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Advanced Life Support

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Biphasic defibrillation energies should be at least 150 J and monophasic energies should be 360 J. Following initial defibrillation, high‐quality CPR should follow. The highest possible inspired oxygen concentration should be used during CPR, although consideration should be given to titrating this downward if return of spontaneous circulation is obtained, as there is evidence of harm from both hypoxia and hyperoxia [85, 87]. An advanced airway such as a supraglottic airway, an endotracheal tube, or a bag‐mask device is acceptable for ventilation during CPR, with waveform capnography used to confirm and monitor endotracheal tube position.


Figure 12.5 ACLS cardiac arrest algorithm for patients with suspected or confirmed COVID‐19, reflecting a June 2020 consensus statement from the Emergency Cardiovascular Care Committee and Get With The Guidelines‐Resuscitation Adult and Pediatric Task Forces of the American Heart Association.

Source: Available at https://cpr.heart.org/‐/media/cpr‐files/resources/covid‐19‐resources‐for‐cpr‐training/english/algorithmacls_cacovid_200406.pdf?la=en. Reprinted with permission from: Circulation. 2020;141:e922–43, © 2020 American Heart Association, Inc.

Emergency Medical Services

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