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BLS Healthcare Provider Adult Cardiac Arrest Algorithm for Suspected or Confirmed COVID-19 Patients Updated April 2020 Verify scene safety + Don PPE + Limit personnel Victim is unresponsive. Shout for nearby help. * Provide rescue breathing Activate emergency response system using bag-mask device with using bag-mask device with via mobile device (if appropriate). filter and tight seal. Get AED and emergency equipment + 1 breath every 5-6 seconds, (or send someone todo so). or about 10-12 breaths/min. * Activate emergency re- Nonormal sponse system (if not already breathing, done) after 2 minutes. or only gasping and check has pulse * Continue rescue breathing; pulse (simultaneously). check pulse about every Is pulse definitely felt 2 minutes. If no pulse, begin within 10 seconds? CPR (go to “CPR" box). + If possible opioid overdose, administer naloxone if No breathing available per protocol. or only gasping, no pulse Normal breathing, has pulse Look for no breathing Monitor until emergency responders arrive. By this time in all scenarios, emergency response system or backup is activated, and AED and emergency equipment are retrieved or someone is retrieving them. CPR Begin cycles of 30 compressions and 2 breaths using bag-mask device with filter and tight seal ‘OR continuous compressions with passive oxygenation using face mask. Use AEDas soonas itis available. ‘ AED arrives. Check rhythm. Shockable rhythm? Give 1 shock. Resume CPR immediately for about 2 minutes (until prompted by AED to allow rhythm check). Continue until ALS providers take over or victim starts to move. No, nonshockable Yes, shockable Resume CPR immediately for about 2 minutes (until prompted by AED to allow rhythm check). Continue until ALS providers take over or victim starts to move. © 2020 American Heart Association 
