Basic Life Support Guidelines

Guideline Code

RECOVER Code(s)

Issue

Guideline

Class
(Def)

Level
(Def)

Comments

G-BLS-01

BLS02
BLS06

Chest Compressions

In dogs and cats, chest compressions should be done in lateral recumbency. I B Click
G-BLS-02 BLS02  

In dogs and cats, chest compression depth of between 1/3 and 1/2 the width of the chest is reasonable.

IIa

A

Click

G-BLS-03

BLS05B
BLS06

  In large and giant breed dogs, chest compressions with the hands placed over the widest portion of the chest is reasonable. IIa C Click
G-BLS-04 BLS05B
BLS06
  In keel-chested dogs, performing chest compressions with the hands directly over the heart is reasonable. IIa C Click
G-BLS-05 BLS05B
BLS06
  In barrel chested dogs, sternal chest compressions in dorsal recumbency may be considered. IIb C Click
G-BLS-06 BLS05A   In cats and small dogs, circumferential compressions rather than lateral compressions may be considered. IIb C Click
G-BLS-07 BLS07   Chest compression rate of 100-120 compressions/minute are recommended for both dogs and cats, independent of size. I A Click
G-BLS-08 BLS08   Allowing full chest wall recoil between compressions and avoiding leaning on the chest during recoil are recommended. I A Click
G-BLS-09 BLS03 Ventilation In non-intubated dogs and cats or single rescuer CPR, a C:V ratio of 30:2 is recommended. I B Click
G-BLS-10 BLS03   In intubated, multiple-rescuer CPR, continuous chest compressions with simultaneous ventilation are recommended. I A Click
G-BLS-11 BLS14
BLS15
  Ventilation of dogs and cats with CPA at a rate of 10 breaths per minute with a tidal volume of 10ml/kg and an inspiratory time of 1 sec is recommended. I A Click
G-BLS-12

BLS12
BLS18

Cycles of CPR Rotation of chest compressors every 2 minutes is recommended to reduce lean and compromise of compression efficacy due to fatigue. I B Click
G-BLS-13 BLS12   It is recommended that CPR be performed in 2 minute cycles without interruption, and duration of pauses between cycles minimized. I A Click
G-BLS-14 BLS11 Delay in starting CPR Aggressive administration of CPR in patients suspected of being in CPA is recommended, as the risk of injury due to CPR in patients not in CPA is low. I B Click
G-BLS-15 BLS09 Interposed Abdominal Compressions The use of interposed abdominal compressions in dogs and cats with CPA is reasonable when sufficient personnel trained in its use are available. IIa B Click