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Emergency medical systems (EMS) should consider implementing criteria for the withholding and termination of resuscitation (TOR) taking into consideration specific local legal, organisational and cultural context ( see the Ethics Guidelines).

If atropine is ineffective and transcutaneous pacing is not immediately available, fist pacing can be attempted while waiting for pacing equipment. Follow current European Society of Cardiology (ESC) guidelines for the diagnosis and management of syncope. An increase in ETCO 2 during CPR may indicate that ROSC has occurred. However, chest compression should not be interrupted based on this sign alone.During CPR, start with basic airway techniques and progress stepwise according to the skills of the rescuer until effective ventilation is achieved. POCUS may be useful to diagnose treatable causes of cardiac arrest such as cardiac tamponade and pneumothorax. The damage given by each respective rank of the perk, as a proportion of weapon damage, is as follows: Consider thrombolytic drug therapy when pulmonary embolus is the suspected or confirmed as the cause of cardiac arrest.

Minimise the risk of fire by taking off any oxygen mask or nasal cannulae and place them at least 1 m away from the patient’s chest. Ventilator circuits should remain attached. If cardioversion fails to restore sinus rhythm and the patient remains unstable, give amiodarone 300 mg intravenously over 10–20 minutes (or procainamide 10–15 mg kg -1 over 20 minutes) and re-attempt electrical cardioversion. The loading dose of amiodarone can be followed by an infusion of 900 mg over 24 hours. where k and c are constants, which vary between earthquake sequences. A modified version of Omori's law, now commonly used, was proposed by Utsu in 1961. [2] [3] n ( t ) = k ( c + t ) p {\displaystyle n(t)={\frac {k}{(c+t) myocardial ischaemia – may present with chest pain (angina) or may occur without pain as an isolated finding on the 12-lead ECG (silent ischaemia). Systems should define criteria for the withholding and termination of CPR, and ensure criteria are validated locally ( see the Ethics Guidelines).The process used to produce the Resuscitation Council UK Guidelines 2021 is accredited by the National Institute for Health and Care Excellence (NICE). The guidelines process includes:

Use data-driven, performance-focused debriefing of rescuers to improve CPR quality and patient outcomes.Hospital systems should aim to recognise cardiac arrest, start CPR immediately, and defibrillate rapidly (<3 minutes) when appropriate. Do not use POCUS for assessing contractility of the myocardium as a sole indicator for terminating CPR.