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ALS ALGORITHM - Coggle Diagram
ALS ALGORITHM
REVERSIBLE CAUSES
4Hs
HYPOVOLAEMIA
source of bleeding?
post-op wound
STOP THE BLEED
-compression on wound
-clamp off drainage bag
REPLENISH VOLUME
-extra IV
-N/S on pressure bag 20ml/kg
HYPOTHERMIA/HYPERTHERMIA
HYPOKALAEMIA
HYPOXIA
4Ts
TAMPONADE
THROMBOSIS
TOXINS
TENSION PNEUMO
D
R
S
A
B
C
-pads on -> pause CPR -> rhythm check
shockable (VF/VT)
clear -> shock -> pulse check
2 more items...
non-shockable (PEA/asystole)
don't shock -> 5 rounds of CPR/ventilations
1 more item...
ASSIGN ROLES
airway
chest
iv/drugs/monitoring
document
scene control
team leader on monitor
-air entry/breath sounds/rise&fall? -> no -> commence CPR
BVM on hiflow O2
-patent/foreign object?
-triple airway manoevre
-emergency buzzer
-"can we get some help in here please?"
-trap squeeze/sternum rub
-"can you hear me ? "