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Respiratory Arrest
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Action
AED
Is the patient breathing NORMALLY? (small gasping breaths are not considered normal.
If no Pulse BEGIN COMPRESSIONS at a rate of at least 100/min
If not sure if a pulse is present, BEGIN COMPRESSIONS AT AT LEAST 100/min
If pulse is present and breathing absent, begin ventilation at a rate of 8-10/min using
mouth to mouth or bag valve mask.
The last step, defibrillation, is part of the primary survey, but is not required for
respiratory arrest, as the patient has a pulse for this case. Therefore the AED will advise
the user "no shock advised, continue CPR if necessary."
Circulation
Airway
Breathing
Action
Is a reversible cause
responsible for the
arrest?
If the patient is not deeply unconscious, you must use a nasoparhygeal airway as an OPA
will activate the gag reflex
The appropriate airway will depend no only on the patients condition, but the
experience level of the provider as well.
Avoid commercial devices that are circumferential
If the patient is in cardiac arrest, placing an advanced airway is a significant interruption
to chest compressions. You must weigh the need for an advanced airway against the need
for continued chest compressions. If bag-mask ventilation is working and seems
adequate, you may want to put off inserting an advanced airway until the patient fails to
respond to initial CPR and defibrillation, or until spontaneous circulation returns.
During CPR, search for and treat possible contributing causes (H's and T's in
Figure 1).
Check rhythm.
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If the patient does not have a pulse or there is some doubt about the pulse,
resume CPR.
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If a good pulse is present and the rhythm is organized, begin postresuscitative care.
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