,World Headquarters
Jones & Bartlett Learning
5 Wall Street
Burlington, MA 01803
978-443-5000
www.jblearning.com
Jones & Bartlett Learning books and products are available through most
bookstores and online booksellers. To contact Jones & Bartlett Learning directly,
call 978-443-5000, fax 978-443-8000, or visit our website, www.jblearning.com.
Substantial discounts on bulk quantities of Jones & Bartlett Learning publications
are available to corporations, professional associations, and other qualified
organizations. For details and specific discount information, contact the special
sales department at Jones & Bartlett Learning via the above contact information or
send an email to .
Copyright © 2014 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
All rights reserved. No part of the material protected by this copyright may be
reproduced or utilized in any form, electronic or mechanical, including photocopying,
recording, or by any information storage and retrieval system, without written
permission from the copyright owner.
Emergency & Critical Care Pocket Guide ACLS Version, Eighth Edition is an
independent publication and has not been authorized, sponsored, or otherwise
approved by the owners of the trademarks or service marks referenced in this
product.
The procedures and protocols in this book are based on the most current
recommendations of responsible medical sources. The authors and the publisher,
however, make no guarantee as to, and assume no responsibility for, the
correctness, sufficiency, or completeness of such information or recommendations.
Other or additional safety measures may be required under particular circumstances.
This book is intended solely as a guide to the appropriate procedures to be
employed when rendering emergency care to the sick and injured. It is not intended
as a statement of the standards of care required in any particular situation,
because circumstances and the patient’s physical condition can vary widely
from one emergency to another. Nor is it intended that this book shall in any way
advise emergency personnel concerning legal authority to perform the activities or
procedures discussed. Such local determination should be made only with the aid
of legal counsel.
Production Credits Composition: diacriTech
Executive Publisher: Kimberly Brophy Cover Design: Kristin E. Parker
Executive Acquisitions Editor—EMS: Director of Photo Research and
Christine Emerton Permissions: Amy Wrynn
Associate Editor: Carly Lavoie Printing and Binding: John P. Pow
Associate Production Editor: Nora Menzi Company
Director of Marketing: Alisha Weisman Cover Printing: John P. Pow Company
VP, Manufacturing and Inventory
Control: Therese Connell
ISBN: 978-1-284-02370-1
6048
Printed in the United States of America
17 16 15 14 13 10 9 8 7 6 5 4 3 2 1
, ACLS ACLS ACLS
1
ACLS
■ CPR: Adult, Child, or Infant
1. Unresponsive? (Not breathing, or only gasping?)
2. Call for assistance—have someone get defibrillator/AED.
3. Check pulse within 10 seconds (If present, give 1 breath
every 5–6 seconds; check pulse every 2 minutes).
IF NO PULSE:
4. Position patient supine on hard, flat surface.
5. Begin chest compressions, 30:2, push hard and fast ≥100/
minutes, allow full chest recoil—minimize interruptions.
6. Open airway: head-tilt/chin-lift, ventilate × 2* (avoid excessive
ventilations).
7. Attach AED to adult (and child >1 year old).
SHOCKABLE RHYTHM?
Yes No
8. Shock × 1. 8. Resume CPR immedi-
9. Resume CPR immedi- ately for 2 minutes.
ately for 2 minutes. 9. Initiate ALS
10. Check rhythm. interventions.
10. Check rhythm every 2
IF SHOCKABLE: minutes.
11. Shock × 1; resume CPR.
Lower half of sternum Head-tilt/chin-lift
ACLS
, ACLS ACLS ACLS ACLS
2
CPR Ratio Rate Depth Check Pulse
Adult: 1 Person* 30:2 100 >2 in. Carotid
Adult: 2 Person* 30:2 100 >2 in. Carotid
Child: 1 Person 30:2 100 2 in. Carotid
Child: 2 Person 15:2 100 2 in. Carotid
Infant: 1 Person 30:2 100 1⁄3 cx Brachial,
femoral
Infant: 2 Person 15:2 100 1⁄3 cx Brachial,
femoral
Newborn: 2 Person 3:1 100 1⁄3 cx Brachial,
femoral
*Adult—once an advanced airway is placed, ventilate at 8–10 breaths/minute.
■ Cardiac Arrest Rhythms
Coarse Ventricular Fibrillation
Note the chaotic, irregular electrical activity. Treatment: Shock.
Fine Ventricular Fibrillation
Note the low-amplitude, irregular electrical activity. Treatment: Shock.
Ventricular Tachycardia
Note the rapid, wide complexes. Treatment: Shock if no pulse.
Jones & Bartlett Learning
5 Wall Street
Burlington, MA 01803
978-443-5000
www.jblearning.com
Jones & Bartlett Learning books and products are available through most
bookstores and online booksellers. To contact Jones & Bartlett Learning directly,
call 978-443-5000, fax 978-443-8000, or visit our website, www.jblearning.com.
Substantial discounts on bulk quantities of Jones & Bartlett Learning publications
are available to corporations, professional associations, and other qualified
organizations. For details and specific discount information, contact the special
sales department at Jones & Bartlett Learning via the above contact information or
send an email to .
Copyright © 2014 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
All rights reserved. No part of the material protected by this copyright may be
reproduced or utilized in any form, electronic or mechanical, including photocopying,
recording, or by any information storage and retrieval system, without written
permission from the copyright owner.
Emergency & Critical Care Pocket Guide ACLS Version, Eighth Edition is an
independent publication and has not been authorized, sponsored, or otherwise
approved by the owners of the trademarks or service marks referenced in this
product.
The procedures and protocols in this book are based on the most current
recommendations of responsible medical sources. The authors and the publisher,
however, make no guarantee as to, and assume no responsibility for, the
correctness, sufficiency, or completeness of such information or recommendations.
Other or additional safety measures may be required under particular circumstances.
This book is intended solely as a guide to the appropriate procedures to be
employed when rendering emergency care to the sick and injured. It is not intended
as a statement of the standards of care required in any particular situation,
because circumstances and the patient’s physical condition can vary widely
from one emergency to another. Nor is it intended that this book shall in any way
advise emergency personnel concerning legal authority to perform the activities or
procedures discussed. Such local determination should be made only with the aid
of legal counsel.
Production Credits Composition: diacriTech
Executive Publisher: Kimberly Brophy Cover Design: Kristin E. Parker
Executive Acquisitions Editor—EMS: Director of Photo Research and
Christine Emerton Permissions: Amy Wrynn
Associate Editor: Carly Lavoie Printing and Binding: John P. Pow
Associate Production Editor: Nora Menzi Company
Director of Marketing: Alisha Weisman Cover Printing: John P. Pow Company
VP, Manufacturing and Inventory
Control: Therese Connell
ISBN: 978-1-284-02370-1
6048
Printed in the United States of America
17 16 15 14 13 10 9 8 7 6 5 4 3 2 1
, ACLS ACLS ACLS
1
ACLS
■ CPR: Adult, Child, or Infant
1. Unresponsive? (Not breathing, or only gasping?)
2. Call for assistance—have someone get defibrillator/AED.
3. Check pulse within 10 seconds (If present, give 1 breath
every 5–6 seconds; check pulse every 2 minutes).
IF NO PULSE:
4. Position patient supine on hard, flat surface.
5. Begin chest compressions, 30:2, push hard and fast ≥100/
minutes, allow full chest recoil—minimize interruptions.
6. Open airway: head-tilt/chin-lift, ventilate × 2* (avoid excessive
ventilations).
7. Attach AED to adult (and child >1 year old).
SHOCKABLE RHYTHM?
Yes No
8. Shock × 1. 8. Resume CPR immedi-
9. Resume CPR immedi- ately for 2 minutes.
ately for 2 minutes. 9. Initiate ALS
10. Check rhythm. interventions.
10. Check rhythm every 2
IF SHOCKABLE: minutes.
11. Shock × 1; resume CPR.
Lower half of sternum Head-tilt/chin-lift
ACLS
, ACLS ACLS ACLS ACLS
2
CPR Ratio Rate Depth Check Pulse
Adult: 1 Person* 30:2 100 >2 in. Carotid
Adult: 2 Person* 30:2 100 >2 in. Carotid
Child: 1 Person 30:2 100 2 in. Carotid
Child: 2 Person 15:2 100 2 in. Carotid
Infant: 1 Person 30:2 100 1⁄3 cx Brachial,
femoral
Infant: 2 Person 15:2 100 1⁄3 cx Brachial,
femoral
Newborn: 2 Person 3:1 100 1⁄3 cx Brachial,
femoral
*Adult—once an advanced airway is placed, ventilate at 8–10 breaths/minute.
■ Cardiac Arrest Rhythms
Coarse Ventricular Fibrillation
Note the chaotic, irregular electrical activity. Treatment: Shock.
Fine Ventricular Fibrillation
Note the low-amplitude, irregular electrical activity. Treatment: Shock.
Ventricular Tachycardia
Note the rapid, wide complexes. Treatment: Shock if no pulse.
