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                                              Assessment	
 Item	
                                                                         1	
                0	
                 NA	
 
Danger	
 	
                                        1st	
 Responder	
                              Environment	
 	
                                                                                     	
                       	
           	
 
                  	
                                                                                 Patient	
                                                                                             	
                       	
           	
 
                                                                                                      Situation	
                                                                                           	
                       	
           	
 
Response	
                                          1st	
 	
                                       Spontaneous	
                                                                                         	
                       	
           	
 
       	
                                           Responder	
                                     Voice	
                                                                                               	
                       	
           	
 
                                                                                                      Pain	
                                                                                                	
                       	
           	
 
Send	
 for	
 help	
                               1st	
 Responder	
                              Emergency	
 call	
                                                                                   	
                       	
           	
 
                                                                                                      Phone	
 for	
 help	
                                                                                	
                       	
           	
 
Airway	
                                            Airway	
 Role	
                                Assess	
 airway	
                                                                                    	
                       	
           	
 
                                                                                                      Clear	
 airway	
 –	
 suction	
                                                                     	
                       	
           	
 
                                                                                                      Airway	
 manoeuvre	
                                                                                 	
                       	
           	
 
                                                                                                      Airway	
 adjunct	
                                                                                   	
                       	
           	
 
Breathing	
                                         Airway	
 Role	
                                Look	
 for	
 chest	
 rise/fall	
                                                                   	
                       	
           	
 
                                                                                                      Listen	
 for	
 air	
 entry	
                                                                       	
                       	
           	
 
                                                                                                      Feel	
 for	
 breath	
                                                                               	
                       	
           	
 
Circulation	
                                       Circulation	
 Role	
                           CPR	
 per	
 BLS	
                                                                                   	
                       	
           	
 
                                                                                                      Pulse	
 Check	
 for	
 ALS	
                                                                        	
                       	
           	
 
                                                                                                      IV/IO	
 Access	
 Obtained	
                                                                         	
                       	
           	
 
                                                                                                      Time	
 to	
 CPR:	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 mins	
                                  	
                       	
           	
 
Defibrillator	
                                     Defib	
 Role	
                                 Connect	
 defib	
 pads	
                                                                            	
                       	
           	
 
                                                                                                      Assess	
 rhythm/pulse	
                                                                              	
                       	
           	
 
                                                                                                      Shock	
 at	
 200J	
 if	
 VT/VF	
                                                                  	
                       	
           	
 
                                                                                                      Time	
 to	
 shock:	
 	
 	
 	
 	
 	
 	
 mins	
                                                	
                       	
           	
 
Drugs	
                                             Drug	
 Role	
                                  Adrenaline	
 1mg	
 	
                                                                               	
                       	
           	
 
	
                                                                                                   PEA	
 =	
 Immediately	
                                                                             	
                       	
           	
 
                                                                                                      VF/VT	
 =	
 Post	
 2nd	
 shock	
                                                                  	
                       	
           	
 
                                                                                                      Amiodarone	
 300mg	
 	
                                                                             	
                       	
           	
 
                                                                                                      VF/VT	
 =	
 Post	
 3rd	
 shock	
                                                                  	
                       	
           	
 
Reversible	
 Causes	
                              Team	
 Leader	
 &	
 Team	
                   Hypoxia	
                                                                                             	
                       	
           	
 
                                                                                                              •       Assess	
 	
                                                                          	
                       	
           	
 
                                                                                                              •       Treat	
 	
                                                                           	
                       	
           	
 
                                                                                                      Hypovolemia	
                                                                                         	
                       	
           	
 
                                                                                                              •       Assess	
                                                                              	
                       	
           	
 
                                                                                                              •       Treat	
                                                                               	
                       	
           	
 
                                                                                                      Hypo/Hyper	
 K	
 &	
 Metabolic,	
                                                                  	
                       	
           	
 
                                                                                                      BGL	
 
                                                                                                              •       Assess	
                                                                              	
                       	
           	
 
                                                                                                              •       Treat	
                                                                               	
                       	
           	
 
                                                                                                      Hypo/Hyperthermia	
                                                                                   	
                       	
           	
 
                                                                                                              •       Assess	
                                                                              	
                       	
           	
 
                                                                                                              •       Treat	
                                                                               	
                       	
           	
 
                                                                                                      Tension	
 Pneumothorax	
                                                                             	
                       	
           	
 
                                                                                                              •       Assess	
                                                                              	
                       	
           	
 
                                                                                                              •       Treat	
                                                                               	
                       	
           	
 
                                                                                                      Tamponade	
                                                                                           	
                       	
           	
 
                                                                                                              •       Assess	
                                                                              	
                       	
           	
 
                                                                                                              •       Treat	
                                                                               	
                       	
           	
 
                                                                                                      Toxins	
                                                                                              	
                       	
           	
 
                                                                                                              •       Assess	
                                                                              	
                       	
           	
 
                                                                                                              •       Treat	
                                                                               	
                       	
           	
 
                                                                                                      Thrombus	
                                                                                            	
                       	
           	
 
                                                                                                              •       Assess	
                                                                              	
                       	
           	
 
                                                                                                              •       Treat	
                                                                               	
                       	
           	
 
                                                                                                                         Total	
 Score	
 =	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 Adult	
 ALS	
 Score	
 
                           	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 	
 
Global	
 Ratings	
 of	
 Team	
 Performance	
                                       	
            	
                       	
 
	
                                                                         Never	
           Rarely	
                       Occasionally	
                                    Frequently	
                                   Always	
 
Effective	
 Airway	
 Maintained	
                                          1	
               2	
                                 3	
                                            4	
                                           5	
 
(BVM	
 +/-­‐	
 LMA/ETT)	
 
Effective	
 CPR	
 Maintained	
                                             1	
                 2	
                                         3	
                                             4	
                                     5	
 
(rate/depth	
 rotation	
 2mins)	
 
Adhered	
 to	
 ALS	
 Algorithm	
                                          1	
                 2	
                                         3	
                                             4	
                                     5	
 
(2	
 minute	
 cycles)	
 
Clear	
 Team	
 Roles	
 	
                                                 1	
                 2	
                                         3	
                                             4	
                                     5	
 
Communication	
 Effective	
                                               1	
                   2	
                                         3	
                                             4	
                                     5	
 
(closed	
 loop)	
 
Effective	
 transition	
 to	
 Post	
                                    1	
                   2	
                                         3	
                                             4	
                                     5	
 
Resus	
 Care

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Adult ACLS tool

  • 1. Assessment Item 1 0 NA Danger 1st Responder Environment Patient Situation Response 1st Spontaneous Responder Voice Pain Send for help 1st Responder Emergency call Phone for help Airway Airway Role Assess airway Clear airway – suction Airway manoeuvre Airway adjunct Breathing Airway Role Look for chest rise/fall Listen for air entry Feel for breath Circulation Circulation Role CPR per BLS Pulse Check for ALS IV/IO Access Obtained Time to CPR: mins Defibrillator Defib Role Connect defib pads Assess rhythm/pulse Shock at 200J if VT/VF Time to shock: mins Drugs Drug Role Adrenaline 1mg PEA = Immediately VF/VT = Post 2nd shock Amiodarone 300mg VF/VT = Post 3rd shock Reversible Causes Team Leader & Team Hypoxia • Assess • Treat Hypovolemia • Assess • Treat Hypo/Hyper K & Metabolic, BGL • Assess • Treat Hypo/Hyperthermia • Assess • Treat Tension Pneumothorax • Assess • Treat Tamponade • Assess • Treat Toxins • Assess • Treat Thrombus • Assess • Treat Total Score = Adult ALS Score Global Ratings of Team Performance Never Rarely Occasionally Frequently Always Effective Airway Maintained 1 2 3 4 5 (BVM +/-­‐ LMA/ETT) Effective CPR Maintained 1 2 3 4 5 (rate/depth rotation 2mins) Adhered to ALS Algorithm 1 2 3 4 5 (2 minute cycles) Clear Team Roles 1 2 3 4 5 Communication Effective 1 2 3 4 5 (closed loop) Effective transition to Post 1 2 3 4 5 Resus Care