When not to start CPR
Hemicorporectomy Decomposition/putrefication Rigor mortis Decapitation Valid DNACPR Massive cranial and cerebral destruction Hypostasis Incineration (full thickness more than 95%)
When to stop CPR
Exhaustion
Someone more qualified takes over
20 mins of ALS with asystole unless paediatric
Reversible causes
Hypothermia Hypovolaemia Hypoglycemia/hypo or hyperkalaemia etc Hypoxia Toxins Cardiac tamponade Tension pneumothorax Thrombosis
Neonate algorithm
Rub for 60 seconds - assess (steth) 5 successful inflation breaths - assess 30 seconds of ventilation - assess ECG dots & O2 connected If HR <60 - 30 seconds CPR, 3:1 If HR >60<100 30 seconds ventilation - assess
Paediatric algorithm
5 rescue breaths - assess
15:2
SCENE
Situation Cause - MOI Environment Number of casualties Emergency/extra resources