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ACLS 2010

Figure. BLS termination-of-resuscitation (TOR) rule for adult OHCA.


BLS OHCA (TOR)

ROSC
AED

ACLS 2010

Figure. ALS termination-of-resuscitation (TOR) rule for adult OHCA.

ALS OHCA (TOR)

CPR
ROSC

ACLS 2010

Table. Summary of Key BLS Components for Adults, Children and Infants

BLS

10 HCP
C A B

CPR

100

13 ( 5 )

13 ( 4 )

10

()
302

302

152

(HCP)

68 1 ( 810 )

AED

CPR

ACLS 2010

Figure. Chain of Survival. The links in this Chain are: Immediate


recognition and activation, early CPR, rapid defibrillation, effective
advanced life support and integrated post-cardiac arrest care.

CPR

ALS

ACLS 2010

Figure. Simplified adult BLS algorithm.

BLS

CPR

ACLS 2010

Figure. BLS healthcare provider algorithm.

BLS

CPR
100

AED
,

10

5~6
2

CPR 302

AED

CPR2

CPR2

ALS

ACLS 2010

Figure. ACLS Cardiac Arrest Algorithm.


ACLS

CPR

VTVF

AsystolePEA

CPR2
IV/IO

CPR2
Epinephrine 35

CPR2
Amiodaron

CPR2
IV/IO
Epinephrine 35

CPR2

ROSC1011
ROSC

5 7

CPR
(5)(100
/min)


2
302

PETCO210mmHg
CPR

-20mmHg
CPR

ROSC

PETCO2(40mmHg)
()

(120
200J)

360J

Epinephrine 3~5 1mgIV/IO


Vasopressin40UIV/IO
Epinephrine
AmiodaroneIV/IO
300mg
150mg

810

- Hypovolemia
- Hypoxia
- Hydrogen ion (acidosis)
- Hypo- / Hyperkalemia
- Hypothermia
- Tension pneumothoraax
- Tamponade, cardiac
- Toxins
- Thrombosis, pulmonary
- Thrombosis, coronary

ACLS 2010

Figure. ACLS Cardiac Arrest Algorithm.


ACLS

/
CPR

/
2

ROSC

VT/VF

Epinephrine 35

Amiodarone VT/VF

CPR
(5)(100/min)



2
302

PETCO210mmHgCPR

-20mmHgCPR

ROSC

PETCO2(40mmHg)
()

(120200J)

360J

Epinephrine 3~5 1mgIV/IO


Vasopressin40UIV/IO
Epinephrine
AmiodaroneIV/IO
300mg
150mg

810

- Hypovolemia
- Hypoxia
- Hydrogen ion (acidosis)
- Hypo- / Hyperkalemia
- Hypothermia
- Tension pneumothoraax
T
d
di

ACLS 2010

Figure. Bradycardia Algorithm.

50

()

IV
12

Atropine
Atropine

TCP
Dopamine
Epinephrine

AtropineIV
0.5mg
35
3mg

DopamineIV
210mcg/kg/min

Epinephrine
210mcg/min

ACLS 2010

Figure. Tachycardia Algorithm.

150


()

QRS
(0.12 )

QRS
adenosine
IV12(
)

adenosine

IV12 ()

Adenosine()
Betarcalciumchannelblocker

50100J
120200J
200J
100J

()

AdenosineIV
6 mg

12 mg

(QRS)

ProcainamideIV
2050mg/min
QRS
50%
17mg/kg
1~4mg/min
QT

AmiodaroneIV
150mg
10
VT150mg
1mg/min(6)

SotalolIV
100mg(1.5mg/kg) 5

QT

ACLS 2010

Figure. Postcardiac arrest care algorithm.

(ROSC)

94%

(90mmHg)
IV/IO

12

(followcommands?)

ST

.
1012
PETCO23540mmHg
94%
FiO2

IV
12
4

EpinephrineIV
0.10.5mcg/kg/min
(70:735mcg/min)

DopamineIV
510mcg/kg/min

NorepinephrineIV
0.10.5mcg/kg/min
(70:735mcg/min)

Hypovolemia
Hypoxia
Hydroenion(acidosis)
/ Hypo/Hyperkalemia
Hypothermia
Tensionpneumothorax
Tamponade,cardiac
Toxins
Thrombosis,pulmonary
Thrombosis,coronary

ACLS 2010

ABCs
CPR
AspirinNTG
12ST
- EMS
STEMI

10

IV

/


X 30

94%4L/min

Aspirin160325mgEMS
NTG
NTG

ST
LBBB /
ST
STEMI

STT

/ ST

(UA/NSTEMI)

STT

ACS


troponin
/ST

12

Troponin
34


12 ST
VT

12

Nitroglycerin
Heparin(UFHLMWH)
betablockers
Clopidogrel
GlycoprotienIIb/IIIainhibitor

Troponin

DoortoballoonPCI
90
Doortoneedle()
30

34
Aspirin
heparin
ACEI/ARB
HMGCoAStatin

ACLS 2010

NINDS

ABCs
1

ABCs

IV




12



NIH

45

60

rtPA
24

rtPA

-23
-

Aspirin

ACLS 2010

Figure. Maternal cardiac arrest algorithm.

BLS

BLSACLS

ACLS
100%
CPR

(manualleftuterine
displacement(LUD))

4ROSC

IV ()

(*

)
IV/IO
IV/IOCaCl210ml(10%solution)
calciumgluconate30ml(10%solution)

(CPR)

(BEAUCHOPS)

Bleeding/DIC /
Embolism (//)
Anestheticcomplications
Uterineatony
Cardiacdisease(MI/Ischemia/aorticdissection/cardiomyopathy)
(///)

Hypertension/pereclampsia/eclampsia //
Other (ACLS)
Placentaabrutio/previa /
Sepsis

ACLS 2010

(ACLS 2000)
(ACLS 2010 (P.775 Table 2) )

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