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Aftershock Red Hot and Cool Cinnamon Liqueur, 70 cl

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During CPR, start with basic airway techniques and progress stepwise according to the skills of the rescuer until effective ventilation is achieved. Consider extracorporeal CPR (eCPR) as a rescue therapy for selected patients with cardiac arrest when conventional ALS measures are failing and to facilitate specific interventions (e.g. coronary angiography and percutaneous coronary intervention (PCI), pulmonary thrombectomy for massive pulmonary embolism, rewarming after hypothermic cardiac arrest) in settings in which it can be implemented.

Use direct or video laryngoscopy for tracheal intubation according to local protocols and rescuer experience. The resuscitation team should meet at the beginning of each shift for introductions and allocation of team roles. Adult patients with a cardiac arrest of presumed primary cardiac aetiology should be transported directly to a hospital with 24/7 coronary angiography capability. Lidocaine 100 mg IV (IO) may be used as an alternative if amiodarone is not available or a local decision has been made to use lidocaine instead of amiodarone. An additional bolus of lidocaine 50 mg can also be given after five defibrillation attempts. If atropine is ineffective and transcutaneous pacing is not immediately available, fist pacing can be attempted while waiting for pacing equipment.Do not use POCUS for assessing contractility of the myocardium as a sole indicator for terminating CPR. Hospital systems should aim to recognise cardiac arrest, start CPR immediately, and defibrillate rapidly (<3 minutes) when appropriate. the involvement of stakeholders from around the world including members of the public and cardiac arrest survivors.

During CPR, start with basic airway techniques and progress stepwise according to the skills of the rescuer until effective ventilation is achieved. If an advanced airway is required, only rescuers with a high tracheal intubation success rate should use tracheal intubation. The expert consensus is that a high success rate is over 95% within two attempts at intubation.Apparently healthy young adults who suffer sudden cardiac death (SCD) can also have signs and symptoms (e.g. syncope/pre-syncope, chest pain and palpitations) that should alert healthcare professionals to seek expert help to prevent cardiac arrest. Use data-driven, performance-focused debriefing of rescuers to improve CPR quality and patient outcomes. Hospitals should review cardiac arrest events to identify opportunities for system improvement and share key learning points with hospital staff.

Hospitals should have a resuscitation team that immediately responds to in hospital cardiac arrest (IHCA). Antero-lateral pad position is the position of choice for initial pad placement. Ensure that the apical (lateral) pad is positioned correctly (mid-axillary line, level with the V6 ECG electrode position) i.e. below the armpit. Electrical cardioversion is the preferred treatment for tachyarrhythmia in the unstable patient displaying potentially life-threatening adverse signs. Consider mechanical chest compressions only if high-quality manual chest compression is not practical or compromises provider safety.severe heart failure – manifested by pulmonary oedema (failure of the left ventricle) and/or raised jugular venous pressure (failure of the right ventricle) Consider intraosseous (IO) access if attempts at IV access are unsuccessful or IV access is not feasible. Guidelines 2021 are based on the International Liaison Committee on Resuscitation 2020 Consensus on Science and Treatment Recommendations for Advanced Life Support and the European Resuscitation Council Guidelines for Resuscitation (2021) Advanced Life Support. Refer to the ERC guidelines publications for supporting reference material.

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