Aftershock Red Hot and Cool Cinnamon Liqueur, 70 cl

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If the patient with tachycardia is stable (no life-threatening adverse signs or symptoms) and is not deteriorating, pharmacological treatment may be possible. Minimise the risk of fire by taking off any oxygen mask or nasal cannulae and place them at least 1 m away from the patient’s chest. Ventilator circuits should remain attached. Hospitals should review cardiac arrest events to identify opportunities for system improvement and share key learning points with hospital staff.

Use direct or video laryngoscopy for tracheal intubation according to local protocols and rescuer experience. the involvement of stakeholders from around the world including members of the public and cardiac arrest survivors. replace the Product with a product that is new or which has been manufactured from new or serviceable used parts and is at least functionally equivalent to the original product; orDo not use POCUS for assessing contractility of the myocardium as a sole indicator for terminating CPR.

Resuscitation team members should have the key skills and knowledge to manage a cardiac arrest including manual defibrillation, advanced airway management, intravenous access, intra-osseous access, and identification and treatment of reversible causes. Emergency medical systems (EMS) should consider implementing criteria for the withholding and termination of resuscitation (TOR) taking into consideration specific local legal, organisational and cultural context ( see the Ethics Guidelines). During CPR, start with basic airway techniques and progress stepwise according to the skills of the rescuer until effective ventilation is achieved. Hospital staff should use structured communication tools to ensure effective handover of information. Consider thrombolytic drug therapy when pulmonary embolus is the suspected or confirmed as the cause of cardiac arrest.

If treatment with atropine is ineffective, consider second line drugs. These include isoprenaline (5 mcg min −1 starting dose), and adrenaline (2–10 mcg min −1).

All hospital staff should be able to rapidly recognise cardiac arrest, call for help, start CPR and defibrillate (attach an AED and follow the AED prompts, or use a manual defibrillator).Hospital systems should aim to recognise cardiac arrest, start CPR immediately, and defibrillate rapidly (<3 minutes) when appropriate. There is a greater recognition that patients with both in- and out-of-hospital cardiac arrest have premonitory signs, and that many of these arrests may be preventable.