The image is a flowchart that explains the steps involved in an adult cardiac arrest. It is titled "Adult Cardiac Arrest: Shout for Help/Activate Emergency Response". 

The flowchart is divided into two sections. The first section is labeled "Start CPR" and shows the steps of the CPR process. The second section is labelled "CPR 2 min" and provides instructions on how to start CPR. The instructions explain that the CPR is a type of emergency response that is used to respond to an emergency situation.

At the top of the flowchart, there is a list of steps that need to be followed in order to complete the procedure. The steps include:

- Start CPR: This step is followed by a step by step guide, followed by steps such as "Stop CPR 2 minutes", "Stop shock", and "Stop emergency response".

There are also instructions on the right side of the image that explain the steps and how they should be followed. The flowchart also includes a brief description of each step and a brief explanation of how to do so.