Resuscitation For Cardiac Arrest

Abstract

The cornerstone of resuscitation is effective chest compressions with minimal interruptions
• compress at 100 per minute
• compress to at least 5 cm depth
• 30 compressions : 2 ventilations
• rotate rescuers to avoid fatigue

Consider alternatives to endotracheal intubation in order to minimise interruption to chest compression

Avoid hyperventilation

Consider End-Tidal CO2 monitoring during resuscitation

Defibrillation
• single-shock strategy
• charge the defibrillator during chest compressions
• minimise interruptions to chest compressions

Obtain intraosseous access where intravenous access is impossible

Adrenaline and amiodarone remain the only routine medications. Atropine is no longer recommended

Consider bedside ultrasound to assess for reversible causes and to detect cardiac standstill

Post-resuscitation care
• avoid hypoxaemia and hyperoxaemia institute therapeutic hypothermia where indicated