SUPPORT (ACLS) 2024
Primary Assessment - ANSWER Airway
Breathing
Circulation
Disability
Exposure
Airway - ANSWER Is the patient's airway patent?
Is an advanced airway indicated?
Have you confirmed proper placement of the airway device?
Is the tube secured and are you confirming placement with every transition?
Breathing - ANSWER Are ventilation and oxygenation adequate?
Are quantitative waveform capnography and oxyhemoglobin saturation monitored?
Circulation - ANSWER Are chest compressions effective?
What is the cardiac rhythm?
Is defibrillation or cardioversion needed?
Has IV/IO access been established?
Is ROSC present?
Is the patient with a pulse unstable?
Are medications needed for rhythm or BP?
Does the patient need fluid resuscitation?
Disability - ANSWER Check for neuro function
Quickly assess for responsiveness, LOC, and pupil dilation
AVPU: alert, voice, painful, unresponsive