Adult Cardiac Arrest Algorithm

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Adult Cardiac Arrest Algorithm- 2015 Update

Verify scene safety.

Victim is unresponsive.
Shout for nearby help.
Activate emergency response system
via mobile device (if appropriate).
Get AED and emergency equipment
(or send someone to do so).

Normal
Look for no
Monitor until breathing
breathing or only
emergency gasping
responders arrive. Within 10 seconds?

By this time in all scenarios,


emergency response system or
backup is activated, and AED and
emergency equipment are
retrieved or someone is
retrieving them.
CPR
Begin cycle of 30 compressions
and 2 breaths.
Use AED as soon as it is available.

AED arrives.

Check rhythm.
Shockable rhythm?
Yes, No,
shockable nonshockable

Give 1 shock. Resume CPR Resume CPR immediately for about


immediately for about 2 minutes 2 minutes (until prompted by AED
(until prompted by AED to allow to allow rhythm check).
rhythm check). Continue until ALS provides take
Continue until ALS providers take over or victim starts to move.
over or victim starts to move.

© 2020 American Heart Association


Pediatric Cardiac Arrest Algorithm for the Single Rescuer – 2015

Verify scene safety.

Victim is unresponsive.
Shout for nearby help.
Activate emergency response system via
mobile device (if appropriate)

Activate emergency
response system Normal Look for no
(if not already done). breathing breathing or only
Return to victim and gasping within 10
monitor until seconds?
emergency
responders arrive. No breathing
or only gasping

Activate emergency
Witnessed Yes
response system (if not
sudden collapse? done), and retrieve AED/
No defibrillator.

CPR
1 rescuer: begin cycles of 30
compressions and 2 breaths.
(use 15:2 ratio if second rescuer
arrives.)
Use AED as soon as it is available.

After about 2 minutes, if still alone, activate


emergency response system and retrieve AED
(if not already done.)

AED analyzes rhythm.


Shockable rhythm?
Yes, No,
shockable nonshockable

Give 1 shock. Resume CPR immediately Resume CPR immediately for about 2
for about 2 minutes (until prompted by minutes (until prompted by AED to allow
AED to allow rhythm check). rhythm check).
Continue until ALS providers take over or Continue until ALS provides take over or
victim starts to move. victim starts to move.

© 2020 American Heart Association


BLS
Adult Cardiac Arrest Algorithm for 2 or More Rescuers – 2015
Verify scene safety.

Victim is unresponsive.
Shout for nearby help.
First rescuer remains with victim.
Second rescuer activates emergency
response system and retrieves AED
and emergency equipment.

Normal
breathing Look for no
Monitor until
breathing or only
emergency
gasping
responders arrive.
Within 10 seconds?

No breathing or
only gasping

CPR
First rescuer begins CPR with 30:2 ratio
(compressions to breaths.)
When second rescuer returns, use 15:2
ratio (compressions to breaths).]Use AED
as soon as it is available.

Check rhythm.
Shockable rhythm?
Yes, No,
shockable nonshockable

Give 1 shock. Resume CPR Resume CPR immediately for about


immediately for about 2 minutes 2 minutes (until prompted by AED
(until prompted by AED to allow to allow rhythm check).
rhythm check). Continue until ALS provides take
Continue until ALS providers take over or victim starts to move.
over or victim starts to move.

© 2020 American Heart Association

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