock ideally within 5 seconds

Immediately, give amiodarone 300 mg and continue uninterrupted chest compressions (30:2 for. 2 minutes) until rhythm check (unless obvious signs of ROSC).


Reference

ARC Advanced Life Support Level1: Intermediate Life Support, 3rd Edition, Australian Edition – Resuscitation Council (UK)

 

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