Team Leader. Ensures high-quality CPR at all times Assigns team member roles Ensures that team members perform well. Bradycardia Management

Size: px
Start display at page:

Download "Team Leader. Ensures high-quality CPR at all times Assigns team member roles Ensures that team members perform well. Bradycardia Management"

Transcription

1 ACLS Megacode Case 1: Sinus Bradycardia (Bradycardia VF/Pulseless VT Asystole Out-of-Hospital Scenario You are a paramedic and arrive on the scene to find a 57-year-old woman complaining of indigestion. She is cold, clammy, and diaphoretic. She tells you she is about to faint. EMS responders have obtained vital signs: HR 38/min, BP 70 mm Hg/palpable, RR 16/min, and O 2 saturation 93%. No other assessment or management has been performed. Now you assume the role of team leader. Bradycardia (Asystole) Post Care This woman may have an ACS. The case focus, however, is bradycardia. The team leader should begin to take a history and direct team members to start oxygen (if not initiated) and an IV and place monitor leads. Nitroglycerin at this point would be inappropriate in the absence of typical ischemictype discomfort and given the woman s vital signs (severe bradycardia and hypotension contraindicated). The student is presented with bradycardia and needs to follow the Bradycardia. A critical action is noting that symptoms are due to bradycardia that requires management. Actions at this point should include at least an initial dose of atropine and preparation for TCP or use of chronotropic drugs (epinephrine or dopamine infusion). The patient suddenly develops VF. The team leader will follow the. Now the student team leader will assign additional team functions and monitor for highquality CPR. The case should continue through safe defibrillation, administration of a vasopressor, and consideration of an antiarrhythmic drug. After a shock, the patient becomes asystolic. The student continues to monitor high-quality CPR and follows the asystole pathway of the. patient has ROSC, and the Post Care is initiated. Megacode Testing Checklist 1/2 Bradycardia VF/Pulseless VT Asystole ROSC Bradycardia Management Recognizes symptomatic bradycardia Administers correct dose of atropine Prepares for second-line treatment Asystole Management Recognizes asystole Verbalizes potential reversible causes of asystole/pea (H s and T s) ly resumes CPR after rhythm checks Post Care Instructor signature affirms that sheet with course record. Instructor Signature: Date: 2011 American Heart Association

2 ACLS Megacode Case 2: Mobitz Type II AV Block (Bradycardia VF/Pulseless VT Asystole In-Hospital Scenario You are evaluating a 57-year-old woman complaining of indigestion. She is brought immediately from triage (arrived by personal car) and placed in ED room 2. She is cold, clammy, and diaphoretic. She states that she feels as if she is about to faint. The triage nurse is working with you and has obtained vital signs: HR 38/min, BP 70 mm Hg/palpable, RR 16/min, and O 2 saturation 91%. Bradycardia (Asystole) Post Care This woman may have an ACS. The case focus, however, is bradycardia. The team leader should begin to take a history and direct team members to start oxygen (if not initiated) and gain IO access (not able to get an IV in) and place monitor leads. Nitroglycerin at this point would be inappropriate in the absence of typical ischemic-type discomfort and given the patient s vital signs (severe bradycardia and hypotension contraindicated). The student is presented with bradycardia and needs to follow the Bradycardia. A critical action is noting that symptoms are due to bradycardia that requires management. Actions at this point should include at least an initial dose of atropine and preparation for TCP or use of chronotropic drugs (epinephrine or dopamine infusion). The patient suddenly develops VF. The team leader will follow the. Now the student team leader will assign additional team functions and monitor for highquality CPR. The case should continue through safe defibrillation, administration of a vasopressor, and consideration of an antiarrhythmic drug. After a shock, the patient becomes asystolic. The student continues to monitor high-quality CPR and follows the asystole pathway of the. patient has ROSC, and the Post Care is initiated. Megacode Testing Checklist 1/2 Bradycardia VF/Pulseless VT Asystole ROSC Bradycardia Management Recognizes symptomatic bradycardia Administers correct dose of atropine Prepares for second-line treatment Asystole Management Recognizes asystole Verbalizes potential reversible causes of asystole/pea (H s and T s) ly resumes CPR after rhythm checks Post Care Instructor signature affirms that sheet with course record. Instructor Signature: Date:

3 ACLS Megacode Case 3: ( Cardioversion Out-of-Hospital Scenario You are a paramedic and arrive on the scene to find a 65-year-old man complaining of palpitations and chest discomfort. He is cold, clammy, and diaphoretic. He states that he feels as if he is about to faint. EMS responders have placed oxygen and obtained vital signs: HR 160/min, BP 70 mm Hg/palpable, RR 16/min, and O 2 saturation 96%. Post Care This man may have an ACS. The case focus, however, is initially a tachycardia. The student should begin to take a history, start an IV, and attach monitor electrodes or pads to the patient. Nitroglycerin at this point would be inappropriate and contraindicated because of hypotension. Aspirin may be given. The student is presented with tachycardia and needs to follow the. A critical action is noting that symptoms are due to tachycardia that requires management. The monitor shows a wide-complex tachycardia: VT. The student should recognize that the patient is symptomatic and prepare for immediate cardioversion. Consideration of drug therapy should not delay cardioversion. The patient should suddenly develop VF. The student will follow the VF/pulseless VT pathway of the. Now the student team leader will assign team functions and monitor for high-quality CPR. The case should continue through safe defibrillation, administration of a vasopressor, and consideration of an antiarrhythmic drug. The patient is now in PEA. The student continues to monitor high-quality CPR and follows the PEA pathway of the. Although the patient is likely in cardiogenic shock, the student should state a differential diagnosis of PEA. patient has ROSC, and the Post Care is initiated. Megacode Testing Checklist 3 Management Recognizes unstable tachycardia Recognizes symptoms due to tachycardia Performs immediate synchronized cardioversion ly resumes CPR after rhythm and pulse checks Post Care 125

4 ACLS Megacode Case 4: (S Drug Therapy In-Hospital Scenario In the ED, you are evaluating a 65-year-old man complaining of palpitations. He is in no distress. He has a history of coronary artery disease and had a stent placed in the past. Otherwise, he is healthy, with no other medical problems. His vital signs are HR 170/min, BP 110/70 mm Hg, RR 16/min, and O 2 saturation 95%. Post Care This man has mild symptoms and is hemodynamically stable. The case focus, however, is initially a tachycardia. The student should begin to take a history, start an IV, and place a monitor. Nitroglycerin at this point would be inappropriate because of the rapid tachycardia. Aspirin may be given. The student is presented with tachycardia and needs to follow the. A critical action is noting that the patient is asymptomatic except for palpitations and is hemodynamically stable. He does not require immediate cardioversion. Note or show that he has a regular narrowcomplex tachycardia. The team leader should follow the algorithm and indicate vagal maneuvers and initial therapy with adenosine. During this treatment, the patient suddenly develops VF. The student will follow the VF/pulseless VT pathway of the. Now the student team leader will assign team functions and monitor for high-quality CPR. The case should continue through safe defibrillation, administration of a vasopressor, and consideration of an antiarrhythmic drug. After a shock, the patient is now in PEA. The student continues to monitor high-quality CPR and follow the PEA pathway of the. Although the patient is likely in cardiogenic shock, the student should verbalize a differential diagnosis of PEA. patient has ROSC, and the Post Care is initiated. Megacode Testing Checklist 4 Management Recognizes tachycardia (specific diagnosis) Recognizes no symptoms due to tachycardia Attempts vagal maneuvers Gives appropriate initial drug therapy ly resumes CPR after rhythm and pulse checks Post Care

5 ACLS Megacode Case 5: (S Cardioversion Out-of-Hospital Scenario You arrive on the scene to find a male, age 58 years, lying in his bed. The patient says he began having what he thought was indigestion about 4 hours earlier, but the chest discomfort suddenly became worse about 30 minutes ago while at rest, and he now complains of palpitations. The patient is pale, diaphoretic, and appears in distress. His BP is 136/92 mm Hg, his heart rate is 184/min and regular, and his RR is 16/min. Post Care The EMS crew should quickly obtain a history (nonsignificant and no allergies) and investigate the chief complaint. The crew should place the patient on a pulse oximeter (Spo 2 = 93%) and an ECG monitor (narrow-complex tachycardia). The crew should prepare for immediate synchronized cardioversion. It is reasonable for the crew to place the patient on supplemental oxygen at 4 L/min by nasal cannula, ask the patient to chew 2 to 4 baby aspirins, and administer a sublingual dose of nitroglycerin (after verifying the absence of erectile dysfunction medication use). Before cardioversion can be performed, the patient has what appears to be a grand mal seizure that lasts for about 10 seconds. Once the seizure subsides, the patient appears unconscious. ECG rhythm assessment reveals VF. The students will follow the VF/pulseless VT pathway of the. The team leader should check patient responsiveness and verify that the lead wires were not disconnected during the seizure. Upon confirming pulselessness, the team leader should monitor the CPR performance of the team members. The case should continue through safe defibrillation and vasopressor administration. After 2 defibrillation attempts and vasopressor administration, the patient develops PEA. The students will follow the PEA pathway of the. The team leader should continue to monitor the quality of the CPR performance. The team leader should order the administration of another dose of a vasopressor and recite the possible causes of PEA. patient has ROSC, and the Post Care is initiated. Megacode Testing Checklist 5 Management Recognizes unstable tachycardia Recognizes symptoms due to tachycardia Performs immediate synchronized cardioversion ly resumes CPR after rhythm and pulse checks Post- Care

6 128 ACLS Megacode Case 6: ( Drug Therapy In-Hospital Scenario A clinic nurse delivers a male, age 65 years, to the inpatient unit as a direct hospital admission from the medicine clinic in a wheelchair. The patient developed sudden palpitations that began while driving home and came straight to his doctor s office in the hospital s outpatient clinic. The patient appears stable with no distress. His BP is 148/88 mm Hg, his heart rate is 160/min and regular, and his RR is 12/min. Post Care The team leader should quickly obtain a history (hypertension and no allergies) and investigate the chief complaint. Team members should place the patient on a pulse oximeter (Spo 2 = 97%) and an ECG monitor (regular, wide-complex tachycardia). The team leader should direct team members to assess the patient s hemodynamics for stability, get a 12-lead ECG, and prepare for drug therapy. During 12-lead ECG acquisition, the patient states that he feels like he needs to vomit and then loses consciousness. ECG rhythm assessment reveals VF. The students will follow the VF/pulseless VT pathway of the. The team leader should check patient responsiveness, and then monitor the CPR performance of the team members. The case should continue through safe defibrillation and vasopressor administration. After 2 defibrillation attempts and vasopressor administration, the patient develops PEA. The students will follow the PEA pathway of the. The team leader should continue to monitor the quality of the CPR performance. The team leader should order the administration of another dose of a vasopressor and recite the possible causes of PEA. patient has ROSC, and the Post Care is initiated. Megacode Testing Checklist 6 Management Recognizes tachycardia (specific diagnosis) Recognizes no symptoms due to tachycardia Attempts vagal maneuvers Gives appropriate initial drug therapy ly resumes CPR after rhythm and pulse checks Post Care

Megacode Testing Checklist 1/2 Bradycardia VF/Pulseless VT Asystole ROSC

Megacode Testing Checklist 1/2 Bradycardia VF/Pulseless VT Asystole ROSC Megacode Testing Checklist 1/2 Bradycardia VF/Pulseless VT Asystole ROSC Student Name: Test Bradycardia Management Recognizes symptomatic bradycardia Administers correct dose of atropine Prepares for second-line

More information

ACLS PRE-TEST ANNOTATED ANSWER KEY

ACLS PRE-TEST ANNOTATED ANSWER KEY ACLS PRE-TEST ANNOTATED ANSWER KEY June, 2011 Question 1: Question 2: There is no pulse with this rhythm. Question 3: Question 4: Question 5: Question 6: Question 7: Question 8: Question 9: Question 10:

More information

Advanced Cardiovascular Life Support Case Scenarios

Advanced Cardiovascular Life Support Case Scenarios Advanced Cardiovascular Life Support Case Scenarios ACLS Respiratory Arrest Case Out-of-Hospital Scenario You are a paramedic and respond to the scene of a possible cardiac arrest. A young man lies motionless

More information

American Heart Association ACLS Pre-Course Self Assessment Dec., ECG Analysis. Name the following rhythms from the list below:

American Heart Association ACLS Pre-Course Self Assessment Dec., ECG Analysis. Name the following rhythms from the list below: American Heart Association ACLS Pre-Course Self Assessment Dec., 2006 ECG Analysis This pre-test is exactly the same as the pretest on the ACLS Provider manual CD. This paper version can be completed in

More information

American Heart Association ACLS Pre-Course Self Assessment Dec., 2006. ECG Analysis. Name the following rhythms from the list below:

American Heart Association ACLS Pre-Course Self Assessment Dec., 2006. ECG Analysis. Name the following rhythms from the list below: American Heart Association ACLS Pre-Course Self Assessment Dec., 2006 ECG Analysis This pre-test is exactly the same as the pretest on the ACLS Provider manual CD. This paper version can be completed in

More information

If you do not wish to print the entire pre-test you may print Page 2 only to write your answers, score your test, and turn in to your instructor.

If you do not wish to print the entire pre-test you may print Page 2 only to write your answers, score your test, and turn in to your instructor. This is a SAMPLE of the pretest you can access with your AHA PALS Course Manual at Heart.org/Eccstudent using your personal code that comes with your PALS Course Manual The American Heart Association strongly

More information

Practical ACLS Megacode Testing and Training Scenario Set for SimPad. Consolidated Instructor Manual. Frances Wickham Lee, DBA

Practical ACLS Megacode Testing and Training Scenario Set for SimPad. Consolidated Instructor Manual. Frances Wickham Lee, DBA Practical ACLS Megacode Testing and Training Scenario Set for SimPad Consolidated Instructor Manual Frances Wickham Lee, DBA Scenario Authors: Frances Wickham Lee, DBA John Walker, BHS John Schaefer, MD

More information

Practical ACLS Megacode Testing and Training Scenario Set. Consolidated Instructor Manual. Frances Wickham Lee, DBA

Practical ACLS Megacode Testing and Training Scenario Set. Consolidated Instructor Manual. Frances Wickham Lee, DBA Practical ACLS Megacode Testing and Training Scenario Set Consolidated Instructor Manual Frances Wickham Lee, DBA Scenario Authors: Frances Wickham Lee, DBA John Schaefer, MD Matthew McEvoy, MD Sheila

More information

Preparing for your upcoming ACLS course

Preparing for your upcoming ACLS course IU Health ACLS Study Guide Preparing for your upcoming ACLS course UPDATED May 2016 Course Curriculum: 2015 American Heart Association (AHA) Guidelines for Advanced Cardiac Life Support (ACLS) AHA recommends

More information

ACLS Study Guide 2012

ACLS Study Guide 2012 ACLS Study Guide 2012 ACLS Assessment During the ACLS assessment, we will categorize our patient into the BLS Survey or the ACLS Survey. BLS Survey: *** Unconscious*** 1. Check for response 2. Activate

More information

There are several resources available to you on the American Heart Association website at Here are some helpful kinks:

There are several resources available to you on the American Heart Association website at  Here are some helpful kinks: American Heart Links There are several resources available to you on the American Heart Association website at www.americanheart.org. Here are some helpful kinks: You can find information on cardiovascular

More information

Student Name: Test Date: Directs assessment of airway, breathing, circulation, disability, and exposure, including vital signs

Student Name: Test Date: Directs assessment of airway, breathing, circulation, disability, and exposure, including vital signs Respiratory Core Case 1 Upper Airway Obstruction Student Name: Test Directs manual airway maneuver with administration of 100% oxygen Recognizes signs and symptoms of upper airway obstruction Categorizes

More information

Official Online ACLS Exam

Official Online ACLS Exam \ Official Online ACLS Exam Please fill out this form before you take the exam. Name : Email : Phone : 1. Hypovolemia initially produces which arrhythmia? A. PEA B. Sinus tachycardia C. Symptomatic bradyarrhythmia

More information

11. Synchronized cardioversion is the treatment of choice for a. pulseless electrical activity

11. Synchronized cardioversion is the treatment of choice for a. pulseless electrical activity ACLS Practice Test 1. You find an unresponsive adult patient. Your first action should be to a. begin CPR b. begin rescue breathing c. call 9-1-1 d. defibrillate at 200 joules 2. An adult patient is in

More information

E C C. American Heart Association. ACLS Provider. Written Examinations. August 2006

E C C. American Heart Association. ACLS Provider. Written Examinations. August 2006 E C C American Heart Association ACLS Provider Written Examinations Contents: Examination Memo Version A Answer Sheet Version A Exam Version A Answer Key Version A Annotations Version B Answer Sheet Version

More information

Heart and Stroke Foundation of Canada. Advanced Cardiovascular Life Support. Written Precourse Self-Assessment. May 2011

Heart and Stroke Foundation of Canada. Advanced Cardiovascular Life Support. Written Precourse Self-Assessment. May 2011 E C C Heart and Stroke Foundation of Canada Advanced Cardiovascular Life Support Written Precourse Self-Assessment May 2011 2011 ACLS Written Precourse Self-Assessment 1. Ten minutes after an 85-year-old

More information

E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Precourse Self-Assessment. May 2011. 2011 American Heart Association

E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Precourse Self-Assessment. May 2011. 2011 American Heart Association E C C American Heart Association Advanced Cardiovascular Life Support Written Precourse Self-Assessment May 2011 2011 American Heart Association 2011 ACLS Written Precourse Self-Assessment 1. Ten minutes

More information

The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010.

The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010. ACLS Study Guide The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010. Please read the below information carefully This letter is to confirm your

More information

Objectives. To list the medications administered within ACLS protocol. To differentiate which arrhythmias require medication administration

Objectives. To list the medications administered within ACLS protocol. To differentiate which arrhythmias require medication administration LT Kenneth Stearns PGY-1 Pharmacy Resident Claremore Indian Hospital 1 Objectives To list the medications administered within ACLS protocol To differentiate which arrhythmias require medication administration

More information

ACLS Study Guide ECG STRIP INTERPRETATION. These ECG strips are meant for review. For rationale, please attend an ECG course.

ACLS Study Guide ECG STRIP INTERPRETATION. These ECG strips are meant for review. For rationale, please attend an ECG course. ACLS Study Guide & ECG STRIP INTERPRETATION These ECG strips are meant for review. For rationale, please attend an ECG course. SINUS RHYTHMS SINUS RHYTHM 60 BPM/REGULAR 60 BPM/REGULAR 0.20 SEC 0.06 SEC

More information

Cardiac Arrest VF/Pulseless VT Learning Station Checklist

Cardiac Arrest VF/Pulseless VT Learning Station Checklist Cardiac Arrest VF/Pulseless VT Learning Station Checklist VF/VT 00 American Heart Association Adult Cardiac Arrest Shout for Help/Activate Emergency Response Epinephrine every - min Amiodarone Start CPR

More information

LIFE THREATENING ARRHYTHMIA AND MANAGEMENT. Dr. Beny Hartono, SpJP

LIFE THREATENING ARRHYTHMIA AND MANAGEMENT. Dr. Beny Hartono, SpJP LIFE THREATENING ARRHYTHMIA AND MANAGEMENT Dr. Beny Hartono, SpJP Introduction Cardiac arrhythmias are a common cause of sudden death. Symptomatic arrhythmia frequently observed in the ICU hemodynamic

More information

Please Read this letter carefully

Please Read this letter carefully Dear ACLS Student: Please Read this letter carefully This letter is to confirm your registration in the Advanced Cardiac Life Support (ACLS) course. Thank you for choosing Fast Response. We appreciate

More information

The ALIVE Trial: Amiodarone Versus Lidocaine In Pre-Hospital Refractory Ventricular Fibrillation Evaluation Introduction

The ALIVE Trial: Amiodarone Versus Lidocaine In Pre-Hospital Refractory Ventricular Fibrillation Evaluation Introduction The ALIVE Trial: Versus In Pre-Hospital Refractory Ventricular Fibrillation Evaluation Based on preliminary data of Dorian P et al as presented at the 22nd Annual Scientific Sessions of the North American

More information

IU Health ACLS Study Guide

IU Health ACLS Study Guide IU Health ACLS Study Guide Preparing for your upcoming ACLS Class REVISED SEPTEMBER 2011 ON APRIL 1, 2011 WE BEGAN TEACHING THE 2010 AHA GUIDELINES. WE HIGHLY RECOMMEND REVIEWING THE NEW ALGORYHMS FOUND

More information

ACLS Provider Manual Comparison Sheet Based on 2010 AHA Guidelines for CPR and ECC. BLS Changes

ACLS Provider Manual Comparison Sheet Based on 2010 AHA Guidelines for CPR and ECC. BLS Changes ACLS Provider Manual Comparison Sheet Based on 2010 AHA Guidelines for CPR and ECC CPR Chest compressions, Airway, Breathing (C-A-B) BLS Changes New Old Rationale New science indicates the following order:

More information

E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Precourse Self-Assessment. October 2006

E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Precourse Self-Assessment. October 2006 E C C American Heart Association Advanced Cardiovascular Life Support Written Precourse Self-Assessment October 2006 ACLS Written 2006 Precourse Self-Assessment 1. Ten minutes after an 85-year-old woman

More information

2010 Interim Materials ACLS Provider Manual Comparison Chart Based on 2010 AHA Guidelines for CPR and ECC BLS Changes

2010 Interim Materials ACLS Provider Manual Comparison Chart Based on 2010 AHA Guidelines for CPR and ECC BLS Changes 2010 Interim Materials ACLS Provider Manual Comparison Chart Based on 2010 AHA Guidelines for CPR and ECC BLS Changes CPR New Old Rationale Chest compressions, Airway, Breathing (C-A-B) New science indicates

More information

2015 ACLS Review. (877) FL PA NJ

2015 ACLS Review. (877) FL PA NJ 2015 ACLS Review (877) 338-9286 www.cmrcpr.com FL PA NJ DISCLAIMER The following information is provided by the American Heart Association. Monies collected do not represent income for the American Heart

More information

Learning Station Competency Checklists Respiratory Learning Station Competency Checklists Core Case 1 Upper Airway Obstruction

Learning Station Competency Checklists Respiratory Learning Station Competency Checklists Core Case 1 Upper Airway Obstruction A p p e n d i x Learning Station Competency Checklists Respiratory Learning Station Competency Checklists Core Case 1 Upper Airway Obstruction Directs manual airway maneuver with administration of 100%

More information

ADVANCED CARDIAC LIFE SUPPORT REFRESHER COURSE Pre-Course Test (2015 Guidelines)

ADVANCED CARDIAC LIFE SUPPORT REFRESHER COURSE Pre-Course Test (2015 Guidelines) ADVANCED CARDIAC LIFE SUPPORT REFRESHER COURSE 2015 Pre-Course Test (2015 Guidelines) Please read each multiple-choice question carefully. Choose one option that best answers the question. One mark will

More information

www.cprtrainingfast.com

www.cprtrainingfast.com ADVANCED CARDIAC LIFE SUPPORT (ACLS) RECERTIFICATION EXAMINATION 1. Ten minutes after an 85 year old woman collapses, paramedics arrive and start CPR for the first time. The monitor shows fine (low amplitude)

More information

ACLS 2010 Study Guide. Be proficient with BLS: Check carotid pulses for less than 10 seconds.

ACLS 2010 Study Guide. Be proficient with BLS: Check carotid pulses for less than 10 seconds. 1. BLS Primary Survey Be proficient with BLS: Check carotid pulses for less than 10 seconds. At least 100 compressions per minute 2 breaths are given with 30 compressions for 2 minutes (5 cycles of 30:2)

More information

Workshop: Diagnosis of Cardiac Dysrhythmias

Workshop: Diagnosis of Cardiac Dysrhythmias Workshop: Diagnosis of Cardiac Dysrhythmias, FAAEM, FACEP 3/22/2010 12:30 PM - 4:30 PM Diagnosing Dysrhythmias, FAAEM, FACEP Associate Professor and Program Director Emergency Medicine Residency Baltimore,

More information

ACLS 2010 Study Guide. Be proficient with BLS: Check carotid pulses for less than 10 seconds.

ACLS 2010 Study Guide. Be proficient with BLS: Check carotid pulses for less than 10 seconds. 1. BLS Primary Survey Be proficient with BLS: Check carotid pulses for less than 10 seconds. At least 100 compressions per minute 2 breaths are given with 30 compressions for 2 minutes (5 cycles of 30:2)

More information

changes in BLS, ACLS & PALS from By the end of this program, the

changes in BLS, ACLS & PALS from By the end of this program, the 2010 AHA BLS, ACLS & PALS Changes: What s New? Jennifer Murray MSN, RN Critical Care Educator AHA Training i Center Coordinator PALS Regional Faculty ACLS Training Center Faculty Objectives This module

More information

ACLS Arrhythmias and Treatment Modalities

ACLS Arrhythmias and Treatment Modalities ACLS Arrhythmias and Treatment Modalities Presented by CMR CPR (a division of CMR Medical Supply, LLC) An American Heart Association Affiliated Training Site DISCLAIMER The following information is provided

More information

Overview of Four ACLS Algorithm Protocols. Updated March 2006: D. Tucker, RPh, BCPS with K Piekos, PharmD

Overview of Four ACLS Algorithm Protocols. Updated March 2006: D. Tucker, RPh, BCPS with K Piekos, PharmD Overview of Four ACLS Algorithm Protocols Updated March 2006: D. Tucker, RPh, BCPS with K Piekos, PharmD Objectives To review routes of administration for medications used in code blue emergencies To introduce

More information

E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Exams. May 2011

E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Exams. May 2011 E C C American Heart Association Advanced Cardiovascular Life Support Written Exams Contents: Exam Memo Student Answer Sheet Version A Exam Version A Answer Key Version A Reference Sheet Version B Exam

More information

ACLS Study Guide BLS Overview CAB

ACLS Study Guide BLS Overview CAB ACLS Study Guide The ACLS Provider exam is 50-mutiple choice questions. Passing score is 84%. Student may miss 8 questions. For students taking ACLS for the first time or renewing students with a current

More information

Advanced Cardiovascular Life Support 2015 AHA Guidelines Updates

Advanced Cardiovascular Life Support 2015 AHA Guidelines Updates Advanced Cardiovascular Life Support 2015 AHA Guidelines Updates The ACLS Provider exam is 50-mutiple-choice questions. Passing score is 84%. Student may miss 8 questions. For students taking ACLS for

More information

PRO-CPR. 2015 Guidelines: PALS Algorithm Overview. (Non-AHA supplementary precourse material)

PRO-CPR. 2015 Guidelines: PALS Algorithm Overview. (Non-AHA supplementary precourse material) PRO-CPR 2015 Guidelines: PALS Algorithm Overview (Non-AHA supplementary precourse material) Please reference Circulation (from our website), the ECC Handbook, or the 2015 ACLS Course Manual for correct

More information

Tachycardia. Barbara Furry RNC, MS, CCRN. Class code: 670

Tachycardia. Barbara Furry RNC, MS, CCRN. Class code: 670 Barbara Furry RNC, MS, CCRN Class code: 670 Tachycardia Drugs to Tx SVT s Adenosine Diltiazem Verapamil Metoprolol, Atenolol, Esmolol, Propranolol Amiodarone Digoxin Procainamide Drugs to Tx Ventricular

More information

Figure 1 : Universal/International ACLS Algorithm

Figure 1 : Universal/International ACLS Algorithm Figure 1 : Universal/International ACLS Algithm Adult Cardiac Arrest Adult Cardiac Arrest A A B B C C D D Focus : basic and defibrillation Focus : basic and defibrillation Check responsiveness Check responsiveness

More information

ACLS STUDY GUIDE. ACLS Hancock Medical Training

ACLS STUDY GUIDE. ACLS Hancock Medical Training ACLS STUDY GUIDE WHAT YOU NEED TO KNOW MEDICAL EMERGENCY AND RAPID Purpose RESPONSE TEAMS Improve patient outcomes by identifying and treating early clinical deterioration Team The team is composed of

More information

RESUSCITATION OF A PEDIATRIC PATIENT S. Kache, MD

RESUSCITATION OF A PEDIATRIC PATIENT S. Kache, MD RESUSCITATION OF A PEDIATRIC PATIENT S. Kache, MD This section is to provide a brief over-view in resuscitating a pediatric patient while on call in the hospital (see Diagram 1). It is not a comprehensive

More information

Columbia Medicine House Staff Training Program

Columbia Medicine House Staff Training Program Columbia Medicine House Staff Training Program Simulation Series : Advanced Cardiopulmonary Life Support A.K.A. THE CODE PRIMER Course Objectives Background information on cardiac arrests Code leader /

More information

ACLS PHARMACOLOGY 2011 Guidelines

ACLS PHARMACOLOGY 2011 Guidelines ACLS PHARMACOLOGY 2011 Guidelines ADENOSINE Narrow complex tachycardias or wide complex tachycardias that may be supraventricular in nature. It is effective in treating 90% of the reentry arrhythmias.

More information

354: , 2006 VT/VF

354: , 2006 VT/VF Exercise Arrhythmias, Pt 2 Tachyarrhythmias, Asystole, PEA, Pulseless VT/VF Atrial tachyarrhythmias Ventricular tachyarrhythmias Treatment of tachyarrhythmias Asystole Pulseless Electrical Activity Defibrillation

More information

2014 University of Maryland Emergency Medicine Residency. ECG Competition. April 30, 2014

2014 University of Maryland Emergency Medicine Residency. ECG Competition. April 30, 2014 2014 University of Maryland Emergency Medicine Residency ECG Competition April 30, 2014 1. Which of the following statements is true regarding Q-waves? a. They are significant for myocardial infarction

More information

Rapid and Narrow Narrow QRS Complex Tachycardias

Rapid and Narrow Narrow QRS Complex Tachycardias Rapid and Narrow Narrow QRS Complex Tachycardias Evvah Karakılıç MD, PhD. Ankara Numune Education and Research Hospital Department of Emergency Turkey Definition Tachyarrhythmia's, abnormal heart rhythms

More information

Pediatric Advanced Life Support (PALS) Science Update 2015

Pediatric Advanced Life Support (PALS) Science Update 2015 1 2 3 4 5 6 7 8 9 10 Pediatric Advanced Life Support (PALS) Science Update 2015 What s New in PALS for 2015? CPR remains (Compressions, Airway, Breathing Chest compression rate change from at least 100

More information

Cardiac Arrest Pediatric Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008

Cardiac Arrest Pediatric Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Cardiac Arrest Pediatric Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Preamble In contrast to cardiac arrest in adults, cardiopulmonary arrest in pediatric

More information

Figure 1 : Universal/International ACLS Algorithm

Figure 1 : Universal/International ACLS Algorithm Figure 1 : Universal/International ACLS Algithm Adult Cardiac Arrest Adult Cardiac Arrest A A B B C C D D Focus : basic and defibrillation Focus : basic and defibrillation Check responsiveness Check responsiveness

More information

American Heart Association. Advanced Cardiovascular Life Support

American Heart Association. Advanced Cardiovascular Life Support American Heart Association Advanced Cardiovascular Life Support Precourse Written Examination May 2001 2001 American Heart Association ACLS Provider Course Precourse Written Examination This is a single-answer

More information

Chest Pain and Discomfort

Chest Pain and Discomfort CHAPTER 20 Chest Pain and Discomfort HANDOUT 20-2: Evaluating Content Mastery Student s Name EVALUATION CHAPTER 20 QUIZ Write the letter of the best answer in the space provided. 1. The best known symptom

More information

To: MLREMS ALS Providers Advisory From: Manish N. Shah, MD, MPH, FACEP MLREMS Medical Director. Date: February 20, 2007

To: MLREMS ALS Providers Advisory From: Manish N. Shah, MD, MPH, FACEP MLREMS Medical Director. Date: February 20, 2007 To: MLREMS ALS Providers Advisory 07-01 From: Manish N. Shah, MD, MPH, FACEP MLREMS Medical Director Date: February 20, 2007 Re: Unavailability of Diltiazem and Protocol Change Recently, the manufacturer

More information

MEDICAL DIRECTIVE Advanced Life Support (ALS): Symptomatic Bradycardia

MEDICAL DIRECTIVE Advanced Life Support (ALS): Symptomatic Bradycardia Authorizing physician(s) LHO - Code Blue, Emergency Department & Critical Care Physicians LHB - Emergency Department and Critical Care Physicians LHPP - Emergency Department Physicians Authorized to who

More information

Simulation and Clinical Learning Tillamook Healthcare Simulation Program Simulation Scenario Suspected MI and Unstable Ventricular Tachycardia

Simulation and Clinical Learning Tillamook Healthcare Simulation Program Simulation Scenario Suspected MI and Unstable Ventricular Tachycardia Simulation and Clinical Learning Tillamook Healthcare Simulation Program Simulation Scenario Suspected MI and Unstable Ventricular Tachycardia Simulation Objective: Identification and Management of a patient

More information

Quiz 4 Arrhythmias summary statistics and question answers

Quiz 4 Arrhythmias summary statistics and question answers 1 Quiz 4 Arrhythmias summary statistics and question answers The correct answers to questions are indicated by *. All students were awarded 2 points for question #2 due to no appropriate responses for

More information

It is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive.

It is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive. It is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive. This presentation will highlight the changes and any new

More information

Present : PGY 王 淳 峻 Supervisor: F1 王 德 皓 991109

Present : PGY 王 淳 峻 Supervisor: F1 王 德 皓 991109 Present : PGY 王 淳 峻 Supervisor: F1 王 德 皓 991109 Interventions to prevent cardiac arrest + Airway management + Ventilation support + Treatment of bradyarrhythmias & Tachyarrhythmias Treat cardiac arrest

More information

Fig. 36-5: The components of a normal electrocardiogram.

Fig. 36-5: The components of a normal electrocardiogram. 1 P a g e Fig. 36-5: The components of a normal electrocardiogram. (Ignatavicius, Donna D.. Medical-Surgical Nursing: Patient-Centered Collaborative Care, 6th Edition. W.B. Saunders Company, 022009.).

More information

STANDARDIZED PROCEDURE CARDIAC STRESS TESTING-EXERCISE TESTING (Adult, Peds)

STANDARDIZED PROCEDURE CARDIAC STRESS TESTING-EXERCISE TESTING (Adult, Peds) These procedures are intended to describe procedures performed by Nurse Practitioners and/or Certified Nurse Midwives (depending on the clinical privileges granted to the individual practitioner) at UC

More information

REGION I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic. SMO: Chest Pain of Suspected Cardiac Origin

REGION I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic. SMO: Chest Pain of Suspected Cardiac Origin REGION I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic SMO: Chest Pain of Suspected Cardiac Origin Overview: Patients with acute nontraumatic chest pain are among the most challenging patients

More information

2015 Interim Resources for HeartCode ACLS

2015 Interim Resources for HeartCode ACLS 2015 Interim Resources for HeartCode ACLS Original Release: November 25, 2015 Starting in 2016, new versions of American Heart Association online courses will be released to reflect the changes published

More information

Target groups: Paramedics, nurses, respiratory therapists, physicians, and others who manage respiratory emergencies.

Target groups: Paramedics, nurses, respiratory therapists, physicians, and others who manage respiratory emergencies. Overview Estimated scenario time: 10 15 minutes Estimated debriefing time: 10 minutes Target groups: Paramedics, nurses, respiratory therapists, physicians, and others who manage respiratory emergencies.

More information

ECG & Pharmacology. Study Guide. Critical Care Training Center ACLS123.com

ECG & Pharmacology. Study Guide. Critical Care Training Center ACLS123.com This course is designed to develop ECG recognition skills and drug treatment knowledge. An American Heart Association course completion certificate in ECG & Pharmacology will be awarded at the end of the

More information

ACLS Study Guide. 12/20/2011. Critical Care Training Center 818*909*7234 Phone 818*909*7223 Fax

ACLS Study Guide.  12/20/2011. Critical Care Training Center 818*909*7234 Phone 818*909*7223 Fax 2011 ACLS Study Guide Critical Care Training Center 818*909*7234 Phone 818*909*7223 Fax www.acls123.com 12/20/2011 Course Overview This study guide is an outline of content that will be taught in the American

More information

PERI ARREST ARRHYTHMIAS Anu Roy

PERI ARREST ARRHYTHMIAS Anu Roy PERI ARREST ARRHYTHMIAS Anu Roy BACKGROUND The term peri arrest arrhythmias are used to describe cardiac rhythm disorders that may precede cardiac arrest or follow initial resuscitation from a cardiac

More information

Jordan M. Prutkin, MD, MHS Associate Professor Department of Cardiology/Electrophysiology University of Washington 8/4/2016

Jordan M. Prutkin, MD, MHS Associate Professor Department of Cardiology/Electrophysiology University of Washington 8/4/2016 Jordan M. Prutkin, MD, MHS Associate Professor Department of Cardiology/Electrophysiology University of Washington 8/4/2016 Disclosures I receive a small amount of research support from St. Jude and Boston

More information

Basic Life Support & Automated External Defibrillation

Basic Life Support & Automated External Defibrillation Basic Life Support & Automated External Defibrillation Check response Shake gently Ask loudly: Are you all right? If not responsive Open airway & check for breathing If not breathing normally or not breathing

More information

ARRHYTHMIA PROTOCOLS

ARRHYTHMIA PROTOCOLS ARRHYTHMIA PROTOCOLS ATRIAL FIBRILLATION / FLUTTER WITH RVR Sustained Rate > 150 bpm Midazolam 2.5 mg slow IV. Sustained Rate > 180 bpm in a child or > 220 bpm in an infant Midazolam 0.1 mg/kg up to 2.5

More information

Adult Respiratory Management - The Unresponsive Patient Ten Minutes Saves A Life!

Adult Respiratory Management - The Unresponsive Patient Ten Minutes Saves A Life! Adult Respiratory Management - The Unresponsive Patient Monitoring (blood pressure, heart rate, pulse oximetry, respiratory rate) ongoing throughout evaluation and management. All initial actions are performed

More information

Sierra - Sacramento Valley EMS Agency (916)

Sierra - Sacramento Valley EMS Agency (916) N/A Table of Contents Revised to reflect changes to policies, i.e. - new, removed, title changes 400 Index Revised to reflect changes to policies, i.e. - new, removed, title changes 405 Emergency Medical

More information

2015 Guidelines PALS Instructor-Led Training FAQ

2015 Guidelines PALS Instructor-Led Training FAQ As of October 6, 2016 Course Information Q: What is the AHA s PALS ILT Course? A: The PALS Course, updated to reflect the 2015 AHA Guidelines Update for CPR and ECC, is the AHA s advanced pediatric life

More information

Adult Respiratory Management - The Unresponsive Patient Ten Minutes Saves A Life!

Adult Respiratory Management - The Unresponsive Patient Ten Minutes Saves A Life! Adult Respiratory Management - The Unresponsive Patient Monitoring (blood pressure, heart rate, pulse oximetry, respiratory rate) ongoing throughout evaluation and management. All initial actions are performed

More information

MANAGEMENT OF ARRHYTHMIAS

MANAGEMENT OF ARRHYTHMIAS MANAGEMENT OF ARRHYTHMIAS The types of arrhythmias you are likely to encounter in the ICU can be broadly divided into bradyarrhythmias and tachyarrhythmias Tachyarrhythmia Heart rate > 100 bpm Supraventricular

More information

Disclosures. Brief Overview of Cardiac Arrest. Overview AHA Guidelines for CPR and Emergency Cardiovascular Care: An Update 9/24/2011

Disclosures. Brief Overview of Cardiac Arrest. Overview AHA Guidelines for CPR and Emergency Cardiovascular Care: An Update 9/24/2011 Disclosures 2010 AHA Guidelines for CPR and Emergency Cardiovascular Care: An Update Research support from Edwards Lifesciences Matthew Aldrich, MD Anesthesia & Critical Care UCSF Overview Focus is on

More information

Bradycardia (Unstable) Protocol revised October 2008

Bradycardia (Unstable) Protocol revised October 2008 Bradycardia (Unstable) Protocol revised October 2008 Preamble Occasionally, patients experiencing an acute cardiac event present with bradycardia that is hemodynamically unstable. Under these circumstances,

More information

ROC CONTINUOUS CHEST COMPRESSIONS STUDY (CCC): MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE

ROC CONTINUOUS CHEST COMPRESSIONS STUDY (CCC): MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE ROC CONTINUOUS CHEST COMPRESSIONS STUDY (CCC): MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE An Advanced Care Paramedic will provide the treatment based on the randomization scheme and as prescribed in this

More information

HeartCode ACLS. Learning Technology by Laerdal. Learning Technology by Laerdal. Heartcode_ACLS_IH_Booklet.indd 1

HeartCode ACLS. Learning Technology by Laerdal. Learning Technology by Laerdal. Heartcode_ACLS_IH_Booklet.indd 1 The Official AHA Self-directed ACLS elearning Program HeartCode ACLS Student Guide Learning Technology by Laerdal Learning Technology by Laerdal Heartcode_ACLS_IH_Booklet.indd 1 06/03/09 11.10 Preface

More information

ACLS Cardiac Arrest Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767

ACLS Cardiac Arrest Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767 ACLS Cardiac Arrest Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767 Copyright 2010 American Heart Association ACLS Cardiac Arrest Circular Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767

More information

Northwest Community EMS System Paramedic Training Program AV Conduction Defects/AV Blocks Connie J. Mattera, M.S., R.N., EMT-P

Northwest Community EMS System Paramedic Training Program AV Conduction Defects/AV Blocks Connie J. Mattera, M.S., R.N., EMT-P Northwest Community EMS System Paramedic Training Program AV Conduction Defects/ Connie J. Mattera, M.S., R.N., EMT-P Reading assignments: Aehlert Vol. 1 pp 799-804 SOP: Bradycardia with a pulse KNOWLEDGE

More information

Pediatric Advanced Life Support Science Update 2010 What s New for 2010? CPR 4 Steps of BLS Survey CPR CPR Capnography

Pediatric Advanced Life Support Science Update 2010 What s New for 2010? CPR 4 Steps of BLS Survey CPR CPR Capnography 1 2 3 4 5 6 7 8 9 Pediatric Advanced Life Support Science Update 2010 What s New for 2010? CPR No interruptions of compressions longer than seconds Rate at least on per minute (instead of around 100 per

More information

How to Treat Bradycardia s

How to Treat Bradycardia s How to Treat Bradycardia s Table of Contents How to Treat Bradycardia s... 1 Introduction... 3 Sinus Bradycardia... 3 Symptomatic Bradycardia... 3 Bradycardia Algorithm... 3 Transcutaneous pacing (TCP)...

More information

8 Peri-arrest arrhythmias

8 Peri-arrest arrhythmias 8 Peri-arrest arrhythmias Introduction Cardiac arrhythmias are relatively common in the peri-arrest period. They are common in the setting of acute myocardial infarction and may precipitate ventricular

More information

Adding IV Amiodarone to the EMS Algorithm for Cardiac Arrest Due to VF/Pulseless VT

Adding IV Amiodarone to the EMS Algorithm for Cardiac Arrest Due to VF/Pulseless VT Adding IV Amiodarone to the EMS Algorithm for Cardiac Arrest Due to VF/Pulseless VT Introduction Before the year 2000, the traditional antiarrhythmic agents (lidocaine, bretylium, magnesium sulfate, procainamide,

More information

Acute Coronary Syndrome

Acute Coronary Syndrome scenario overview Summary of case Patient is a 68-year-old male who developed chest pain 1 hour ago. His EKG reveals ST elevation. (ACS) treatment is required. End point is disposition to an in-house Cardiac

More information

E C C. American Heart Association. Pediatric Advanced Life Support. Written Precourse Self-Assessment. December American Heart Association

E C C. American Heart Association. Pediatric Advanced Life Support. Written Precourse Self-Assessment. December American Heart Association E C C American Heart Association Pediatric Advanced Life Support Written Precourse Self-Assessment December 2006 PALS Written 2006 Precourse Self-Assessment ECG Rhythm Identification The PALS self-assessment

More information

ACLS PHARMACOLOGY 2011 Guidelines

ACLS PHARMACOLOGY 2011 Guidelines ACLS PHARMACOLOGY 2011 Guidelines ADENOSINE Narrow complex tachyardias or wide complex tachycardias that may be supraventricular in nature. It is effective in treating 90% of the reentry arrhythmias. Slows

More information

10. An infant with a history of vomiting and diarrhea arrives by ambulance. During your primary assessment the infant responds only to painful stimula

10. An infant with a history of vomiting and diarrhea arrives by ambulance. During your primary assessment the infant responds only to painful stimula 1. You are called to help resuscitate an infant with severe symptomatic bradycardia associated with respiratory distress. The bradycardia persists despite establishment of an effective airway, oxygenation,

More information

2015 Guidelines ACLS Instructor-Led Training FAQ

2015 Guidelines ACLS Instructor-Led Training FAQ As of August 31, 2016 General ACLS Course Questions Q: What is the AHA s ACLS Course? A: The AHA s ACLS Course has been updated to reflect new science in the 2015 AHA Guidelines Update for CPR and ECC.

More information

Cardiac Arrest - Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008

Cardiac Arrest - Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Cardiac Arrest - Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Preamble Survival from cardiorespiratory arrest for patients who present with ventricular fibrillation

More information

Crash Cart Drugs Drugs used in CPR. Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University

Crash Cart Drugs Drugs used in CPR. Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Crash Cart Drugs Drugs used in CPR Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Introduction A list of the drugs kept in the crash carts. This list has been approved by the

More information

American Heart Association. Pediatric Advanced Life Support. Written Precourse Self-Assessment. Questions and Answer Key for Students.

American Heart Association. Pediatric Advanced Life Support. Written Precourse Self-Assessment. Questions and Answer Key for Students. E C C American Heart Association Pediatric Advanced Life Support Written Precourse Self-Assessment Questions and Answer Key for Students January 2012 PALS Written 2011 Precourse Self-Assessment ECG Rhythm

More information

Overview-Arrhythmias are caused by disturbances of the electrical conduction system of

Overview-Arrhythmias are caused by disturbances of the electrical conduction system of Overview-Arrhythmias are caused by disturbances of the electrical conduction system of the heart. They can result in either bradycardia or taccycardia, and be anywhere from aystompatic to lethal. This

More information

PEDIATRIC TREATMENT GUIDELINES

PEDIATRIC TREATMENT GUIDELINES P1 Pediatric Patient Care P2 Cardiac Arrest Initial Care and CPR P3 Neonatal Resuscitation P4 Ventricular Fibrillation / Ventricular Tachycardia P5 PEA / Asystole P6 Symptomatic Bradycardia P7 Tachycardia

More information