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

Size: px
Start display at page:

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

Transcription

1 Present : PGY 王 淳 峻 Supervisor: F1 王 德 皓 Interventions to prevent cardiac arrest + Airway management + Ventilation support + Treatment of bradyarrhythmias & Tachyarrhythmias Treat cardiac arrest + Immediate recognition and activation of emergency response + Early CPR + Rapid defibrillation to further increase the likelyhood of ROSC with drug therapy + Advanced airway management and physiologic monitoring Improve outcomes of patients who achieve ROSC + Integrated post cardiac arrest care 8.1: Adjuncts for airway control and ventilation 8.2: Management of Cardiac arrest 8.3: Management of Symptomatic Bradycardia and Tachycardia + Continuous quantitative waveform capnography is recommended for confirmation and monitoring of endotracheal tube placement + Cardiac arrest algorithms are simplified and redesigned to emphasize the importance of high quality CPR : 1. chest compressions of adequate rate and depth 2. Complete chest recoil after each compression 3. minimizing interruptions in chest compressions 4. Avoiding excessive ventilation + Atropine is no longer recommended in the management of PEA/asystole + Emphasis on physiologic monitoring to optimize CPR quality and detect ROSC + Chronotropic drug infusions are recommended as an alternative to pacing in symptomatic and unstable bradycardia. + Adenosine is recommended as a safe and potentially effective therapy in the initial management of stable undifferentiated regular monomorphic wide complex tachycardia. + When treating VF/pulseless VT, do CPR first. + A brief chest compression can provide oxygen and energy substrate to the hypoxic myocardium, thus able to increase the likelihood of successful shock delivery. After shock, resume chest compression immediately. + When VF/pulseless VT persists after 1 shock then can consider drug therapies. + Think PEA Pitressin (vasopressin) Epinephrine Amiodarone improve the rate of ROSC with refractory VF/pulseless VT. Follow the protocol

2 + Vasopressor can be given as soon as feasible. + IMPORTANT: evidence have suggested that the routine use of atropine during PEA or asytole have little therapeutic benefits. Therefore, atropine has been removed from algorithm. 5H + 1) Hypovolemia 1) Tensiop neumothorax + 2) Hypoxia 2) Tamponade, cardiac + 3) Hypo/hyper K+ 3) Toxins + 4) Hypothermia 4) Thrombosis, pulmonary + 5) Hydrogen ion 5) Thrombosis, coronary 5T Mechanical parameter + Rate, depth of compression and rate of ventilation Physiologic parameter + ECG & Pulse check are the only physiologic parameter + Animal & human studies indicate that monitoring of Petco2, coronary perfusion pressure (CPP), and central venous oxygen saturation (Scvo2) provides valuable information. + An abrupt increase in any of these parameters is a sensitive indicator of ROSC that can be monitored without interrupting chest compression. (Class IIb, LOE C) Pulse + No more than 10s End Tidal CO2 (Petco2) + concentration of CO2 in exhaled air at the end of expiration + Noraml range: mmhg + Petco2 may be altered by NaHCO3 therapy (increase) and Vasopressin therapy (decrease) + Low Petco2 (<10mmHg) during CPR in intubated patients indicates that cardiac output is inadequate to achieve ROSC. + Abrupt increase in Petco2 during CPR is an indicator of ROSC. (Class IIa) + Use quatitatve waveform capnography in intubated patients to monitor CPR quality, optimize chest compression, and detect ROSC. (Class IIb)

3 Timing of IV/IO access Peripheral IV drug delivery Central IV drug delivery + The appropiately trained provider may consider placement of a central line (internal jugular or subclavian) during cardiac arrest, unless there are contraindications. (Class IIb) + Advantage: 1. peak drug concentration are higher and drug circulation times shorter compared with peripheral IV catheter. 2. can monitor Scvo2 and estimate CPP during CPR + Disadvantage: 1. can interrupt CPR 2. relative contraindication for fibrinolytic therapy in patients with ACS Endotracheal drug delivery + Drugs that can be absorbed via the trachea: lidocaine, epinephrine, atropine, naloxone, and vasopressin. (No amiodarone) + If IV or IO access cannot be established, epinephrine, vasopressin and lidocaine may be administered by endotracheal route during cardiac arrest. (Class IIb) + The optimal endotracheal dose of most drugs is unknown, but times IV dose could be given. + Deliver at least 100 compression per minute continuously without pauses for ventilation. + Delivering ventilations should give 1 breath every 6 8 seconds (8 10 breaths per minutes) + Avoid delivering an excessive number of ventilations. + There is evidence, at any stage during management of Vf, pulseless VT, PEA, or asystole increased rate of ROSC. + No difference in outcomes with vasopressin (40 U IV) versus epinephrine (1 mg) as a first line vasopressor in cardiac arrest. Epinephrine + 1mg dose of IV/IO epinephrine every 3 5 minutes during adult cardiac arresr (Class II b) Vasopressin + Because the effects of vasopressin have not been shown to differ frome those of epinephrine in cardiac arrest, 1 dose of vasopressin 40 units IV/IO may replace either the first or second dose of epinephrine. (Class II b) Amiodarone + May be considered for Vf or pulseless VT unresponsive to CPR, defibrillation, and a vasopressor therapy. (Class II b) + An initial dose of 300mg IV/IO can be followed by 1 dose of 150 mg IV/IO. Lidocaine + Lidocaine may be considered if amiodarone is not available. (Class II b) + The initial dose is mg/kg IV. + If VF/pulseless VT persisted, additional doses of mg/kg IV push may be administered at 5 10 minute intervals to a maximum dose of 3 mg/kg. Magnesium Sulfate + IV Magnesium sulfate can facilitate termination of torsades de pointes (irregular/polymorphic VT associated with prolonged QT interval). + Optimal dosing regimen has not been established. + When VF/pulseless VT cardiac arrest is associated with torsades de pointes, IV/IO bolus of magnesium sulfate at a dose of 1 2 g diluted in 10ml D5W may be administered. (Class II b) + Routine administration of magnesium sulfate is NOT recommended (Class III) unless torsades de pointes is present. Atropine + Decrease HR & AV node conduction + Available evidence suggests that routine use of Atropine during PEA or asystole is unlikely to have a therapeutic benefit. (Class II b)for this reason, atropine has been removed from the cardiac arrest algorithm. Sodium Bicarbonate + Tissue acidosis and resulting acidemia during cardiac arrest and resuscitation are dynamic process resulting from no blood flow during arrest and low blood flow during CPR. + Mainstays of restoring acid base balance are restoration of oxygen content with appropriate ventilation with oxygen, support of some tissue perfusion and some cardiac output with high quality chest compression.

4 Calcium + Routine administration of calcium for cardiac arrest is not recommended. (Class III) Fibrinolysis + For use during cardiac arrest to treat both coronary thrombosis (ACS) with presumably complete occlusion of a proximal coronary artery and major life threatening pulmonary embolism. + Some studies showed an increased risk of intracranial bleeding associated with the routine use of fibrinolytics during cardiac arrest. + Not be routinely used in cardiac arrest. (Class III) + When pulmonary embolism is presumed or known to be the cause of cardiac arrest, empirical fibrinolytic therapy can be considered. (Class II a) IV fluid + If cardiac arrest is associated with extreme volume losses, hypovolemic arrest should be suspected and intravascular volume should be promptly restored. Pacing + Electric pacing is generally not effective in cardiac arrest. + Not recommended for routine use. (Class III) Precordial Thump + When administered for VF/VT or PEA arrest it was ineffective but resulted in no apparent harm. + May be considered for termination of witnessed monitored unstable ventricular tachyarrhythmia when a defibrillator is not immediately ready for use. (Class II b) but should not delay CPR and shock delivery. + Emphasize the importance of clinical evaluation Key principles of arrhythmia recognition and management in adults: 1. Bradycardia with S/S: initial treatment is Atropine (Class II a) if unreponsive, then try IV infusion of B adrenergic agonists with rate accelerting effects (dopamine, epinephrine)or transcutaneous pacing (TCP). (Class II a) 2. Tachycardia with unstable and S/S related to a suspected arrhythmia : Immediate cardioversion (Class I) 3. Regular narrow complex tachycardia with unstable S/S : a trial of adenosine before cardioversion is reasonable to consider (Class II b) Evaluation: + Generally Bradycardia cause symptoms at the rate of less than 50 bpm + Hypoxemia is a common cause of bradycardia + Initial evaluation should focus on signs of: 1. increase work of breathing (eg. Tachypnea) 2. Oxyhemoglobin saturation (determined by pulse oximetry) Therapy Atropine + Atropine remains the first line drug for acute symptomatic bradycardia (Class II a) + Recommended Atropine dose for bradycardia is 0.5 mg IV every 3 5 mins to a maximun total dose of 3 mg. + Use atropine cautiously in the presence of Acute coronary iscehmia or MI, because increase HR may worsen ischemia or increase infarction size. + Atropine does not work in patients who have undergone cardiac transplanation, because it lacks vagal innervation. Therapy Pacing + Initiate TCP in unstable patients who do not respond to atropine. (Class IIa) + Immediate pacing might be considered in unstable patients with high degree AV block when IV access is not available. (Class IIb) + If the patient does not respond to drugs or TCP, transvenous pacing is probably indicated. (Class IIa) Alternative Drugs to consider + Dopamine or epinephrone or isoproterenol infusion may be used for patients with symptomatic bradycardia, particularly if associated with hypotension, in whom atropine may be inappropriate or after atropine fails. (Class II b) + Dopamine infusion at 2 10 mcg/kg/min and titrate to patient response. + Epinephrine infusion at 2 10 mcg/min and titrate to patient resposnse. + Isoproterenol infusion at 2 10mcg/min and titrated according to HR & rhythm.

5 Narrow QRS complex (SVT) tachycardias (QRS 0.12s) + Sinus tachycardia + Atrial fibrillation + Atrial flutter + AV nodal reentry + Accessory pathway mediated tachycardia + Atrial tachycardia (including automatic and reentry forms) + Multifocal atrial tachycardia (MAT) + Junctional tachycardia (rare in adults) Wide QRS complex tachycardias (QRS 0.12 second) + Ventricular tachycardia (VT) and ventricular fibrillation (VF) + SVT with aberrancy + Pre excited tachycardias (Wolff Parkinson White [WPW] syndrome) + Ventricular paced rhythms Synchronized cardioversion and unsynchronized shocks + Synchronized cardioversion is recommended to treat unstable SVT, unstable Af, unstable Atrial flutter, and unstable monomorhpic (regular) VT. + If cardioversion is needed and it is impossible to synchronize a shock, use high energy unsynchronized shock (defibrillation doses). Waveform and Energy + The recommended initial biphasic energy dose for cardioversion of Af is J (Class IIa) + Cardioversion of atrial flutter and other SVTs generally requires less energy; an initial energy of J + Monomorphic VT (regular form and rate) with a pulse responds well to monophasic or biphasic waveform cardioversion (synchronized) shocks at initial energies of 100 J. + If a patient has polymorphic VT, treat therhythm as VF and deliver high energy unsynchronized shocks. Sinus Tachycardia treat underlying diseases Supraventricular Tachycardia (Reentry SVT) + Supraventricular origin: narrow QRS complex (<0.12s) or broad QRS complex and preexisting bundle branch block. Vagal maneuvers + Vagal maneuvers and adenosine are the preferred initial therapeutic choices for the termination of stable PSVT. Adenosine + If PSVT does not respond to vagal maneuvers, give 6mg of IV adenosine as a rapid IV push through a large vein followed by a 20ml saline flush. (Class I) + If the rhythm does not convert within 1 to 2 minutes, give a 12mg rapid IV push. Calcium channel blockers and B blocker + Use longer acting AV nodal blocking agents such as nondihydropyridine Ca channel blockers (Verapamil and diltiazem) or B Blockers if adenosine and vagal maneuver fails. (Class II a) + For Verapamil, give 2.5mg to 5mg IV bolus over 2 mins.(3mins in older patients) + Verapamil should be given only to patients with narrow complex reentry SVT or arrhythmias known with certainty to be supraventricular origin. Calcium channel blockers and B blocker (conts) + For diltiazem, give a dose of 15mg to 20mg (0.25mg/kg) IV over 2 minutes.

6 + QRS 0.12 seconds + VT or VF + SVT with aberrancy + Pre excited tachycardias (associated with or mediated by an accessory pathway) + Ventricular paced rhythms

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Advanced Cardiac Life Support

Advanced Cardiac Life Support Advanced Cardiac Life Support Dr Teo Wee Siong NATIONAL RESUSCITATION COUNCIL Singapore Guidelines 2006 Prof Anantharaman A/Prof Lim Swee Han Dr Chee Tek Siong A/Prof Peter Manning A/Prof Eillyne Seow

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

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

Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new?

Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new? Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new? DVM, DACVA Objective: Update on the new Small animal guidelines for CPR and a discussion of the 2012 Reassessment Campaign on

More information

New resuscitation science and American Heart Association treatment guidelines were released October 28, 2010!

New resuscitation science and American Heart Association treatment guidelines were released October 28, 2010! ACLS Study Guide 2010 Bulletin: New resuscitation science and American Heart Association treatment guidelines were released October 28, 2010! The new AHA Handbook of Emergency Cardiac Care (ECC) contains

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

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

Community Ambulance Service of Minot ALS Standing Orders Legend

Community Ambulance Service of Minot ALS Standing Orders Legend Legend Indicates General Information and Guidelines Indicates Procedures Indicates Medication Administration Indicates Referral to Other Protocol Indicates Referral to Online Medical Direction Pediatric

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

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

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

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

ACLS Study Guide. This purpose of this study guide is to assist you in successfully completing the AHA ACLS course. It includes sections on:

ACLS Study Guide. This purpose of this study guide is to assist you in successfully completing the AHA ACLS course. It includes sections on: ACLS Study Guide This purpose of this study guide is to assist you in successfully completing the AHA ACLS course. It includes sections on: ECG Rhythm Interpretation ACLS Drugs ACLS Algorithms ECG Rhythm

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

GUIDELINE 11.9 MANAGING ACUTE DYSRHYTHMIAS. (To be read in conjunction with Guideline 11.7 Post-Resuscitation Therapy in Adult Advanced Life Support)

GUIDELINE 11.9 MANAGING ACUTE DYSRHYTHMIAS. (To be read in conjunction with Guideline 11.7 Post-Resuscitation Therapy in Adult Advanced Life Support) AUSTRALIAN RESUSCITATION COUNCIL GUIDELINE 11.9 MANAGING ACUTE DYSRHYTHMIAS (To be read in conjunction with Guideline 11.7 Post-Resuscitation Therapy in Adult Advanced Life Support) The term cardiac arrhythmia

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

Management of Adult Cardiac Arrest

Management of Adult Cardiac Arrest 73991_CH27_page68-73.qxd 6/6/11 3:54 PM Page 68 27.68 Section 5 Medical Guidelines for Performing a 12-Lead ECG The only way to learn how to obtain a 12-lead ECG is to practice with the equipment itself.

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

ANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY. Guidelines for Use of Intravenous Isoproterenol

ANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY. Guidelines for Use of Intravenous Isoproterenol ANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY Guidelines for Use of Intravenous Isoproterenol Major Indications Status Asthmaticus As a last resort for

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

ACLS Pharmacology/Algorithms. Algorithms. Primary ABCD Survey. Secondary ABCD Survey (cont d) Secondary ABCD Survey

ACLS Pharmacology/Algorithms. Algorithms. Primary ABCD Survey. Secondary ABCD Survey (cont d) Secondary ABCD Survey ACLS Pharmacology/Algorithms Kristin Engebretsen, PharmD, CSPI Clinical Toxicologist Emergency Department Regions Hospital, St. Paul, MN Algorithms Cardiac Arrest PEA Asystole Bradycardia Tachycardia SVT

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

2010 Guidelines for CPR and Emergency Cardiac Care

2010 Guidelines for CPR and Emergency Cardiac Care 2010 Guidelines for CPR and Emergency Cardiac Care November 19, 2010 Paul Hawkins MD, MCFP(EM), FACEP, Medical Director Clinical Operations, Director ALS Educators, Dept. of Emergency Services, Sunnybrook

More information

MEDICATIONS USED IN ADULT CODE BLUE EMERGENCIES. Source: ACLS Provider Manual. American Heart Association. 2001, 2002. Updated 2003.

MEDICATIONS USED IN ADULT CODE BLUE EMERGENCIES. Source: ACLS Provider Manual. American Heart Association. 2001, 2002. Updated 2003. MEDICATIONS USED IN ADULT CODE BLUE EMERGENCIES Source: ACLS Provider Manual. American Heart Association. 2001, 2002. Updated 2003. 1 ET Administration Atropine o First drug for symptomatic sinus bradycardia

More information

Atrial & Junctional Dysrhythmias

Atrial & Junctional Dysrhythmias Atrial & Junctional Dysrhythmias Atrial & Junctional Dysrhythmias Atrial Premature Atrial Complex Wandering Atrial Pacemaker Atrial Tachycardia (ectopic) Multifocal Atrial Tachycardia Atrial Flutter Atrial

More information

ACLS Guidelines 2011: The Update

ACLS Guidelines 2011: The Update *Mel Herbert, MBBS (MD) BmedSci, FACEP Associate Professor of Clinical Emergency Medicine, USC KECK School of Medicine, Department of Emergency Medicine, LAC & USC Medical Center, Los Angeles, California;

More information

PRO-CPR. 2015 Guidelines: ACLS Algorithm Overview. (Non-AHA supplementary precourse material) Please read, print & bring to class

PRO-CPR. 2015 Guidelines: ACLS Algorithm Overview. (Non-AHA supplementary precourse material) Please read, print & bring to class PRO-CPR 2015 Guidelines: ACLS Algorithm Overview (Non-AHA supplementary precourse material) Please read, print & bring to class PRO-CPR 4/1/2016 Pulseless Rhythms (No Perfusion Despite Visible Cardiac

More information

PALS Interim Study Guide

PALS Interim Study Guide PALS Interim Study Guide 2006 Bulletin: New resuscitation science and American Heart Association treatment guidelines were released November 28, 2005! The new AHA Handbook of Emergency Cardiac Care (ECC)

More information

HANDOUT STUDY UNIT 2 ARRHYTHMIA MANAGEMENT (BRADYCARDIA)

HANDOUT STUDY UNIT 2 ARRHYTHMIA MANAGEMENT (BRADYCARDIA) HANDOUT STUDY UNIT 2 ARRHYTHMIA MANAGEMENT (BRADYCARDIA) Bradycardia is defined conservatively as a heart rate below 60 beats per minute, but symptomatic bradycardia generally entails rates below 50 beats

More information

2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Presenter Name Disclosures

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

Wilson County Emergency Management Agency Protocol Manual Protocols

Wilson County Emergency Management Agency Protocol Manual Protocols Asystole No pulse or respirations Confirm cardiac rhythm with combo pads or electrodes Record in two leads to confirm Asystole and to rule out fine V-Fib. Basic assessment and management (up to your scope

More information

PRE-HOSPITAL CARE MEDICAL CONTROL PROTOCOLS AND PROCEDURES

PRE-HOSPITAL CARE MEDICAL CONTROL PROTOCOLS AND PROCEDURES EMS Services PRE-HOSPITAL CARE MEDICAL CONTROL PROTOCOLS AND PROCEDURES TABLE OF CONTENTS 5. ACLS PROTOCOLS pages ACLS / Acute Coronary Syndrome 1-1A Arrythmias / ACLS / Sinus Bradycardia 2-2A Narrow Complex

More information

Michigan Adult Cardiac Protocols CARDIAC ARREST GENERAL. Date: May 31, 2012 Page 1 of 5

Michigan Adult Cardiac Protocols CARDIAC ARREST GENERAL. Date: May 31, 2012 Page 1 of 5 Date: May 31, 2012 Page 1 of 5 Cardiac Arrest General This protocol should be followed for all adult cardiac arrests. Medical cardiac arrest patients undergoing attempted resuscitation should not be transported

More information

Ventricular Fibrillation/ Pulseless Ventricular Tachycardia

Ventricular Fibrillation/ Pulseless Ventricular Tachycardia -International ACLS Guidelines 2010 Ventricular Fibrillation/ Pulseless Ventricular Tachycardia SHOCK FIRST x 1 (If defibrillator not immediately available start CPR then shock ASAP) 200 J Biphasic, 360

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

Jordan M. Prutkin, MD, MHS Assistant Professor University of Washington 7/18/2013

Jordan M. Prutkin, MD, MHS Assistant Professor University of Washington 7/18/2013 Jordan M. Prutkin, MD, MHS Assistant Professor University of Washington 7/18/2013 What to do Check the patient s pulse Get an ECG Unless there s no pulse. Then call a code and do ACLS Approaching an EKG

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

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

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

More information

Alabama Medications. Christopher J. Colvin January 2010

Alabama Medications. Christopher J. Colvin January 2010 Alabama Medications Christopher J. Colvin p January 2010 Activated Charcoal Used to absorb toxins ingested before they can be absorbed in the GI system. Contraindicated in AMS patients who cannot control

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

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

DEBRIEFING GUIDE. The key components of an optimal code response: 1. Early recognition that the patient is deteriorating or has become unresponsive.

DEBRIEFING GUIDE. The key components of an optimal code response: 1. Early recognition that the patient is deteriorating or has become unresponsive. DEBRIEFING GUIDE I N T R O D U C T I O N Debriefing has been shown to improve clinical behavior during cardiac resuscitation and, as such, has become a recommended procedure in the 2010 American Heart

More information

Session Number 206 CODE BLUE: WHY WE DO THE THINGS WE DO. Donna Barto, DNP RN CCRN Advanced Nurse Clinician Virtua Health Marlton, New Jersey

Session Number 206 CODE BLUE: WHY WE DO THE THINGS WE DO. Donna Barto, DNP RN CCRN Advanced Nurse Clinician Virtua Health Marlton, New Jersey Session Number 206 CODE BLUE: WHY WE DO THE THINGS WE DO Donna Barto, DNP RN CCRN Advanced Nurse Clinician Virtua Health Marlton, New Jersey Content Description Critical Care Nurses are often required

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

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

AMERICAN HEART ASSOCIATION 2010 ACLS GUIDELINES: WHAT EVERY CLINICIAN NEEDS TO KNOW

AMERICAN HEART ASSOCIATION 2010 ACLS GUIDELINES: WHAT EVERY CLINICIAN NEEDS TO KNOW AMERICAN HEART ASSOCIATION 2010 ACLS GUIDELINES: WHAT EVERY CLINICIAN NEEDS TO KNOW Joseph Heidenreich, MD Texas A&M Health Science Center Scott & White Memorial Hospital Scott & White Memorial Hospital

More information

Current Management of Atrial Fibrillation DISCLOSURES. Heart Beat Anatomy. I have no financial conflicts to disclose

Current Management of Atrial Fibrillation DISCLOSURES. Heart Beat Anatomy. I have no financial conflicts to disclose Current Management of Atrial Fibrillation Mary Macklin, MSN, APRN Concord Hospital Cardiac Associates DISCLOSURES I have no financial conflicts to disclose Book Women: Fit at Fifty. A Guide to Living Long.

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

Pediatric Advanced Life Support (PALS) Recertification Preparatory Materials

Pediatric Advanced Life Support (PALS) Recertification Preparatory Materials Pediatric Advanced Life Support (PALS) Recertification Preparatory Materials 1 PEDIATRIC ADVANCED LIFE SUPPORT (PALS) RECERTIFICATION TABLE OF CONTENTS CYCLIC APPROACH 03 PEDIATRIC ASSESSMENT FLOWCHART

More information

The management of cardiac arrest

The management of cardiac arrest CHAPTER 6 The management of cardiac arrest LEARNING OBJECTIVES In this chapter you will learn: How to assess the cardiac arrest rhythm and perform advanced life support 6.1. INTRODUCTION Cardiac arrest

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

ANZCOR Guideline 12.4 Medications and Fluids in Paediatric Advanced Life Support

ANZCOR Guideline 12.4 Medications and Fluids in Paediatric Advanced Life Support ANZCOR Guideline 12. Medications and Fluids in Paediatric Advanced Life Support Who does this guideline apply to? This guideline applies to infants and children. Summary Who is the audience for this guideline?

More information

Paediatric Advanced Life Support

Paediatric Advanced Life Support Paediatric Advanced Life Support Introduction There is concern that resuscitation from cardiac arrest is not performed as well as it might because the variations in guidelines for different age groups

More information

The American Heart Association Guidelines Including Pediatric Resuscitation

The American Heart Association Guidelines Including Pediatric Resuscitation Lesson 3 The American Heart Association Guidelines Including Pediatric Resuscitation Sharon E. Mace, MD, FACEP, FAAP Objectives On completion of this lesson, you should be able to: 1. List the correct

More information

FREQUENTLY ASKED QUESTIONS (FAQ) 2010 Guidelines for CPR & ECC As of October 18, 2010

FREQUENTLY ASKED QUESTIONS (FAQ) 2010 Guidelines for CPR & ECC As of October 18, 2010 FREQUENTLY ASKED QUESTIONS (FAQ) 2010 Guidelines for CPR & ECC As of October 18, 2010 Q: Where can I find the new guidelines? A: The new 2010 Guidelines for CPR and ECC can be found at www.heartandstroke.ca/cprguidelines

More information

ACLS123.com 818.766.1111 2012. ACLS Study Guide. Critical Care Training Center

ACLS123.com 818.766.1111 2012. ACLS Study Guide. Critical Care Training Center ACLS123.com 818.766.1111 2012 ACLS Study Guide Critical Care Training Center 12/1/2012 Course Overview This study guide is an outline of content that will be taught in the American Heart Association Accredited

More information

Heart Dysrhythmias Cheat Sheet

Heart Dysrhythmias Cheat Sheet Heart Dysrhythmias Cheat Sheet Arrhythmias Description Causes Treatment Sinus Arrhythmia Irregular atrial and ventricular rhythms. Normal variation of normal sinus rhythm in athletes, children, and the

More information

The Pharmacist s Role in Advanced Cardiac Life Support (ACLS) Pharmacist Objectives. Pharmacists in the ER. Background

The Pharmacist s Role in Advanced Cardiac Life Support (ACLS) Pharmacist Objectives. Pharmacists in the ER. Background The Pharmacist s Role in Advanced Cardiac Life Support (ACLS) I have no actual or potential conflict of interest in relation to this activity. it James Jensen B.S., Pharm.D., BCPS Pharmacist Objectives

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

Adult Drug Reference. Dopamine Drip Chart. Pediatric Drug Reference. Pediatric Drug Dosage Charts DRUG REFERENCES

Adult Drug Reference. Dopamine Drip Chart. Pediatric Drug Reference. Pediatric Drug Dosage Charts DRUG REFERENCES Adult Drug Reference Dopamine Drip Chart Pediatric Drug Reference Pediatric Drug Dosage Charts DRUG REFERENCES ADULT DRUG REFERENCE Drug Indication Adult Dosage Precautions / Comments ADENOSINE Paroxysmal

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

Adult Cardiac Life Support (ACLS) Recertification Preparatory Materials

Adult Cardiac Life Support (ACLS) Recertification Preparatory Materials Adult Cardiac Life Support (ACLS) Recertification Preparatory Materials 1 ADULT CARDIAC LIFE SUPPORT (ACLS) RECERTIFICATION TABLE OF CONTENTS PRIMARY AND SECONDARY ABCDs I. Primary ABCD s 03 II. Secondary

More information

WE HIGHLY RECOMMEND REVIEWING THE NEW ALGORYHMS FOUND IN THE 2010 ACLS Textbook available through AHA and other retail outlets.

WE HIGHLY RECOMMEND REVIEWING THE NEW ALGORYHMS FOUND IN THE 2010 ACLS Textbook available through AHA and other retail outlets. ACLS STUDY GUIDE 2015 WE HIGHLY RECOMMEND REVIEWING THE NEW ALGORYHMS FOUND IN THE 2010 ACLS Textbook available through AHA and other retail outlets. The AHA also requests the following in preparation

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

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

ACLS Study Guide. ACLS Study Guide Revised September 2010, Page 1 [TCL]

ACLS Study Guide. ACLS Study Guide Revised September 2010, Page 1 [TCL] ACLS Study Guide Course Overview This Study Guide is an extensive outline of content that is taught in the American Heart Association Advanced Life Support (ACLS) Course. It is intended to summarize important

More information

table of contents drug reference

table of contents drug reference table of contents drug reference ADULT DRUG REFERENCE...155 161 PEDIATRIC DRUG REFERENCE...162 164 PEDIATRIC WEIGHT-BASED DOSING CHARTS...165 180 Adenosine...165 Amiodarone...166 Atropine...167 Defibrillation...168

More information

2005 ACLS OVERVIEW & STUDY GUIDE

2005 ACLS OVERVIEW & STUDY GUIDE 2005 ACLS OVERVIEW & STUDY GUIDE Vanderbilt Resuscitation Program ACLS is a course dedicated to sharing a core of advanced information regarding respiratory and cardiac emergencies. It is taught according

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

THE ACLS APPROACH (Sequence of 8 actions)

THE ACLS APPROACH (Sequence of 8 actions) THE ACLS APPROACH (Sequence of 8 actions) 1ry ABCD (= Quadrad 1 for ACLS Experienced Provider) A. Airway: 1. Assess responsiveness (shake and shout/ touch and talk) 2. Activate alarm 3. Open the Airway

More information

Workshop: ACLS Challenge Course

Workshop: ACLS Challenge Course Workshop: ACLS Challenge Course Brian V. McCambley, MPAS, PA-C (Moderator); Jennifer Krueger, PA-C 3/21/2010 8:00 AM - 11:00 AM ACLS RECERTIFICATION SEMPA TUCSON MARCH 2010 1 ACLS FAST TRACKED PRESENTED

More information

Department of Emergency and Disaster Medicine Medical University of LODZ

Department of Emergency and Disaster Medicine Medical University of LODZ Electrotherapy in emergency states Department of Emergency and Disaster Medicine Medical University of LODZ defibrillation defibrillation The purpous of defibrillation is to deliver a randomly timed high-energy

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

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

Resuscitation Patient Management Tool May 2015 CPA Event

Resuscitation Patient Management Tool May 2015 CPA Event OPTIONAL: Local Event ID: Did pt. receive chest compressions and/or defibrillation during this event? criteria) (does NOT meet inclusion Date/Time the need for chest compressions ( or defibrillation when

More information

Wide-Complex Tachycardias in the ED: Myths and Pitfalls

Wide-Complex Tachycardias in the ED: Myths and Pitfalls Wide-Complex Tachycardias in the ED: Myths and Pitfalls, FACEP, FAAEM Professor and Vice Chair Director, Emergency Cardiology Fellowship Department of Emergency Medicine University of Maryland School of

More information

Purpose To guide registered nurses who may manage clients experiencing sudden or unexpected life-threatening cardiac emergencies.

Purpose To guide registered nurses who may manage clients experiencing sudden or unexpected life-threatening cardiac emergencies. Emergency Cardiac Care: Decision Support Tool #1 RN-Initiated Emergency Cardiac Care Without Cardiac Monitoring/Manual Defibrillator or Emergency Cardiac Drugs Decision support tools are evidence-based

More information

PALS Study Guide. PALS Study Guide Revised August 2010, Page 1 [TCL]

PALS Study Guide. PALS Study Guide Revised August 2010, Page 1 [TCL] PALS Study Guide Course Overview This Study Guide is an extensive outline of content that will be taught in the American Heart Association Accredited Pediatric Advanced Life Support (PALS) Course. It is

More information