Explore the AHA’s CPR and ECC algorithms for adult, pediatric, and neonatal resuscitation. Learn the latest evidence-based recommendations.

• Push hard (at least 2 inches [5 cm]) and fast (100-120/min) and allow complete chest recoil. • Minimize interruptions in compressions. • Avoid excessive ventilation. 2 minutes, or sooner if fatigued. – If Petco2 is low or decreasing, reassess CPR quality.

Algorithms for the 2024 First Aid Guidelines co-authored by The American Heart Association and the American Red Cross.

American Heart Association® guidelines for CPR and ECC. American Heart Association® guidelines are updated every !ve years. If you are reading this page after December 2025, please contact [email protected] for an update. Version 2024.11.a

American Heart Association 2020 Guidelines ACLS 2020 Algorithms Brought to you by: FLORIDA HEART CPR* AMERICAN HEART ASSOCIATION BLS/ACLS/PALS TRAINING CENTER VERO BEACH, FLORIDA 772-388-5252 www.floridaheartcpr.com

New in 2020: Algorithms for healthcare providers and lay rescuers for treating overdoses are provided. Cardiac arrest in pregnancy requires individualized management of resuscitation. EMS should notify healthcare facilities in advance to ensure all resources are available for both infant and mother. perimortem cesarean delivery if necessary.

Provide endotracheal intubation or supraglottic advanced airway. Perform waveform capnography or capnometry to confirm and monitor ET tube placement. Once advanced airway is in place, give 1 breath every 6 seconds (10 breaths/min) with continuous chest compressions. Anesthetic complications. Bleeding.

Push hard (at least 2 inches [5 cm]) and fast (100-120/min) and allow complete chest recoil. Minimize interruptions in compressions. Avoid excessive ventilation. 2 minutes, or sooner if fatigued. If no advanced airway, 30:2 compression-ventilation ratio. If Petco2 <10 mm Hg, attempt to improve CPR quality.

CARDIAC ARREST ALGORITHM C O N T I N U O U S C P R — M O N I T O R C P R START High Quality CPR 30:2 100—120 per minute Compression Fraction > 60—80 % Give Oxygen Attach Monitor/Defibrillator HELP—ACTIVATE EMERGENCY RESPONSE AT 2 MINUTE CYCLE— RE-EVALUATE RHYTHM E T C O 2 M A P CHECK RHYTHM VF/VT SHOCK Drug …

Adult Post-Cardiac Arrest Care Algorithm Advanced Cardiovascular Life Support American Heart Association Initial Stabilization Phase Resuscitation is ongoing during the post-ROSC phase, and many of these activities can occur concurrently.