BLS CARDIAC ARREST CHECKLIST
Complete
1
Cardiac Arrest should be worked on scene
BLS Command (Officer in charge of CPR and AED)
CPR is hard and fast
2
-
-
1/3 - 1/2 the chest height
BG’s staying alive tempo or CPR Metronome App
Constant Compressions until BVM is ready
3
Full chest recoil
4
Oxygen and capnography hooked up to BVM
5
Maintain near-constant CPR
6
Ventilations are controlled – look for chest rise
- NO excessive volume (just enough to see the chest start to rise)
- NO excessive rate (30:2)
7
Attach AED with CPR in progress
8
9
10
Change Compressors at 2 minute intervals with shocks/rhythm checks
(repeat CPR assessment)
If “shock indicated”, do one round of CPR while AED charges.
If “no shock indicated”, immediately resume CPR (don’t wait)
If abdomen becomes distended due to air, place patient on side and
relieve pressure, assess airway, resume CPR, watch for chest rise
11
Consider King Airway placement (not at MFR level)
12
If ALS arrives after you, apply capnography (ask for adaptor)
13
Repeat 2, 3, 5, 6, 8, 9
14
Document bystander CPR (Was bystander CPR in progress before MFR?
Did it start before or as a result of dispatcher coaching?) and inform
ALS
H’s – HYPOXIA, HYDROGEN ION, HYPERKALEMIA, HYPOKALEMIA, HYPOTHERMIA, HYPOGLYCEMIA, HYPOVOLEMIA
T’s – TABLETS, TAMPONADE, TRAUMA, TENSION PNEUMOTHORAX, TAMPONADE, THROMBUS (PE or MI)
ALS CARDIAC ARREST CHECKLIST
Complete
Cardiac Arrest should be worked on scene
1
BLS Command (Officer in charge of CPR and AED)
2
Get report of care and downtime while continuing with list
Verify CPR is hard and fast
3
4
5
6
7
8
9
10
11
12
13
14
15
16
-
1/3 - 1/2 the chest height
BG’s staying alive tempo or CPR Metronome App
Constant Compressions until BVM is ready
Verify Full chest recoil
Verify Oxygen and capnography hooked up to BVM
Maintain near-constant CPR
Ventilations are controlled – look for chest rise
- NO excessive volume - NO excessive rate (30:2)
If AED is attached: allow the AED to complete the 2 minute cycle and
shock if needed before transitioning to the EKG monitor
If NO AED attached: attach pads for monitor during compressions
- If only ALS on scene, push analyze for AED mode
- IF BLS is doing CPR, use lead or paddles setting for manual
If there is adequate chest rise with ventilation and no obvious risk of
airway loss (burns or trauma to the airway), DO NOT PLACE AN
ADVANCED AIRWAY YET. Continue with basic airway-Consider King Tube
If abdomen becomes distended due to air, place patient on side and
relieve pressure, assess airway, resume CPR, watch for chest rise
Change Compressors at 2 minute intervals with shocks/rhythm checks
(repeat CPR assessment) – Eliminate peri-shock pauses (see BLS).
Prepare IV – establish access
If the patient is in a shockable rhythm or a narrow complex PEA, establish
IO access in the proximal humerus.
If the patient is in a wide complex PEA or asystole, look for peripheral
access sites above the level of the diaphragm.
Administer Epinephrine (adults 1mg – peds 0.01mg/kg)
Evaluate/Correct H’s and T’s
Ask about and document bystander CPR (Was bystander CPR in progress
before MFR? Did it start before or as a result of dispatcher coaching?)
H’s – HYPOXIA, HYDROGEN ION, HYPERKALEMIA, HYPOKALEMIA, HYPOTHERMIA, HYPOGLYCEMIA, HYPOVOLEMIA
T’s – TABLETS, TAMPONADE, TRAUMA, TENSION PNEUMOTHORAX, TAMPONADE, THROMBUS (PE or MI)