Reference protocol
✦ Healthcare Professional
GUIDELINES — HEALTHCARE PROFESSIONAL
Version May 20, 2022
TYPE OF SITUATION — MEDICAL
Is the scene safe?
Withdraw and contact
the relevant authorities
the relevant authorities
NO
YES
LEVEL OF CONSCIOUSNESS
A
ALERT(Alert)
V
VERBAL(Verbal stimuli)
P
PAIN(Painful stimuli)
U
UNRESPONSIVE(Unresponsive)
Leave the victim
in a position of comfort
in a position of comfort
Airway obstruction?
Is the victim
able to cough?
able to cough?
YES
Encourage
to cough
to cough
No longer able
(complete obstruction)
(complete obstruction)
NO
Complete
obstruction
obstruction
AIRWAY CLEARANCE
PROTOCOL
PROTOCOL
Place in
recovery position
recovery position
Frequently reassess
breathing and pulse
breathing and pulse
No breathing
Pulse present
(Inf./Child HR > 60 bpm)
Pulse present
(Inf./Child HR > 60 bpm)
Perform
rescue breathing
rescue breathing
Do you suspect an opioid overdose?
YES
Naloxone
per protocol
per protocol
NO
Continue rescue
breathing
breathing
Frequently reassess
pulse
pulse
Ventilation Rate
Adult
1 / 5–6 s
1 / 5–6 s
Inf./Child
1 / 2–3 s
1 / 2–3 s
No breathing
No pulse
(Inf./Child HR < 60 bpm)
No pulse
(Inf./Child HR < 60 bpm)
Do you suspect an
opioid overdose?
opioid overdose?
YES
Naloxone
per protocol
per protocol
NO
Apply CPR
C — Chest compressions
A — Airway opening
B — Perform rescue breaths
Ratio
Adult
30:2
30:2
Inf./Child
15:2 ×2 sec.
15:2 ×2 sec.
Protected Airway / Intubated
Continuous compressions
+ 1 ventilation / 6 s (adult)
+ 1 ventilation / 2–3 s (Inf./Child)
+ 1 ventilation / 6 s (adult)
+ 1 ventilation / 2–3 s (Inf./Child)
Breathing AND has a pulse
(Inf./Child HR > 60 bpm)
(Inf./Child HR > 60 bpm)
Place in
recovery position
recovery position
Frequently reassess
breathing and pulse
breathing and pulse
If the victim stops breathing
or loses pulse → col. 3
or loses pulse → col. 3
🤰 Pregnant Woman
Manual uterine displacement to the left may be beneficial during CPR maneuvers.