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2 Introduction On October 15th, 2015 the Heart and Stroke Foundation of Canada (HSFC) released the 2015 Guidelines for Cardio Pulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC). HSFC works collaboratively with the American Heart Association (AHA) and the European Resuscitation Council (ERC) who each released similar interpretations of these guidelines. Following the last update 5 years ago, experts have reviewed new scientific studies and provided recommendations on how to improve the survival for patients suffering from a sudden cardiac arrest. These guidelines provide core algorithms to outline key actions and decisions for the immediate care of common cardiovascular emergencies: Cardiac arrest Post-cardiac arrest Hemodynamically unstable bradycardia and tachycardia Acute coronary syndromes The algorithms in this booklet are central to dvanced ardiac ife upport and ediatric vanced ife upport ourses and are provided here for easy reference during the course. Further information on the algorithms is summarized in the Highlights of the 2015 American Health Association Guidelines Update for CPR and ECC 1. Considerable material included in the major release documents is not included in these core algorithms. For the most comprehensive information and references readers are encouraged to review the 2015 AHA Guidelines Update for CPR and ECC 2. HIGHLIGHTS%20OF%202015%20GUIDELINES%20UPDATE%20FOR%20CPR%20ECC_LR.PDF 2

3 Table of Contents BLS BLS Dos and Donts of Adult CPR p p ACLS Summary of High Quality CPR Components for BLS Opioid-Associated Life-Threatening Emergency Algorithm p p p p p p p p

4 Verify scene safety. Monitor until emergency responders arrive. Normal breathing, has pulse Victim is unresponsive. Shout for nearby help. Activate emergency response system via mobile device (if appropriate). Get AED and emergency equipment (or send someone to do so). Look for no breathing or only gasping and check pulse (simultaneously). Is pulse definitely felt within 10 seconds? No breathing or only gasping, no pulse No normal breathing, has pulse Provide rescue breathing: 1 breath every 5-6 seconds, or about breaths/min. Activate emergency response system (if not already done) after 2 minutes. Continue rescue breathing; check pulse about every 2 minutes. If no pulse, begin CPR (go to CPR box). If possible opioid overdose, administer naloxone if available per protocol. CPR Begin cycles of 30 compressions and 2 breaths. Use AED as soon as it is available. By this time in all scenarios, emergency response system or backup is activated, and AED and emergency equipment are retrieved or someone is retrieving them. AED arrives. Yes, shockable Check rhythm. Shockable rhythm? No, nonshockable Give 1 shock. Resume CPR immediately for about 2 minutes (until prompted by AED to allow rhythm check). Continue until ALS providers take over or victim starts to move. Resume CPR immediately for about 2 minutes (until prompted by AED to allow rhythm check). Continue until ALS providers take over or victim starts to move. p 2015 American Heart Association

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