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This manual visually portrays advanced cardiac life support procedures and crisis management algorithms in anesthesia. Pocket sized, spiral bound, and laminated, it was created to be carried and used on the floor and in the operating room. The first section focuses on advanced cardiac life support and covers pulseless electrical activity; ventricular tachycardia and ventricular fibrillation; asystole; symptomatic bradycardia; and amniotic fluid embolism. The second section presents crisis management algorithms for difficult airway; malignant hyperthermia; anaphylaxis; myocardial ischemia; hypotension; hemorrhage/massive transfusion; venous air embolus; total spinal anesthesia; local anesthetic toxicity; transfusion reaction; hypoxemia; pneumothorax; bronchospasm; delayed emergence; oxygen failure, O2 crossover, pipeline failure; and power failure.