[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-370147-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-370147-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","guideline-112-protocols-for-adult-advanced-life-support","Guideline 11.2 - Protocols for Adult Advanced Life Support","","Guideline 11.2 sets out protocols for adults who require advanced life support (ALS) in settings where equipment and drugs are available. It summarizes recommendations from the 2018 ANZCOR guideline update, informed by ILCOR ALS Taskforce evidence reviews. Key guidance includes using the Adult ALS algorithm, prioritizing high-quality CPR and reducing time to defibrillation, minimizing CPR interruptions, managing shockable rhythms, and specifying energy levels and resumption of compressions after shocks.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/guideline-112-protocols-for-adult-advanced-life-support/370147/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/guideline-112-protocols-for-adult-advanced-life-support/370147.png","ImageObject",300,407,{"name":42,"@type":43},"Aditya","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-28","2026-09-23",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",15,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Who is this guideline for and in what environments is it intended to be used?","Question",{"text":63,"@type":64},"The guideline applies to adults who require advanced life support (ALS). It is for health professionals and others providing healthcare in environments where equipment and drugs are available.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What are the highest priorities during resuscitation from sudden cardiac arrest?",{"text":68,"@type":64},"High-quality cardiopulmonary resuscitation (CPR) and reducing time to defibrillation are the highest priorities. Rescuers should also minimize interruptions to CPR during ALS interventions.",{"name":70,"@type":61,"acceptedAnswer":71},"How should CPR and rhythm assessment be handled after defibrillator use?",{"text":72,"@type":64},"When using an AED, follow its instructions. With a manual defibrillator, continue CPR while charging, then pause to analyze the rhythm; if spontaneous circulation is compatible, disarm and check the pulse. After a shock in adults, chest compressions should be resumed immediately, with brief pauses only when alternative physiologic evidence suggests return of spontaneous circulation.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},370147,1790625943,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":140,"language":141,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":12,"update_tm":145,"read_time":146},962085564549,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Guideline 11.2 – Protocols for Adult Advanced Life Support  \nSummary  \nWho does this guideline apply to?  \nThis guideline applies to adults who require advanced life support (ALS) .  \nWho is the audience for this guideline?  \nThis guideline is for health professionals and those who provide healthcare in environments where equipment and drugs are available.  \nSummary of Recommendations  \nThe 2018 Australian and New Zealand Committee on Resuscitation (ANZCOR) guideline has been reviewed and updated based on evidence reviews including the 20181, 20192 and 20203 International Liaison Committee on Resuscitation (ILCOR) ALS Taskforce evidence reviews. ANZCOR was involved in the ILCOR review and recommendation processes. ANZCOR makes the following recommendations:  \n1. That the Adult ALS algorithm be used as a tool to manage all adults who require advanced life support.  \n2. Good quality cardiopulmonary resuscitation (CPR) and reducing time to defibrillation are the highest priorities in resuscitation from sudden cardiac arrest.  \n3. Rescuers should aim to minimise interruptions to CPR during any ALS intervention.  \n1.0 | Advanced Life Support Algorithm  \nThe flow diagram illustrates the sequence of actions to be undertaken once equipment and drugs are available. Several tasks in the diagram may be undertaken at the same time.  \nGuideline 11.2 – Protocols for Adult Advanced Life Support  \nThe information in this Guideline is current as of: 24/09/2026 04:33am Page 1 of 11  \nThe algorithm is based on the following considerations:  \n1. The importance of good CPR and early defibrillation in achieving successful outcomes. Ventricular Fibrillation (VF) is, in many situations, the primary rhythm in sudden cardiac arrest. The vast majority of survivors come from this group.  \nThe chance of successful defibrillation decreases with time. Therefore, the performance of good CPR and decreasing the time to defibrillation are the highest priorities in resuscitation from sudden cardiac arrest.  \nThe amplitude and waveform of VF deteriorate as high-energy phosphate stores in the myocardium decrease. This rate of decrease can be slowed, or even reversed by effective basic life support (BLS) .4  \n2. Automated External Defibrillators (AEDs) can accurately diagnose cardiac rhythms and separate them into two groups:  \na) Shockable-those responsive to defibrillation.  \nb)Non-shockable-those unresponsive to defibrillation.  \n3. There are interventions that are indicated in all causes of cardiac arrest.  \n4. There is a group of potentially reversible conditions that, if unrecognised or left untreated during cardiac arrest, may prevent successful resuscitation.  \n2.1 | Good quality CPR  \nThe provision of good quality CPR is the cornerstone of ALS. This includes delivery of chest compressions over the lower half of the sternum at a depth of at least 5 cm, and at a rate of approximately 100 to 120 per minute, while minimising interruptions to compressions at all times.  \n2.2 | Assess rhythm  \nIf using an AED, follow the instructions. If using a manual defibrillator, the pads should be placed on the patient’s chest and, whilst CPR is continued, it should be charged. CPR should then be paused whilst the rhythm is analysed. If a rhythm compatible with spontaneous circulation is observed, the defibrillator should be disarmed and the pulse checked [Good Practice Statement] .  \nGuideline 11.2 – Protocols for Adult Advanced Life Support  \nThe information in this Guideline is current as of: 24/09/2026 04:33am Page 2 of 11  \n2.3 | Shockable Rhythm  \n VF is asynchronous chaotic ventricular activity that produces no cardiac output.  \n Pulseless ventricular tachycardia (pVT) is a wide complex regular tachycardia associated with no clinically detectable cardiac output.  \n A defibrillator shock should be administered according to the algorithm.  \n ANZCOR suggests immediate resumption of chest compressions after shock delivery for adults in cardiac arrest in any setting [CoST","cbCaiqtrDt8iLWvN","https://ap.wps.com/l/cbCaiqtrDt8iLWvN","pdf",277877,11,"English","# Summary\n## Who the guideline applies to\n## Who the guideline is for\n# Summary of Recommendations\n# 1.0 Advanced Life Support Algorithm\n## Algorithm considerations\n# 2.1 Good quality CPR\n# 2.2 Assess rhythm\n# 2.3 Shockable Rhythm\n# 2.4 Energy levels\n# 2.5 Immediate CPR","[{\"question\":\"Who is this guideline for and in what environments is it intended to be used?\",\"answer\":\"The guideline applies to adults who require advanced life support (ALS). It is for health professionals and others providing healthcare in environments where equipment and drugs are available.\"},{\"question\":\"What are the highest priorities during resuscitation from sudden cardiac arrest?\",\"answer\":\"High-quality cardiopulmonary resuscitation (CPR) and reducing time to defibrillation are the highest priorities. Rescuers should also minimize interruptions to CPR during ALS interventions.\"},{\"question\":\"How should CPR and rhythm assessment be handled after defibrillator use?\",\"answer\":\"When using an AED, follow its instructions. With a manual defibrillator, continue CPR while charging, then pause to analyze the rhythm; if spontaneous circulation is compatible, disarm and check the pulse. After a shock in adults, chest compressions should be resumed immediately, with brief pauses only when alternative physiologic evidence suggests return of spontaneous circulation.\"}]","Guideline 11.2 - Protocols for Adult Advanced Life Support | PDF",1790187070,28]