During CPR
  • Ensure high quality chest compressions
  • Minimise interruptions to compressions
  • Give oxygen
  • Use waveform capnography
  • Continuous compressions when advanced airway in place
  • Vascular access (intravenous or intraosseous)
  • Give adrenaline every 3-5 min
  • Give amiodarone after 3 shocks

Consider
  • Ultrasound imaging
  • Mechanical chest compressions to facilitate transfer/treatment
  • Coronary angiography and percutaneous coronary intervention
  • Extracorporeal CPR

Treat Reversible Causes
  • Hypoxia
  • Hypovolaemia
  • Hypo- / hyperkalaemia / metabolic
  • Hypothermia
  • Thrombosis - coronary or pulmonary
  • Tamponade - cardiac
  • Toxins
  • Tension pneumothorax
OK