1. ADULT
ADVANCED
LIFE SUPPORT
(ALS)

2. GUIDELINES FOR PREVENTION OF IN-HOSPITAL CARDIAC ARREST
RECOGNISING THE CRITICALLY ILL PATIENTS
RESPONSE TO CRITICAL ILLNESS
Medical emergency team (MET)
APPROPRIATE PLACEMENT OF PATIENTS
RESUSCITATION DECISIONS
Many European countries have no formal policy for recording DNAR decisions
Consider ‘do not attempt resuscitation’ (DNAR) when the patient:
• does not wish to have CPR
• will not survive cardiac arrest even if CPR is attempted

3. IN-HOSPITAL RESUSCITATION

4. ALS TREATMENT ALGORITHM

5. AIRWAY MANAGEMENT AND VENTILATION

6. BASIC AIRWAY MANAGEMENT
Head tilt and chin lift
Jaw thrust

7. ADJUNCTS TO BASIC AIRWAY TECHNIQUES
Oropharyngeal airways
Bag-mask ventilation

8. OTHER AIRWAY DEVICES
Laryngeal Tube
Tracheal Tube

9. DRUGS AND FLUIDS - DRUGS Vasopressors Adrenaline Anti-arrhythmics
Amiodarone
Other drugs
Atropine Theophylline
- INTRAVENOUS FLUIDS
Hartmann’s solution, Ringer’s solution
Intravenous fluid to flush peripherally injected drugs into the central
circulation

10. DEFIBRILLATION ELECTRICAL THERAPIES
Passage across the myocardium of an electrical current of sufficient magnitude to depolarise a critical mass of myocardium and restoration of coordinated electrical activity
USE OF DEFIBRILLATORS:
- Adults
- Children older than 8 years
- NO defibrillation in children less than 1 year

11. is used to convert atrial or ventricular tachyarrhythmias
ELECTRICAL THERAPIES
AUTOMATED EXTERNAL DEFIBRILLATOR (AED)
CARDIOVERSION
is used to convert atrial or ventricular tachyarrhythmias
PACING
Consider pacing in patients with symptomatic
bradycardia

12. PAEDIATRIC
BASIC LIFE SUPPORT
(PBLS)

13. PEADIATRIC BASIC LIFE SUPPORT(PBLS)
MANY CHILDREN RECEIVE NO RESUSCITATION AT ALL BECAUSE THE RESCUERS FEAR DOING HARM.
APPLYING OF THE SAME GUIDANCE FOR ALL ADULTS AND CHILDREN ARE FEASIBLE ! ! ! ! ! !
ENHANCED TRAINING FOR HEALTHCARE PROFESSIONALS.

14. PBLS

15. RESCUE BREATHS

16. carotid pulse / CHILD
brachial pulse / INFANT

17. PBLS AGE C : V RATIO /RATE POSITION RESCUE BREATHS AED Infant
< 1 year of age
15:2 / 100 min
30:2 / 100 min
lone rescuer
Tips of 2 fingers on the lower third of the sternum
Mouth-to mouth and nose ventilation NO
Child
1 year to puberty
The heel of
one hand over
the lower third
of the sternum,
lift the fingers
Mouth-to mouth ventilation
YES
paediatric pads /programmes

18. CHEST COMPRESSION RESCUE BREATHS

19. FOREIGN BODY AIRWAY OBSTRUCTION (FBAO)
Back blows, chest thrusts and abdominal thrusts all
increase intrathoracic pressure and can expel foreign
bodies from the airway

20. PAEDIATRIC
ADVANCED LIFE SUPPORT
(PALS)

21. PALS

22. REPETITION 1. Name 3 causes of airway obstruction.
2. Name 2 types of airway in-hospital devices.
3. Name 2 drugs commonly used in ALS.
4. What is the age limit 4 defibrillator usage?
5. What electrical therapies can be performed in the
hospital?
6. What is the C:V ratio in an infant life support?
7. What is the major cause of cardio-pulmonary arrest in:
- children?
- adult?