Chest compressions and defibrillation per ACLS.
Indications
- • Cardiac arrest
Contraindications
- ⚠ Valid DNAR
- ⚠ Obvious signs of irreversible death
Equipment
- • Firm surface
- • Backboard
- • BVM + O2
- • Defibrillator
- • Emergency drugs
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/6)
Tap to complete
Unresponsive, no normal breathing, no pulse ≤ 10s.
Immediate complications
- ⚠ Rib fractures
- ⚠ Pneumothorax
- ⚠ Vomiting/aspiration
Delayed complications
- • ROSC morbidity — post-arrest syndrome
Recognition
- • ETCO2 sudden rise = ROSC
Initial management
- • Post-arrest bundle
- • Targeted temperature 32–36°C
Prevention
- • High-quality CPR
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Drugs used in this procedure
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
