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  Airway and ventilation During CPR, start with basic airway techniques and progress stepwise according to the skills of the rescuer until effective ventilation is achieved. Do not use dual double sequential defibrillation for refractory VF outside of a research setting. If an advanced airway is required, only rescuers with a high tracheal intubation success rate should use tracheal intubation. Fluids Give IV IO fluids only where the cardiac arrest is caused by or possibly caused by hypovolaemia. Hospitals should review cardiac arrest events to identify opportunities for system improvement and share key learning points with hospital staff.