european

resuscitation
council

Paediatric Life Support

Advanced Life Support

Unresponsive?
Not breathing or only occasional gasps

CPR (5 initial breaths then 15:2) Call Resuscitation

Attach defibrillator/monitor Team
Minimise interruptions (1 min CPR first, if alone)

Assess
rhythm

Shockable Non-shockable
(VF/Pulseless VT) (PEA/Asystole)

Return of
1 Shock 4 J/Kg spontaneous
circulation

Immediately resume: Immediate post cardiac Immediately resume:

arrest treatment
CPR for 2 min CPR for 2 min
Use ABCDE approach
Minimise interruptions Controlled oxygenation and Minimise interruptions
ventilation
Investigations
Treat precipitating cause
Temperature control
Therapeutic hypothermia?

During CPR Reversible causes

Ensure high-quality CPR: rate, depth, recoil Hypoxia
Plan actions before interrupting CPR Hypovolaemia
Give oxygen Hypo-/hyperkalaemia/metabolic
Vascular access (intravenous, intraosseous) Hypothermia
Give adrenaline every 3-5 min
Tension pneumothorax
Consider advanced airway and capnography
Toxins
Continuous chest compressions when advanced airway in place
Tamponade - cardiac
Correct reversible causes
Thromboembolism

www.erc.edu | info@erc.edu
Published October 2010 by European Resuscitation Council Secretariat vzw, Drie Eikenstraat 661, 2650 Edegem, Belgium
Product reference: Poster_10_PALS_01_01_ENG Copyright European Resuscitation Council