ACLS Introduction
The Initial Assessment
ACLS Essentials
ACLS Skills Training
Practice Megacodes Before Your Exam (Optional)
ACLS Exam

Initiating the Chain of Survival


The ILCOR has updated the Basic Life Support (BLS) course over the years as new research in cardiac care has become available. Cardiac arrest continues to be a leading cause of death in the United States. BLS guidelines have changed dramatically, and the elements of BLS continue to be some of the most important steps in the initial treatment. General concepts of BLS include:

  • Quickly starting the Chain of Survival.
  • Delivering high-quality chest compressions for adults, children, and infants.
  • Knowing where to locate and understanding how to use an Automated External Defibrillator (AED).
  • Providing rescue breathing when appropriate.
  • Understanding how to perform as a team.
  • Knowing how to treat choking.

INITIATING THE CHAIN OF SURVIVAL

Early initiation of BLS has been shown to increase the probability of survival for an individual dealing with cardiac arrest. To increase the odds of surviving a cardiac event, the rescuer should follow the steps in the Chain of Survival (Figure 1) inow standardized for all ages.

Chain of Survival

BLS Adult Chain of Survival
Figure 1

Emergencies in children and infants are not usually caused by the heart. Children and infants most often have breathing problems that trigger cardiac arrest. cardiac arrest. The Chain of Survival (Figure 1) is now standardized across all ages — including infants and children. The first priority in pediatric cardiac arrest remains prevention.