The new resuscitation guidelines

Subscribe to Resus

Get the latest updates on our Conferences PLUS our Webcasts and Education Newsletters. And it's FREE!

  • We respect your privacy
  • This field is for validation purposes and should be left unchanged.

Register Now:

Learn More

The new Australian Resuscitation Guidelines are out. We were waiting to see if they took on the form of the Americal Heart Association or the European version. We tend to follow the European version. Here they are.

The new guidelines recognise the need for continuous chest compressions as well as the need to minimise time away from CPR.

For a 14 minute summary lecture this week on adult resuscitation, go to the free lecture on the home page of Paediatric guidelines coming in the next week.

In summary, the adult guidelines are:

They stress the importance of good, CONTINUOUS cardiac compressions, with minimal interruption.

-Remember that CPR gives about 25-30% of the normal cardiac output, so it really is a bandaid measure

-Remember to start CPR immediately after defibrillation


They acknowledge the importance of defibrillation as perhaps the only thing that makes a definitive difference.

Airway is important but should not interrupt cardiac compressions by at most 20 seconds.

-It is probably important to not intubate immediately but to oxygenate and ventilate with bag valve mask or laryngeal mask

-End tidal CO2 is recommended to monitor potential return of spontaneous circulation


What about drugs?

-It is emphasised that drugs do not make any great difference

-Certainly adrenaline increases the chance of return of circulation, but makes no difference in terms of intact patient to hospital discharge

-Adrenaline is given following the second shock

-Amiodarone is the anti-arrhythmic used

-The anti-arrhythmic is given following the third shock


What about cooling?

-Yes it’s still cool to cool. Use normal saline at 4 degrees Celcius and give 30mL/kg


For my approach, watch the video. To practice, come along to one of the Cardiac Courses where we discuss all the evidence, what there is for it, and practice the best approaches.


In an arrested patient:

  • Start CPR immediately 30:2
  • Get the defibrillator there and attach the paddles
  • Airway at this point is bag valve mask
  • Assess the rhythm – is it VF or VT (pulseless)? If yes, SHOCK 200J with biphasic. If not, is it PEA or asystole? If yes, give adrenaline
  • Following shock, restart chest compressions immediately – go for 5 cycles of 30:2  ie., 2 minutes
    • If cannot get IV access i.e. within 1 – 1.5 minutes (i.e. until the next shock) use intraosseous
  • After 2 minutes, assess rhythm if shockable do so and start compressions
  • Give 1mg of adrenaline
  • In 2 minutes, re-assess rhythm – if organised rhythm, only at this time check the pulse. If not SHOCK again and restart CPR
  • Give anti-arrhythmic – Amiodarone 5mg/kg
  • Continue with cycles – adrenaline next and then amiodarone
  • If spontaneous circulation returns:
    • I then will intubate the patient
    • I give approximately 2-3L of cooled normal saline

Having your own approach is essential.

Go to to watch the free 14 minute lecture.

Dr Peter Kas

Emergency Physician, Educator. Key Interests: Resuscitation, Airway, Emergency Cardiology, Clinical Examination. Creator


  1. iyxipieei on 04/09/2021 at 9:42 pm

    The new resuscitation guidelines – Resus

  2. Angelica on 17/09/2021 at 10:25 am

    Interesting blog! Is your theme custom made or did you download it from somewhere?
    A design like yours with a few simple tweeks would really make my blog stand out.
    Please let me know where you got your theme.

  3. on 17/09/2021 at 10:27 am

    Do you mind if I quote a few of your posts as
    long as I provide credit and sources back
    to your site? My blog site is in the exact same area of interest
    as yours and my visitors would definitely benefit from a lot of the information you present here.
    Please let me know if this ok with you. Cheers!

    Check out my blog post; Mega Male Enhancement,,

  4. Max Melt Keto Side Effects on 17/09/2021 at 10:28 am

    Thanks for sharing your thoughts about healthy food guide. Regards

    Review my blog – Max Melt Keto Side Effects

  5. on 17/09/2021 at 10:41 am

    Howdy! This post could not be written any better!
    Reading this post reminds me of my previous room mate!
    He always kept talking about this. I will forward this
    article to him. Pretty sure he will have a good read. Thanks for sharing!

  6. Erectesto XL on 17/09/2021 at 10:44 am

    I am really loving the theme/design of your site.
    Do you ever run into any web browser compatibility problems?
    A couple of my blog readers have complained about my
    site not working correctly in Explorer but looks great
    in Opera. Do you have any ideas to help fix
    this problem?

    My website :: Erectesto XL

  7. on 17/09/2021 at 10:47 am

    I am really loving the theme/design of your website.
    Do you ever run into any browser compatibility problems? A handful of my blog visitors have complained about
    my website not working correctly in Explorer but looks great in Safari.

    Do you have any recommendations to help fix this problem?

    Here is my website: Extreme Keto EFX Pills;,

  8. on 17/09/2021 at 10:57 am

    I have been surfing online more than 3 hours today, yet I never found
    any interesting article like yours. It’s pretty worth enough
    for me. In my opinion, if all website owners and bloggers made good
    content as you did, the web will be a lot more
    useful than ever before.

  9. Extreme Keto EFX Pills on 17/09/2021 at 11:20 am

    Thanks, I’ve just been searching for info approximately this
    topic for a while and yours is the best I’ve found out till now.
    However, what about the conclusion? Are you certain concerning the supply?

    Feel free to visit my web blog Extreme Keto EFX Pills

  10. Keto X3 Reviews on 17/09/2021 at 11:42 am

    I just like the valuable info you supply on your articles.
    I’ll bookmark your blog and check again here frequently.
    I’m relatively sure I will be told lots of new stuff right right here!
    Best of luck for the next!

    Here is my website … Keto X3 Reviews

  11. Testo X Men on 17/09/2021 at 12:07 pm

    Hi, Neat post. There is an issue along with your website in internet explorer,
    may test this? IE nonetheless is the marketplace chief and
    a big component of folks will miss your excellent writing
    due to this problem.

    Feel free to surf to my web blog: Testo X Men

  12. Pure CBD Softgels on 17/09/2021 at 12:08 pm

    There’s certainly a great deal to find out about this issue.
    I love all the points you’ve made.

    Look into my homepage Pure CBD Softgels

  13. Ultra Quick Keto Burn Ingredients on 17/09/2021 at 12:23 pm

    Hi to every body, it’s my first pay a Ultra Quick Keto Burn Ingredients visit of this blog; this weblog carries awesome and actually fine information for readers.

  14. I like the valuable info you provide in your articles.
    I will bookmark your weblog and check again here frequently.
    I’m quite certain I’ll learn plenty of new stuff right here!
    Best of luck for the next!

    Feel free to visit my web-site … Bioneo Farms CBD Oil (

  15. Mega Male Enhancement Reviews on 17/09/2021 at 1:07 pm

    Unquestionably imagine that which you stated. Your favourite reason appeared to be on the net
    the easiest thing to bear in mind of. I say to you,
    I certainly get annoyed whilst people think about concerns that they
    plainly do not understand about. You managed to hit the nail upon the top and defined out the whole thing without having
    side-effects , other people could take a signal. Will probably be again to get more.

    Thank you

    My webpage Mega Male Enhancement Reviews

  16. Tundra Breeze Portable AC Unit on 17/09/2021 at 1:19 pm

    Perfectly composed written content, Really enjoyed examining.

    my web page – Tundra Breeze Portable AC Unit

  17. Erectesto XL on 17/09/2021 at 1:21 pm

    I like this web blog very much, Its a really nice position to read and get

    Feel free to visit my blog post … Erectesto XL

  18. on 17/09/2021 at 1:31 pm

    Thank you for the good writeup. It actually was once a amusement account it.
    Glance complicated to far added agreeable from you! However, how
    can we communicate?

    my web page … Quick Keto Trim Pills;,

  19. Bioneo Farms CBD Oil on 17/09/2021 at 1:36 pm

    Appreciate it for this post, I am a big big
    fan of this web site would like to keep updated.

    Feel free to visit my blog post … Bioneo Farms CBD Oil

  20. Max Melt Keto Review on 17/09/2021 at 2:11 pm

    Very nice pattern and wonderful content, hardly anything else we require :

    Here is my blog post – Max Melt Keto Review

  21. A1 Keto BHB Ingredients on 17/09/2021 at 2:13 pm

    We absolutely love your blog and find many of your post’s to be precisely what I’m looking
    for. Does one offer guest writers to write content
    for you? I wouldn’t mind publishing a post or elaborating
    on most of the subjects you write related to
    here. Again, awesome web site!

    Also visit my web-site; A1 Keto BHB Ingredients

  22. Jeremy on 17/09/2021 at 2:19 pm

    Good article. I certainly love this site. Stick with it!

  23. I truly appreciate this post. I have been looking all over for this!
    Thank goodness I found it on Bing. You’ve made my day!
    Thx again!

    Review my web blog :: Pure CBD Softgels Price (

  24. UltraXTend Reviews on 17/09/2021 at 2:33 pm

    I like this website because so much useful
    material on here :D.

    Feel free to visit my web page: UltraXTend Reviews

  25. Grown MD CBD on 17/09/2021 at 2:55 pm

    At this time I am going away to do my breakfast,
    later than having my breakfast coming yet again to read more

    My page … Grown MD CBD

  26. Ultra Quick Keto on 17/09/2021 at 4:04 pm

    This article is really a good one it helps new the web users, who are wishing for blogging.

    My web blog :: Ultra Quick Keto

  27. Grown MD CBD on 17/09/2021 at 4:05 pm

    Great site you’ve got here.. It’s difficult to find
    quality writing like yours nowadays. I truly appreciate people like you!
    Take care!!

    my blog post :: Grown MD CBD

  28. Extreme Muscle XXL Ingredients on 17/09/2021 at 4:06 pm

    Greetings! Very helpful advice within this article! It’s the little
    changes that will make the largest changes.
    Many thanks for sharing!

    Also visit my web site; Extreme Muscle XXL Ingredients

  29. Renew Brite on 17/09/2021 at 4:15 pm

    I?m amazed, I must say. Rarely do I come across a blog that?s
    both equally educative and engaging, and let me tell you, you’ve
    hit the nail on the head. The issue is something too
    few people are speaking intelligently about.

    Now i’m very happy that I came across this in my hunt for something concerning this.

    My web page – Renew Brite

  30. taruhanbol on 17/09/2021 at 4:54 pm

    Gгeetings! This iss my first visit to your blog! We are a сollection of voⅼunteeгs and staгting
    a new project in a community in tһe same niche. Your blog provided
    us beneficial information tо work on. You have done a marvelⅼous job!

  31. Wһen I originally commented I clicked the “Notify me when new comments are added”
    checkbox and now each tіme a commnt is added I get three emailos wiith the same comment.
    Is tһere any way you cann remove people from that service?

    Appreciate it!

  32. Terra Xtract CBD Reviews on 17/09/2021 at 5:59 pm

    Hello there, I found your web site via Google whilst looking for a related topic, your web site got here up, it appears to be
    like good. I have bookmarked it in my google bookmarks.[X-N-E-W-L-I-N-S-P-I-N-X]Hello there, just became aware of your blog via Google, and located that it’s really informative.
    I am gonna watch out for brussels. I’ll be grateful should you proceed this in future.
    A lot of people can be benefited out of your writing.

    Here is my website: Terra Xtract CBD Reviews

  33. Kelly on 18/09/2021 at 1:31 am

    I’ve been surfing online more than three hours today, yet I never
    found any interesting article like yours. It’s pretty worth enough for me.

    In my opinion, if all webmasters and bloggers made good content as
    you did, the web will be a lot more useful than ever before.

  34. on 18/09/2021 at 2:33 am

    Excellent post but I was wondering if you could
    write a litte more on this subject? I’d be very grateful
    if you could elaborate a littgle bit further. Thank you!

  35. on 18/09/2021 at 2:57 am

    Right away I am going away to do my breakfast, after having my breakfast coming over again to
    read additional news.

  36. Galen on 18/09/2021 at 3:23 am

    I was suggested this website by my cousin. I am not positive whether
    or not this submit is written via him as nobody else know such special about my difficulty.

    You are amazing! Thanks!

  37. Heather on 18/09/2021 at 11:52 pm

    I have learn some good stuff here. Certainly value bookmarking for revisiting.
    I wonder how much effort you place to make one of these magnificent informative web site.

  38. Stephany on 19/09/2021 at 12:52 pm

    Appreciate this post. Will try it out.

  39. Luigi on 19/09/2021 at 5:03 pm

    These are in fact wonderful ideas in about blogging.
    You have touched some pleasant factors here. Any way keep up wrinting.

  40. Foster on 19/09/2021 at 8:56 pm

    Thanks for ones marvelous posting! I really
    enjoyed reading it, you will be a great author.
    I will make certain to bookmark your blog and may come back very soon. I want
    to encourage you to continue your great writing, have a nice afternoon!

Leave a Comment