Advanced Cardiovascular Life Support Case Scenarios

Size: px
Start display at page:

Download "Advanced Cardiovascular Life Support Case Scenarios"

Transcription

1 Advanced Cardiovascular Life Support Case Scenarios

2 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 on the pavement. He is having a few agonal gasps but otherwise appears lifeless. Bystanders report that he just collapsed. The scene appears safe. No one has started CPR. The man otherwise appears healthy and is in casual, clean attire. There are no indications of trauma. He has stopped breathing as you approach and he is cyanotic. What are your actions? You perform an initial assessment and determine that a pulse is present. After interventions and with bag-mask ventilation, vital signs are BP 100/60, HR 110, and RR 0 (spontaneous). Cyanosis improves with ventilation. He remains unresponsive. You transport with appropriate ventilations and monitoring. ACLS Respiratory Arrest Case Out-of-Hospital Scenario You are a paramedic and respond to the scene of a possible cardiac arrest. An elderly woman lies motionless on her sofa. She is having a few agonal gasps but otherwise appears lifeless and is cyanotic. Her family reports that she complained of a headache and then gradually lost consciousness. Respirations became slow. The scene appears safe. No one has started CPR. The woman otherwise appears healthy and is in bedclothes. There are no indications of trauma. She gasps and stops breathing as you approach. She is deeply cyanotic. What are your actions? The student performs initial assessment and determines that a pulse is present. After interventions and ventilation with a bag-mask, vital signs are BP 100/60, HR 110, and RR 0 (spontaneous). Cyanosis improves with ventilation. She remains unresponsive. You transport with appropriate ventilations and monitoring.

3 ACLS Respiratory Arrest Case In-Hospital Scenario You are a nurse and respond to a call bell. In the room the patient s daughter says her mother stopped talking and breathing. She has been well for several days following knee replacement. She lies on her side motionless, and she is not breathing. She has not been on a cardiac monitor. What are your actions? The student performs initial assessment and determines that a pulse is present. After interventions and ventilation with bag-mask, vital signs are BP 100/60, HR 110, and RR 0 (spontaneous). Cyanosis improves with ventilation. She remains unresponsive. The code team and attending physician arrive. ACLS Respiratory Arrest Case In-Hospital Scenario You are a radiology technician and respond to a call for help from your coworker. She is preparing a patient for a contrast CT scan of the chest for pulmonary embolism but has not injected contrast. Her patient has suddenly stopped breathing. She lies on her side motionless, and she is not breathing. The cardiac monitor shows artifact. What are your actions? The student performs initial assessment and determines that a weak pulse is present. After interventions and ventilation with a bag-mask, vital signs are BP 90/60, HR 120, and RR 0 (spontaneous). Cyanosis continues with oxygen. She remains unresponsive. The code team and attending physician arrive.

4 ACLS VF CPR/AED Case Out-of-Hospital Scenario You are standing in line boarding your flight at the airport. A man running for your flight with his luggage slows and collapses. Other passengers stand motionless and shocked. He is lifeless and unresponsive. He has a few agonal gasps. What do you do? After application of an AED, shocks, and continued CPR, he begins to move and complains of a squeezing chest pain and shortness of breath. Airport EMS arrives and administers oxygen. ACLS VF CPR/AED Case Out-of-Hospital Scenario You are attending a meeting in a high-rise office building. There is an emergency call that an employee has collapsed in the exercise facility one floor above. You arrive and find club members looking panicked and confused. No CPR has been started. A fit and healthy man is lifeless and unresponsive. No one has started CPR. What do you do? After application of an AED, shocks, and continued CPR, he does not respond. You hear EMS sirens.

5 ACLS VF CPR/AED Case In-Hospital Scenario You are a nurse and exit the elevator on the second floor. In the surgical waiting area a woman lies on the floor unresponsive. You know an AED is one hall down. A janitor appears and looks puzzled. What do you do? After application of an AED, shocks, and continued CPR, the hospital Code Team arrives. ACLS VF CPR/AED Case In-Hospital Scenario You are walking by the hospital admissions. A man appears and says he is having chest pressure and wants to be admitted. He suddenly collapses. You know an AED is outside in the lobby. What do you do? After application of an AED, shocks, and continued CPR, he begins to move. The first members of the Code Team arrive.

6 ACLS VF/Pulseless VT Case Out-of-Hospital Scenario You are an airport paramedic and respond to an AED alarm on Concourse B. Bystanders report that a man collapsed while running for a flight with his luggage. An AED is attached, and CPR is in progress. He is cyanotic and unresponsive. The AED operator reports that the machine has shocked twice. What are your actions? Your team takes over and a cardiac monitor is placed. A rhythm check finds ventricular fibrillation (show ECG strip). What are your actions? ACLS VF/Pulseless VT Case Out-of-Hospital Scenario You are a paramedic. You arrive on scene and bystanders are performing CPR on a woman. They report that she suddenly collapsed. She was standing in line to pay for merchandise, and she appeared well. She is cyanotic and unresponsive. What are your actions? Your team takes over and a cardiac monitor is placed. A rhythm check finds ventricular fibrillation (show ECG strip). What are your actions?

7 ACLS VF/Pulseless VT Case In-Hospital Scenario You respond to a cardiac arrest in the ED registration area. A patient, brought by car, collapsed while complaining of chest pain. The triage personnel have initiated CPR. He is cyanotic and unresponsive. A cardiac monitor is attached and displays VF (show ECG strip). What are your actions? You have given a shock and resumed CPR. What are your next actions? After a rhythm check, VF persists. What do you do? ACLS VF/Pulseless VT Case In-Hospital Scenario You respond to a cardiac arrest in the hospital admission area. A patient collapsed while giving registration information. She had been referred for elective cardiac catheterization. Hospital admissions personnel initiated CPR and called a code. She is cyanotic and unresponsive. A cardiac monitor is attached and displays VF (show ECG strip). Your cardiac arrest team has arrived on location. What are your actions? You have given a shock and resumed CPR. What are your next actions? After a rhythm check, VF persists. What do you do?

8 ACLS PEA Case Out-of-Hospital Scenario You are a paramedic and respond to a cardiac arrest call. On your arrival the daughter of an elderly man reports that he has been having abdominal pain and has just returned from the doctor s office. He collapsed and became unresponsive. He is unresponsive. EMTs have performed the Primary ABCDs and CPR is in progress. What are your actions? You attach a cardiac monitor. A rhythm check finds a narrow-complex rapid tachycardia (show ECG strip). What are your actions? A repeat rhythm check is unchanged and no pulse is present. The daughter shows you an office discharge paper with the diagnosis anemia and peptic ulcer disease. There is also a prescription for ulcer medication. What are your next actions? ACLS PEA Case Out-of-Hospital Scenario You are a paramedic and respond to a cardiac arrest call. On your arrival, a young woman has collapsed and CPR is in progress. She is unresponsive. EMTs have performed the Primary ABCDs and CPR is in progress. What are your actions? You attach a cardiac monitor. A rhythm check finds a narrow-complex rapid tachycardia (show ECG strip). There is still no pulse or spontaneous respirations. What are your actions? A repeat rhythm check is unchanged and no pulse is present. The patient s husband says she had recently complained of abdominal pain and was running fevers. What are your next actions?

9 ACLS PEA Case In-Hospital Scenario You are a nurse and respond to a call for help from a radiology technician. She was preparing a patient for a contrast CT scan of the chest for pulmonary embolism. Her patient suddenly stopped breathing. The patient lies on her side motionless and is not breathing. The cardiac monitor shows artifact. What are your actions? You perform an initial assessment and determine that no pulse is present. After initiation of CPR and bag-mask ventilation, the cardiac monitor shows a narrow-complex tachycardia at 120/min. What are your initial actions? After administration of epinephrine and then vasopressin, there is no change in rhythm. What now do you consider? (H s & T s if not already addressed; rate slows, then agonal then consider code termination.) ACLS PEA Case In-Hospital Scenario You are a physician and respond to an in-hospital cardiac arrest. You find CPR in progress by nursing staff. They report that a patient was admitted for observation following a motor vehicle collision and planned surgery for treatment of an open leg fracture. He was the unbelted driver of a car. Members of the Code Team have arrived and CPR is in progress. The Primary ABCDs are reported as completed. Now what are your actions? You have confirmed high-quality CPR and assigned team member functions. After administration of epinephrine and then vasopressin, there is no change in rhythm. What do you consider now? (H s & T s if not already addressed; rate slows, then agonal then consider code termination.)

10 ACLS Asystole Case Out-of-Hospital Scenario You are paramedic and arrive on scene. Bystanders are performing CPR on a man. They report that he suddenly collapsed. He was standing in line to pay for merchandise, and he appeared well. He is cyanotic and unresponsive. What are your actions? Your team takes over and a cardiac monitor is placed. A rhythm check finds asystole (show ECG strip). What are your actions? ACLS Asystole Case Out-of-Hospital Scenario You are an airport medic and respond to an AED alarm on Concourse B. Bystanders report that a woman collapsed while running for a flight with her luggage. An AED is attached and CPR is in progress. She is unresponsive. The AED operator reports that the machine has shocked 2 times. What are your actions? Your team takes over and a cardiac monitor is placed. A rhythm check finds asystole (show ECG strip). What are your actions?

11 ACLS Asystole Case In-Hospital Scenario You are a nursing supervisor and code team leader on night shift. You respond to a code on the general medical floor. A patient was found unresponsive. Personnel initiated CPR and called a code. You find a woman in cardiac arrest with CPR in progress. She is unresponsive. A cardiac monitor is attached and displays asystole (show ECG strip). Your code team has arrived on location. What do you do? You have performed the secondary ABCDs and given initial drug therapy. The floor nursing staff informs you that the patient has cancer, and a family member on the phone informs them that the patient desires no lifeprolonging measures. An admission DNR has not yet been signed by the attending physician. After a rhythm check, your team reports asystole. What are your next actions? (This should be modified based on your hospital policies if necessary.) ACLS Asystole Case In-Hospital Scenario You are a hospital intensivist and respond to a cardiac arrest in the hospital admission area. A patient collapsed while giving registration information. He had been referred for elective cardiac catheterization. Hospital admissions personnel initiated CPR and called a code. He is unresponsive. A cardiac monitor is attached and displays asystole (show ECG strip). Your cardiac arrest team has arrived on location. What are your actions? You have given a shock and resumed CPR. What are your next actions? After a rhythm check, you again find asystole. What do you do?

12 ACLS Bradycardia Case Out-of-Hospital Scenario You are a paramedic and respond to a call for dizziness. On your arrival, an elderly patient is sitting in a convenience store surrounded by the owner and patrons. He says he is dizzy and weak. Then he becomes poorly responsive but regains consciousness within a few seconds. You complete the Primary and Secondary ABCDs. A cardiac monitor is attached and shows that a slow rhythm is present. Vital signs are BP 90/60, HR 38, and RR 16. The rhythm is sinus bradycardia (show ECG strip). What are your next actions? After initial treatment he is conscious and alert. Color is improved. He denies dizziness. Repeat vital signs are BP 104/64, HR 48, and RR 16. Your colleague requests additional orders for the heart rate of 48. What are your actions? ACLS Bradycardia Case Out-of-Hospital Scenario You are a paramedic and respond to a call for cardiac arrest. On your arrival an elderly patient is on the floor at home. The patient s husband says she clutched her chest and collapsed. No CPR is in progress. What are your actions? You perform the Primary ABCDs and find that she is breathing and has a weak but palpable pulse. You perform the secondary ABCDs. A cardiac monitor is attached and shows second-degree AV block type II (Mobitz II) (show ECG strip). An IV is initiated. What are your actions? After initial therapy with atropine, the patient remains unresponsive. Vital signs are BP 70/palp, HR 26, and RR 8. What are your next actions? After additional atropine and preparation for pacing, she is conscious and alert. She is slightly dizzy but otherwise has no complaints. Repeat vital signs are BP 96/70, HR 48, and RR 12. Your colleague requests additional orders for the heart rate of 48. What are your actions?

13 ACLS Bradycardia Case In-Hospital Scenario You are a physician evaluating a patient. An elderly man was brought from triage complaining of dizziness. He tells you that symptoms began about an hour ago. He is lying on the stretcher and says he is dizzy and weak. Then he becomes poorly responsive but regains consciousness within a few seconds. This recurs several times while a monitor is being placed. What are your actions? You complete the Primary and Secondary ABCDs. A cardiac monitor is now attached and shows that a slow rhythm is present. Vital signs are BP 90/60, HR 38, and RR 16. The rhythm is sinus bradycardia (show ECG strip). What are your next actions? After initial treatment with atropine, he is conscious and alert. Color is improved. He denies dizziness. Repeat vital signs are BP 104/64, HR 48, and RR 16. The nurse requests additional orders for the heart rate of 48. What are your actions?

14 ACLS Bradycardia Case In-Hospital Scenario You are a physician evaluating a patient brought by EMS. They report finding an elderly patient on the floor at home. The patient s husband says she clutched her chest and collapsed. After initial therapy with atropine, she improved and had stable vital signs. She was transported to your ED. Now she complains of dizziness again, and her heart rate drops to 28. A monitor strip shows second-degree type II AV block (Mobitz II). A pacer is not immediately available. What do you do? After initial therapy with atropine, the patient is conscious but confused. Vital signs are BP 70/palp, HR 40, and RR 8. The monitor shows third-degree AV block (show ECG strip). What are your next actions? Pacing fails to capture, and she remains poorly responsive with an unchanged heart rate. She moans with each pacer stimulus. Repeat vital signs are BP 96/ 70, HR 28, and RR 6. What are your actions? After epinephrine is initiated and titrated to 4 μg/min, she is responsive and has no specific complaints. Repeat vital signs are BP 96/70, HR 48, and RR 10. The nurse requests additional orders for the heart rate of 48. What are your actions?

15 ACLS Unstable Tachycardia Case Out-of-Hospital Scenario You are a paramedic. You arrive on scene and find a 55-year-old man who is complaining of palpitations and chest discomfort. He has a past history of intermittent palpitations and takes a medication for this. Today his palpitations persisted, and he developed chest pressure and lightheadedness after 1 hour. His coworkers phoned 911. An EMT has completed the primary ABCDs. He is receiving oxygen at 4 L/min. What are your actions? You complete the Secondary ABCDs. He has severe 9/10 chest discomfort now. He is pale and diaphoretic. A cardiac monitor is attached and finds a rapid irregular rhythm. Vital signs are BP 80/60, HR 178, and RR 28. The rhythm is atrial fibrillation (show ECG strip). What are your next actions? An IV was started during your assessment. Your partner asks if he should give IV adenosine for rate control. What are your actions? ACLS Unstable Tachycardia Case Out-of-Hospital Scenario You are a paramedic transporting a 55-year-old man. His chest discomfort had resolved after 2 sublingual nitroglycerin tablets. Now he has recurrent discomfort 8/10 and feels as if he is going to pass out. He is pale and diaphoretic. On oxygen at 4 L/min, his O 2 saturation has decreased to 86%. A weak pulse is present and blood pressure palpable at 100 mm Hg systolic. The monitor shows a regular wide-complex tachycardia at 170/min. What are your next actions? Following synchronized cardioversion, he now has a regular narrow-complex tachycardia at 118/min (show sinus tachycardia). His chest discomfort is gone. Vital signs are BP 110/60, HR 118, and RR 16. Your partner asks if he should deliver another shock. What are your next actions?

16 ACLS Unstable Tachycardia Case In-Hospital Scenario You are a nurse on a monitored unit. A 55 year-old man is recovering from an anterior MI following fibrinolysis in the ED. The monitor alarms and you see a tachycardia. You go to the room. What are your initial actions? You complete the Primary and Secondary ABCDs. You start oxygen at 4 L/min and confirm that his IV is patent. He is pale and diaphoretic He has severe 9/10 chest discomfort. Vital signs are BP 80/60, HR 178, and RR 28. The rhythm is atrial fibrillation (show ECG strip). What are your next actions? You have successfully performed synchronized cardioversion. He is now in sinus tachycardia at 128/min. His chest discomfort persists. Blood pressure is 124/86 mm Hg. A member of your team asks if another shock should be given. What are you next actions? A 12-lead ECG shows sinus tachycardia with new STsegment elevation. What are your actions? ACLS Unstable Tachycardia Case In-Hospital Scenario In the emergency department you are evaluating a 26-year-old woman. She was born with heart abnormalities and has chronic palpitations. A corrective surgical procedure was performed as a child. She has passed out once in her life. Today her palpitations did not stop, and she came to the ED. During your assessment she develops lightheadedness and feels short of breath. She starts to become confused, disoriented, and diaphoretic. The monitor shows a rapid narrow-complex tachycardia at 230/min. A faint pulse is present, and her blood pressure is 60 mm Hg palpable. What are your next actions?

17 ACLS Stable Tachycardia Case Out-of-Hospital Scenario You are a paramedic. You arrive on scene and find a 47-year-old female who is complaining of palpitations. She tells you she has had a history of recurrent rapid heart rates. These have always been brief but have persisted today. Her coworkers insisted on phoning 911. What are your initial actions? You complete the Primary and Secondary ABCDs. As a monitor is placed, you start oxygen at 4 L/min and initiate an IV. You determine that she has no chest pain, shortness of breath, or dizziness. Other than apprehension, she is asymptomatic. Her blood pressure is 110/70 and heart rate 170. The monitor shows a tachycardia at 210/min. What are your next actions? You determine that the rhythm is a regular narrow-complex tachycardia. A Valsalva maneuver does not terminate the rhythm. You have given adenosine 6 mg rapid IV push. The patient has not converted. What are your next actions? After adenosine 12 mg rapid IV push, she converts to sinus tachycardia. You have obtained a 12-lead ECG postconversion and are transporting to the ED. ACLS Stable Tachycardia Case Out-of-Hospital Scenario You are a paramedic and arrive on scene. A 35-year-old male is complaining of palpitations. He tells you he has had a history of recurrent rapid heart rates. Today symptoms persisted and coworkers phoned 911. They tell you he is having a heart attack. What are your initial actions? You complete the Primary and Secondary ABCDs. As a monitor is placed, you start oxygen at 4 L/min and initiate an IV. You determine that he has no chest pain, shortness of breath, or dizziness. Other than apprehension, he is asymptomatic. His blood pressure is 110/70 and heart rate 180. The monitor shows a tachycardia at 180/min. What are your next actions? You determine that the rhythm is an irregular wide-complex tachycardia. What are your next actions? You determine that the patient is asymptomatic with stable vital signs and transport him to the ED for expert consultation.

18 ACLS Stable Tachycardia Case In-Hospital Scenario You are in the emergency department and are evaluating a 47-year-old female who presented complaining of palpitations. She tells you she has had a history of recurrent fast heart rates, but several episodes today brought her to the ED. While you are doing her examination, she suddenly complains of palpitations, and you see a rapid tachycardia on the cardiac monitor. What are your initial actions? Your staff has administered oxygen at 4 L/min and initiated an IV. You determine that she has no chest pain, shortness of breath, or dizziness. Other than apprehension, she remains asymptomatic except for palpitations. Her blood pressure is 110/70 and heart rate is 170. The monitor shows a tachycardia 170/min (show ECG strip or describe). What are your next actions? You determine that the rhythm is a regular narrow-complex tachycardia. A Valsalva maneuver and carotid sinus massage do not terminate the rhythm. You have given adenosine 6 mg rapid IV push. The patient has not converted. What are your next actions? After 12 mg adenosine rapid IV push, she converts to sinus tachycardia. You have obtained a 12-lead ECG postconversion and now consult cardiology.

19 ACLS Stable Tachycardia Case In-Hospital Scenario A 35-year-old male arrives in the ED complaining of palpitations. He tells you he has had a history of recurrent fast heart rates. He has been having palpitations for several days. Today symptoms were worse and coworkers phoned 911. He thinks he is having a heart attack. What are your initial actions? You complete the Primary and Secondary ABCDs. As a monitor is placed, staff start oxygen at 4 L/min and initiate an IV on your orders. You determine that he has no chest pain, shortness of breath, or dizziness. Other than apprehension, he is asymptomatic. His blood pressure is 110/70 and heart rate 180. The monitor shows a tachycardia at 180/min. What are your next actions? You determine that the rhythm is an irregular wide-complex tachycardia. What are your next actions?

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

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

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

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

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

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

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

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

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

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

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

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

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 RHYTHM TEST. 2. A 74-year-old woman with chest pain. Blood pressure 192/90 and rates her pain 9/10.

ACLS RHYTHM TEST. 2. A 74-year-old woman with chest pain. Blood pressure 192/90 and rates her pain 9/10. ACLS RHYTHM TEST Name Date Choose the best answer for each of the following questions. Each of the following strips is 6 seconds in length. 1. Identify the following rhythm a. Sinus bradycardia with 2

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

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

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

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

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

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

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

81 First Responder Respiratory

81 First Responder Respiratory 81 First Responder Medical Scenarios Asthma Scenario: You are called to a local house for a woman with trouble breathing. You arrive to find a 67-year-old woman sitting upright in a chair. She states she

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

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

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

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

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

Northwestern Health Sciences University. Basic Life Support for Healthcare Providers

Northwestern Health Sciences University. Basic Life Support for Healthcare Providers Northwestern Health Sciences University Basic Life Support for Healthcare Providers Pretest May 2005 This examination to be used only as a PRECOURSE TEST for BLS for Healthcare Providers Courses Based

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

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

American Heart Association

American Heart Association American Heart Association Basic Life Support for Healthcare Providers Pretest April 2006 This examination to be used only as a PRECOURSE TEST For BLS for Healthcare Providers Courses 2006 American Heart

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

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

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

Frequently Asked Questions about AEDs and Public Access Defibrillation Programs

Frequently Asked Questions about AEDs and Public Access Defibrillation Programs Frequently Asked Questions about AEDs and Public Access Defibrillation Programs General Questions about AEDs 1. What does AED stand for? 2. What's an AED? 3. How does an AED work? 4. Why are AEDs important?

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

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

American Heart Association. Basic Life Support for Healthcare Providers

American Heart Association. Basic Life Support for Healthcare Providers American Heart Association Basic Life Support for Healthcare Providers Pretest February 2001 This examination to be used only as a PRECOURSE TEST for BLS for Healthcare Providers Courses 2001 American

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

ARRHYTHMIAS RECOGNITION AND TREATMENT IN GENERAL PRACTICE

ARRHYTHMIAS RECOGNITION AND TREATMENT IN GENERAL PRACTICE ARRHYTHMIAS RECOGNITION AND TREATMENT IN GENERAL PRACTICE Koh Kok Wei MBBS MRCP Cardiology Fellow Electrophysiology and Cardiac Pacing Unit Outline Cardiovascular Updates for Doctors & Allied Healthcare

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

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

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 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

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

The following case studies relate to injuries to the Cardiovascular System.

The following case studies relate to injuries to the Cardiovascular System. Cardiovascular System The following case studies relate to injuries to the Cardiovascular System. More detailed information regarding the assessment of injuries to the cardiovascular system may be found

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

Emergency Room (ER) Visits: A Family Caregiver s Guide

Emergency Room (ER) Visits: A Family Caregiver s Guide Family Caregiver Guide Emergency Room (ER) Visits: A Family Caregiver s Guide Your family member may someday have a medical emergency and need to go to a hospital Emergency Room (ER), which is also called

More information

Adult, Child, and Infant Written Exam CPR Pro for the Professional Rescuer

Adult, Child, and Infant Written Exam CPR Pro for the Professional Rescuer Adult, Child, and Infant Written Exam CPR Pro for the Professional Rescuer Instructions: Read each of the following questions carefully and then place an X over the correct answer on the separate answer

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

Question-and-Answer Document 2010 AHA Guidelines for CPR & ECC As of October 18, 2010

Question-and-Answer Document 2010 AHA Guidelines for CPR & ECC As of October 18, 2010 Question-and-Answer Document 2010 AHA Guidelines for CPR & ECC As of October 18, 2010 Q: What are the most significant changes in the 2010 AHA Guidelines for CPR & ECC? A: Major changes for all rescuers,

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

404 Section 5 Shock and Resuscitation. Scene Size-up. Primary Assessment. History Taking

404 Section 5 Shock and Resuscitation. Scene Size-up. Primary Assessment. History Taking 404 Section 5 and Resuscitation Scene Size-up Scene Safety Mechanism of Injury (MOI)/ Nature of Illness (NOI) Ensure scene safety and address hazards. Standard precautions should include a minimum of gloves

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

The science of medicine. The compassion to heal.

The science of medicine. The compassion to heal. A PATIENT S GUIDE TO ELECTROPHYSIOLOGY STUDIES OF THE HEART The science of medicine. The compassion to heal. This teaching booklet is designed to introduce you to electrophysiology studies of the heart.

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

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

What Are Arrhythmias?

What Are Arrhythmias? What Are Arrhythmias? Many people have questions about what the word arrhythmia means, and arrhythmias can be a difficult subject to understand. The text below should give you a better understanding of

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

Mosby items and derived items 2006 by Mosby Inc. All rights reserved.

Mosby items and derived items 2006 by Mosby Inc. All rights reserved. Chapter 03 - Sinus Mechanisms ECGs made Easy, Ch 3 Quiz Mosby items and derived items 2006 by Mosby Inc. All rights reserved. MULTIPLE CHOICE 1. In sinus arrhythmia, a gradual increasing of the heart rate

More information

Nature of disability. Hospital Details +91 44 22568009 +91 33 25111359. TEL : +91 22 6711 6618 / 09 l FAX : +91 22 26156290 +91 11 49637953

Nature of disability. Hospital Details +91 44 22568009 +91 33 25111359. TEL : +91 22 6711 6618 / 09 l FAX : +91 22 26156290 +91 11 49637953 Nature of disability Hospital Details TEL : +91 22 6711 6618 / 09 l FAX : +91 22 26156290 +91 11 49637953 +91 44 22568009 +91 33 25111359 Information Sheet for Guest Requiring Medical Clearance (to be

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

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

Heart Attack: What You Need to Know

Heart Attack: What You Need to Know A WorkLife4You Guide Heart Attack: What You Need to Know What is a Heart Attack? The heart works 24 hours a day, pumping oxygen and nutrient-rich blood to the body. Blood is supplied to the heart through

More information

Emergency Scenario. Chest Pain

Emergency Scenario. Chest Pain Emergency Scenario Chest Pain This emergency scenario reviews chest pain in a primary care patient, and is set up for roleplay and case review with your staff. 1) The person facilitating scenarios can

More information

Novartis Gilenya FDO Program Clinical Protocol and Highlights from Prescribing Information (PI)

Novartis Gilenya FDO Program Clinical Protocol and Highlights from Prescribing Information (PI) Novartis Gilenya FDO Program Clinical Protocol and Highlights from Prescribing Information (PI) Highlights from Prescribing Information - the link to the full text PI is as follows: http://www.pharma.us.novartis.com/product/pi/pdf/gilenya.pdf

More information

Vtial sign #1: PULSE. Vital Signs: Assessment and Interpretation. Factors that influence pulse rate: Importance of Vital Signs

Vtial sign #1: PULSE. Vital Signs: Assessment and Interpretation. Factors that influence pulse rate: Importance of Vital Signs Vital Signs: Assessment and Interpretation Elma I. LeDoux, MD, FACP, FACC Associate Professor of Medicine Vtial sign #1: PULSE Reflects heart rate (resting 60-90/min) Should be strong and regular Use 2

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

New England Pain Management Consultants At New England Baptist Hospital

New England Pain Management Consultants At New England Baptist Hospital New England Pain Management Consultants At New England Baptist Hospital Pain Management Center Health Assessment Dear New Pain Management Patient, Welcome to the New England Pain Management Consultants

More information

National Registry of Emergency Medical Technicians Emergency Medical Responder Psychomotor Examination PATIENT ASSESSMENT/MANAGEMENT TRAUMA

National Registry of Emergency Medical Technicians Emergency Medical Responder Psychomotor Examination PATIENT ASSESSMENT/MANAGEMENT TRAUMA PATIENT ASSESSMENT/MANAGEMENT TRAUMA Scenario # Note: Areas denoted by ** may be integrated within sequence of Primary Survey/Resuscitation SCENE SIZE-UP Determines the mechanism of injury/nature of illness

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

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

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

CAUSES AND PREVENTION OF CARDIORESPIRATORY ARREST

CAUSES AND PREVENTION OF CARDIORESPIRATORY ARREST CAUSES AND PREVENTION OF CARDIORESPIRATORY ARREST B1 Objectives To understand: The causes of cardiorespiratory arrest in adults How to identify patients at risk The role of a Medical Emergency Team 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

Fainting - Syncope. This reference summary explains fainting. It discusses the causes and treatment options for the condition.

Fainting - Syncope. This reference summary explains fainting. It discusses the causes and treatment options for the condition. Fainting - Syncope Introduction Fainting, also known as syncope, is a temporary loss of consciousness. It is caused by a drop in blood flow to the brain. You may feel dizzy, lightheaded or nauseous before

More information

BLS: basic cardiac life support. ACLS: advanced cardiac life support. PALS: paediatric advanced life support. VF: ventricular fibrillation

BLS: basic cardiac life support. ACLS: advanced cardiac life support. PALS: paediatric advanced life support. VF: ventricular fibrillation RN-Initiated Emergency Cardiac Care: Decision Support Tool #2 Emergency Cardiac Care in Areas Using Cardiac Monitoring, Defibrillation and Emergency Cardiac Drugs Decision support tools are evidenced-based

More information

Bradycardia & Heart Block

Bradycardia & Heart Block Bradycardia & Heart Block Cardiac rhythm: Impulse formation - SA node Impulse conduction Diagnosis of Heart Blocks Sinoatrial block Atrioventricular block - First degree - Second degree Mobitz I (Wenckebach)

More information

Level 1 Tower C Global Business Park MG Road Gurgaon,122 002 India T+91 124 406 2500 F+91 124 406 8536 goindigo.in

Level 1 Tower C Global Business Park MG Road Gurgaon,122 002 India T+91 124 406 2500 F+91 124 406 8536 goindigo.in APPLICATION FOR CARRIAGE OF MEDICAL PASSENGERS Detailed Medical Certificate must accompany this completed form. Medical Passenger Completed Application to be forwarded to the Medical Department DEL for

More information

Get your rhythm back.

Get your rhythm back. IRREGULAR HEARTBEAT? Get your rhythm back. ABOUT ARRHYTHMIA If you ve been diagnosed with a cardiac arrhythmia, there has been a change from the normal sequence of electrical impulses in your heart, causing

More information

The use of Automated External Defibrillators

The use of Automated External Defibrillators The use of Automated External Defibrillators Introduction This section contains guidelines for the use of automated external defibrillators (AEDs) by laypeople, first responders, and healthcare professionals

More information

Specialty Scenarios MED-SURG

Specialty Scenarios MED-SURG MED-SURG TeamSTEPPS 2.0 Specialty - 31 Scenario 26 Clinic Ann Tayner is assigned to work in a busy Internal Medicine Clinic. She recently attended an educational session on infection control techniques

More information

What Can I Do about Atrial Fibrillation (AF)?

What Can I Do about Atrial Fibrillation (AF)? Additional Device Information 9529 Reveal XT Insertable Cardiac Monitor The Reveal XT Insertable Cardiac Monitor is an implantable patientactivated and automatically activated monitoring system that records

More information

National Registry of Emergency Medical Technicians Emergency Medical Responder Psychomotor Examination BVM VENTILATION OF AN APNEIC ADULT PATIENT

National Registry of Emergency Medical Technicians Emergency Medical Responder Psychomotor Examination BVM VENTILATION OF AN APNEIC ADULT PATIENT BVM VENTILATION OF AN APNEIC ADULT PATIENT Candidate: Examiner: Date: Signature: Possible Points Checks responsiveness NOTE: After checking responsiveness and breathing for at least 5 but no 1 Checks breathing

More information

JAMES PETROS, M.D., INC. PHONE: (408) 528-8833 FAX: (408) 528-8557

JAMES PETROS, M.D., INC. PHONE: (408) 528-8833 FAX: (408) 528-8557 FIGHTING PAIN. TOUCHING LIVES. JAMES PETROS, M.D., INC. PHONE: (408) 528-8833 FAX: (408) 528-8557 Personal Information Emergency Contact Today s Date: Name: Patient: Realtionship: Birth Date: Age: Sex:

More information

SMART INCIDENT COMMAND SYSTEM

SMART INCIDENT COMMAND SYSTEM INDEX SMART INCIDENT COMMAND SYSTEM Page Topic 1. Introduction. 2. Practical. 4. Primary triage paper. 5. Secondary triage paper. 6. Primary triage answers. 7. Secondary triage answers. 8. Competency assessment.

More information

Atrial Fibrillation (AF) Explained

Atrial Fibrillation (AF) Explained James Paget University Hospitals NHS Foundation Trust Atrial Fibrillation (AF) Explained Patient Information Contents What are the symptoms of atrial fibrillation (AF)? 3 Normal heartbeat 4 How common

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

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

Success Manual and Cheat Sheet Notes to Pass Your Basic Life Support (BLS) Course

Success Manual and Cheat Sheet Notes to Pass Your Basic Life Support (BLS) Course Success Manual and Cheat Sheet Notes to Pass Your Basic Life Support (BLS) Course Written by: Jay Snaric, MS And Kimberly Hickman, RN CPR St. Louis 44 Meramec Valley Plaza St. Louis MO 63088 www.stlcpr.com

More information

Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL

Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL www.goldcopd.com GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE GLOBAL STRATEGY FOR DIAGNOSIS, MANAGEMENT

More information

CODE BLUE IN HOUSE (UGH!!!) We only have ONE shot at this!!!

CODE BLUE IN HOUSE (UGH!!!) We only have ONE shot at this!!! CODE BLUE IN HOUSE (UGH!!!) We only have ONE shot at this!!! Realities We are all nervous! What happens What should happen Room is Chaotic Everyone is yelling, screaming Strict order must be kept Only

More information

EMBARGOED FOR RELEASE

EMBARGOED FOR RELEASE Systems of Care and Continuous Quality Improvement Universal elements of a system of care have been identified to provide stakeholders with a common framework with which to assemble an integrated resuscitation

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

How you can help save lives

How you can help save lives How you can help save lives Through Life Support Training Courses with THE INTERNATIONAL LIFE SUPPORT TRAINING CENTER (ILSTC) TABLE OF CONTENTS Introduction Page 3 Basic Life Support for Healthcare Provider

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

Catheter Ablation. A Guided Approach for Treating Atrial Arrhythmias

Catheter Ablation. A Guided Approach for Treating Atrial Arrhythmias Catheter Ablation A Guided Approach for Treating Atrial Arrhythmias A P A T I E N T H A N D B O O K This brochure will provide an overview of atrial arrhythmias (heart rhythm problems affecting the upper

More information