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2020 Algorithms

Figure 1. 2020 American Heart Association Chains of Survival for IHCA and OHCA 200513 illustration
Figure 1. 2020 American Heart Association Chains of Survival for IHCA and OHCA.

CPR indicates cardiopulmonary resuscitation; IHCA, in-hospital cardiac arrest; and OHCA, out-of-hospital cardiac arrest.

Figure 2. Adult BLS Algorithm for Healthcare Providers
Figure 2. Adult BLS Algorithm for Healthcare Providers.

AED indicates automated external defibrillator; ALS, advanced life support; BLS, basic life support; and CPR, cardiopulmonary resuscitation.

Figure 3. Adult Cardiac Arrest Algorithm
Figure 3. Adult Cardiac Arrest Algorithm.

CPR indicates cardiopulmonary resuscitation; ET, endotracheal; IO, intraosseous; IV, intravenous; PEA, pulseless electrical activity; pVT, pulseless ventricular tachycardia; and VF, ventricular fibrillation.

Figure 4. Adult Cardiac Arrest Circular Algorithm
Figure 4. Adult Cardiac Arrest Circular Algorithm.

CPR indicates cardiopulmonary resuscitation; ET, endotracheal; IO, intraosseous; IV, intravenous; pVT, pulseless ventricular tachycardia; and VF, ventricular fibrillation.

BLS Termination of Resuscitation
Figure 5. Adult basic life support termination of resuscitation rule.2

AED indicates automated external defibrillator; and BLS, basic life support.

ACLS Termination of Resuscitation
Figure 6. Adult advanced life support termination of resuscitation rule.2

ACLS indicates advanced cardiovascular life support; and CPR, cardiopulmonary resuscitation.

Schematic ALS recommendations advanced airways illustration
Figure 7. Schematic representation of ALS recommendations for use of advanced airways during CPR.

ALS indicates advanced life support; CPR, cardiopulmonary resuscitation; and EMS, emergency medical services.

Figure 8. Schematic depiction of components of extracorporeal membrane oxygenator circuit as used for ECPR.
Figure 8. Schematic depiction of components of extracorporeal membrane oxygenator circuit as used for ECPR.

Components include venous cannula, a pump, an oxygenator, and an arterial cannula. ECPR indicates extracorporeal cardiopulmonary resuscitation.

Adult Post–Cardiac Arrest Care Algorithm
Figure 9. Adult Post–Cardiac Arrest Care Algorithm.

CT indicates computed tomography; ROSC, return of spontaneous circulation; and STEMI, ST-segment elevation myocardial infarction.

Figure 13. Opioid-Associated Emergency for Lay Responders Algorithm.
Figure 13. Opioid-Associated Emergency for Lay Responders Algorithm.

AED indicates automated external defibrillator; CPR, cardiopulmonary resuscitation; and EMS, emergency medical services

Figure 14. Opioid-Associated Emergency for Healthcare Providers Algorithm.
Figure 14. Opioid-Associated Emergency for Healthcare Providers Algorithm.

AED indicates automated external defibrillator; and BLS, basic life support.

Figure 15. Cardiac Arrest in Pregnancy In-Hospital ACLS Algorithm.
Figure 15. Cardiac Arrest in Pregnancy In-Hospital ACLS Algorithm.

ACLS indicates advanced cardiovascular life support; BLS, basic life support; CPR, cardiopulmonary resuscitation; ET, endotracheal; IV, intravenous; and ROSC, return of spontaneous circulation.

Pediatric IHCA OHCA COS 200612 illustration
Figure 1. Pediatric Chains of Survival for in-hospital (top) and out-of-hospital (bottom) cardiac arrest.

CPR indicates cardiopulmonary resuscitation.

Pediatric BLS for Lay Rescuers 200511 illustration
Figure 4. Pediatric BLS for lay rescuers.

AED indicates automated external defibrillator; BLS, basic life support; CPR, cardiopulmonary resuscitation; and EMS, emergency medical services.

Pediatric Basic and Advanced Life Support Algorithm for Healthcare Providers - Single Rescuer
Figure 5. Pediatric Basic Life Support Algorithm for Healthcare Providers—Single Rescuer.

AED indicates automated external defibrillator; ALS, advanced life support; CPR, cardiopulmonary resuscitation; and HR, heart rate.

Pediatric Basic Life Support Algorithm for Healthcare Providers - 2 or more rescuers
Figure 6. Pediatric Basic Life Support Algorithm for Healthcare Providers—2 or More Rescuers.

AED indicates automated external defibrillator; ALS, advanced life support; CPR, cardiopulmonary resuscitation; and HR, heart rate.

Pediatric Cardiac Arrest Algorithm
Figure 7. Pediatric Cardiac Arrest Algorithm.

ASAP indicates as soon as possible; CPR, cardiopulmonary resuscitation; ET, endotracheal; HR, heart rate; IO, intraosseous; IV, intravenous; PEA, pulseless electrical activity; and VF/pVT, ventricular fibrillation/pulseless ventricular tachycardia.

Figure 10. Opioid-Associated Emergency for Lay Responders Algorithm
Figure 10. Opioid-Associated Emergency for Lay Responders Algorithm.

AED indicates automated external defibrillator; CPR, cardiopulmonary resuscitation; and EMS, emergency medical services.

Figure 11. Opioid-Associated Emergency for Healthcare Providers Algorithm
Figure 11. Opioid-Associated Emergency for Healthcare Providers Algorithm.

AED indicates automated external defibrillator; BLS, basic life support; and CPR, cardiopulmonary resuscitation.

Figure 12. Pediatric Bradycardia With a Pulse Algorithm
Figure 12. Pediatric Bradycardia With a Pulse Algorithm.

ABC indicates airway, breathing, and circulation; AV, atrioventricular; BP, blood pressure; CPR, cardiopulmonary resuscitation; ECG, electrocardiogram; HR, heart rate; IO, intraosseous; and IV, intravenous.

Figure 13. Pediatric Tachycardia With a Pulse Algorithm
Figure 13. Pediatric Tachycardia With a Pulse Algorithm.

CPR indicates cardiopulmonary resuscitation; ECG, electrocardiogram; IO, intraosseous; and IV, intravenous.

Neonatal Resuscitation Algorithm
Figure. Neonatal Resuscitation Algorithm.

CPAP indicates continuous positive airway pressure; ECG, electrocardiographic; ETT, endotracheal tube; HR, heart rate; IV, intravenous; O2, oxygen; Spo2, oxygen saturation; and UVC, umbilical venous catheter.