Professional Documents
Culture Documents
Shockable Rhythms
Dr. Obed Morara
MBCHB,DBIT, Resident Thoracic and Cardiovascular Surgery
Learning outcomes
The ACLS algorithm
Treatment of shockable
Administration of drugs during cardiac arrest (Shockable)
Patient response
Open airway
Check pulse
Cardiac arrest confirmed activate emergency response team
Cardiac arrest confirmed
CPR ongoing
30:2
Compressions
Centre of chest
5-6 cm depth
Target (100-120 min-1)
Maintain high quality compressions with
minimal interruptions
Continuous compressions once airway
secured
Switch CPR provider every 2 min cycle to
avoid fatigue
IV/IO Access Obtained
Connect to monitor
Vascular access
Peripheral versus
central veins
Intraosseous
Shockable and Non-Shockable
START PAUSE
Shockable
(VF / Pulseless VT)
CPR
Assess
rhythm
Non-Shockable
(PEA / Asystole)
Monomorphic VT Polymorphic VT
Broad complex rythm Torsade de pointes
Rapif rate
Constant QRS morphology
Shockable (VF / VT)
RESTART
CPR
Assess
rhythm
Shockable (VT)
CHARGE
DEFIBRILLATOR
Assess
rhythm
Shockable (VF / VT)
DELIVER
SHOCK
Assess
rhythm
Shockable (VF / VT)
IMMEDIATELY
RESTART CPR
Assess
rhythm
Shockable (VF / VT)
IMMEDIATELY
RESTART CPR
Assess
rhythm
MINIMISE
MINIMISE INTERRUPTIONS
INTERRUPTIONS IN
IN CHEST
CHEST COMPRESSIONS
COMPRESSIONS
Defibrillation energies
Vary with manufacturer
Treatment of shockable
Administration of drugs during cardiac arrest (shockable)