Advanced Life Support Worksheets

ILCOR Code

RECOVER Code

Issue

PICO Question

Priority

WS Author(s)

Comments

Peds-018

ALS01

Epinephrine dose and timing

In dogs and cats with cardiac arrest (P), does the use of any specific alternative dosing regimen for epinephrine (I) compared with standard recommendations (0.01 mg/kg IV q 3-5 minutes) (C), improve outcome (e.g. ROSC, survival to hospital discharge, survival with favorable neurologic outcome) (O)?

1

Dr. Rosalind Chow

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ALS-D-024A

ALS02

Atropine use

In dogs and cats in cardiac arrest (asystole, pulseless electrical activity, pulseless VT and VF) (P), does the use of atropine (I) compared to standard care without atropine (C), result in improved outcome (e.g. ROSC, survival) (O).

1

Dr. Peggy Marsh

Dr. Katie Sakakeeny

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Peds-020A

ALS03

Vasopressin vs epinephrine

In dogs and cats with cardiac arrest (P), does the use of vasopressin (I) compared with standard treatment recommendations (e.g., epinephrine) (C), improve outcome (e.g. ROSC, survival to hospital discharge or survival with favorable neurologic outcome)(O)?

1

Dr. Cass Rogers

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ALS-D-016A

ALS04

IV fluids during cardiac arrest

In dogs and cats with cardiac arrest (P), does the use of intravenous fluids (I) compared with not using fluids (C), improve outcomes (e.g. ROSC, survival) (O).

1


 

ALS-E-033A

ALS05

Defibrillation and defibrillation technique

In dogs and cats with cardiac arrest due to VF or pulseless VT (P), does the use of a defibrillator, or any specific defibrillation strategy (I) compared with no defibrillation (C), improve outcomes (e.g. restoration of pulse generating rhythm, ROSC, survival) (O)?

1

Dr. Amy Dickinson

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ALS-CPR&A-004A

ALS06

Open-chest CPR

In dogs and cats with cardiac arrest (P) does the use of open-chest CPR in certain situations (I) compared with closed-chest CPR (C), improve outcome (e.g. ROSC, survival to discharge) (O)?

2

Dr. Steve Marks

Dr. Jennifer Waldrop

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ALS-D-025A

ALS07

Antiarrhythmic drug therapy

In dogs and cats with cardiac arrest (asystole, pulseless electrical activity, pulseless VT and VF) (P), does the use of antiarrhythmic drugs (lidocaine, procainamide, amiodarone, bretylium, magnesium) (I) compared with a standard CPR regimen (C), improve outcomes (e.g. ROSC, survival) (O)?

2

Dr. Elizabeth Rozanski

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BLS-024A

ALS08

Defibrillation sequence

In dogs and cats with cardiac arrest due to VF (P) does the use of CPR before defibrillation (I) as opposed to defibrillation first (C), improve outcome (O) (e.g. ROSC survival)?

2

Dr. Lauren Sullivan

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Peds-036

ALS09

Intravenous vs intratracheal drug administration

In dogs and cats with cardiac arrest (P), does the use of tracheal drug delivery (I) compared to intravenous drug delivery (C) worsen patient outcome (e.g. ROSC, survival to hospital discharge (O)?

2

Dr. Lisa Powell

 

ALS/BLS-CPR&A-081A, ALS/BLS-CPR&A-081B

ALS10

Impedance valve

In intubated dogs and cats with cardiac arrest (P), does the use of an impedance threshold device (I), as opposed to routine CPR without an impedance valve (C), improve outcome (O) (e.g. ROSC, survival)?

2

Dr. Stephen Simpson

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ALS-D-027 or ALS-PA-048A

ALS11

Steroids for cardiac arrest

In dogs and cats during cardiac arrest (P), does treatment with corticosteroids alone or in combination with other drugs (I) as opposed to care without corticosteroids (C), improve outcome (O) (e.g. survival or neurologic status)?

2

Dr. Mike Lagutchik

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ALS-SC-076A

ALS12

Electrolyte disturbances

In dogs and cats with cardiac arrest (P), does treatment of electrolyte disturbances (eg, hyper- or hypokalemia, hypo-or hypercalcemia) (I) as opposed to standard care without treatment of electrolyte disturbance (C) result in improved outcome (eg, ROSC, survival)(O)?

3

Dr. Tom Walker

 

NRP-022A

ALS13

naloxone for cardiac arrest

In dogs and cats with cardiac arrest and suspected narcotic depression (P), does naloxone (I) when compared to effective ventilation without naloxone (C), improve outcome (O)?

3

Dr. Gareth Buckley

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ALS-D-026A

ALS14

calcium for cardiac arrest

In dogs and cats with cardiac arrest (asystole, pulseless electrical activity, pulseless VT and VF) (P), does the use of calcium alone or combination with other drugs (I) compared with not using calcium (C), improve outcomes (e.g. ROSC, survival) (0)?

3

Dr. Adesola Odunayo

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ALS-E-032B or Peds-023A

ALS15

Escalating vs fixed defibrillation energy

In dogs and cats with cardiac arrest (P), does the use of an escalating defibrillation energy protocol (I) compared with a fixed energy protocol (C), improve outcomes (e.g. ROSC) (O)?

3

Dr. Ladan Mohammad-Zadeh

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NRP-021A

ALS16

Sodium bicarbonate

In dogs and cats requiring resuscitation and not responding to CPR (P), does the administration of sodium bicarbonate (I) versus no bicarbonate (C) improve outcome (O)?

3

Dr. Shana O’Marra

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ALS17

Duration of CPR

In cats and dogs in cardiac arrest (P), does a termination rule based on a specific duration of unsuccessful CPR (I) compared with no guidelines for termination of the duration of CPR effort (C) reduce unnecessary resuscitation effort (O)?

3

Dr. Mike Walters

 

 

ALS18

Anesthesia at time of arrest

In dogs and cats with cardiac arrest under anesthesia (P), do anesthesia-specific CPR recommendations (I), compared to no such recommendations (standard CPR) (C) result in improved outcomes (survival or ROSC)(O)?

3

Dr. Efrat Kelmer

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