ACLS Prep. Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep.

Size: px
Start display at page:

Download "ACLS Prep. Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep."

Transcription

1 November, 2013

2 ACLS Prep Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep.

3 ACLS Prep Preparation is key to a successful ACLS experience. An ACLS Pretest is required for admission to the course. NO ONE will be admitted without printed pretest results. The pretest must be accessed online at: and enter code: compression. Eighty percent achievement is recommended on the pretest. **Because this test is online, we recommend you attempt to access it about 1-week before your course date**.

4 ACLS Prep Preparation is key to a successful ACLS experience. This Powerpoint program has more questions that will highlight key points not addressed in the pretest. Please take the time to look up the information in the Provider Manual. The answers to the questions can be found on the page numbers provided. As of January, 2014, we will no longer ask these questions in the class. Your opportunity to review them is now.

5 ACLS Prep Please be familiar with: 1. The algorithms: Bradycardia, Tachycardia, Pulseless Arrest, ROSC. 2. These drugs: adenosine, amiodarone, atropine, epinephrine, vasopressin. 3. These drips: Dopamine for bradycardia and hypotension and Epinephrine for bradycardia and hypotension. 4. The reversible causes: the Hs and Ts.

6 ACLS: BLS Q. Why are chest compressions advantageous for a pulseless patient? R. Page 14.

7 ACLS: BLS Q. Why are chest compressions advantageous for a pulseless patient? R. Chest compressions provide circulation especially through the heart and brain. Page 14

8 ACLS: BLS Q. Chest compressions are started within how many seconds of determining unresponsiveness? R. Page 13.

9 ACLS: BLS Q. Chest compressions are started within how many seconds of determining unresponsiveness? R. 10 seconds. Page 13

10 ACLS: BLS Q. Chest compressions may be interrupted for procedures, chest compressions are re-started within how many seconds? R. Page 14.

11 ACLS: BLS Q. Chest compressions may be interrupted for procedures, chest compressions are re-started within how many seconds? R. 10 seconds. Page 14

12 ACLS: General Principles Q. What is the purpose of the Rapid Response Team? R. Page 26

13 ACLS: General Principles Q. What is the purpose of the Rapid Response Team? R. Rapid Response Teams provide early assessments and interventions for a person who is declining physiologically with the hope of stabilizing the person and preventing a code blue. Q. 26

14 ACLS: Airway Q. The new standard is to maintain SpO2 between 94% and 99%. Do not leave a patient with an SpO2 of 100% for a prolonged period of time; the PO2 will be between 80 and 300 mmhg. Why is a high PO2 problematic? R. Pages 28, 96-97, www/heart.org/eccstudent

15 ACLS: Airway Q. The new standard is to maintain SpO2 between 94% and 99%. Do not leave a patient with an SpO2 of 100% for a prolonged period of time; the PO2 will be between 80 and 300 mmhg. Why is a high PO2 problematic? R. The patient may develop oxygen toxicity and coronary arteries constrict in the presence of high oxygen concentrations. Think of oxygen as a drug and just as with most drugs too high of a dose will cause toxicity. Pages 28, 96-97

16 ACLS: Airway Q. How is an oropharangeal airway measured? R. Pages

17 ACLS: Airway Q. How is an oropharangeal airway measured? R. Measure an OPA from the corner of the mouth to the angle of the mandible. Pages 42-43

18 ACLS: Airway Q. Review the process for suctioning a patient. The step of applying suction while the suction tube is in the airway is limited to how many seconds? R. Page 45-46

19 ACLS: Airway Q. Review the process for suctioning a patient. The step of applying suction while the suction tube is in the airway is limited to how many seconds? R. 10 seconds. Q. Page 45-46

20 ACLS: Defibrillation Q. During a pulse check the patient has no pulse and is still in ventricular fibrillation and the decision is made to defibrillate. What order is given while the defibrillator is set up and charged? R. Page 63.

21 ACLS: Defibrillation Q. During a pulse check the patient has no pulse and is still in ventricular fibrillation and the decision is made to defibrillate. What order is given while the defibrillator is set up and charged? R. Resume CPR. Page 63

22 ACLS: Defibrillation Q. Why is it a bad idea to allow oxygen to blow over the chest during defibrillation? R. Page 64

23 ACLS: Defibrillation Q. Why is it a bad idea to allow oxygen to blow over the chest during defibrillation? R. Fire may result Q. Page 64

24 ACLS: Defibrillation Q. Why are pads preferred over paddles for defibrillation and synchronized cardioversion? R. Page 64.

25 ACLS: Defibrillation Q. Why are pads preferred over paddles for defibrillation and synchronized cardioversion? R. Even though paddles and pads deliver the same amount of electricity, pads allow for a more rapid shock and reduces the likelihood of arcing. Page 64

26 ACLS: Airway Q. Continuous Wave Form Capnography (CWFC) is recommended after intubation. There are three uses for capongraphy during resuscitation. What are the three uses? R. Pages 67, 73, 74, 75, 76

27 ACLS: Airway Q. Continuous Wave Form Capnography (CWFC) is recommended after intubation. There are three uses for capongraphy during resuscitation. What are the three uses? R. 1. Assess placement of ET tube (capnography is the gold standard for assessing placement of ET tubes). 2. Assess quality of chest compressions (PETCO2 > 10 mm Hg) 3. Assess Return of Spontaneous Circulation (ROSC) (PETCO2 = mmhg) Q. Pages 67, 73, 74, 75, 76

28 ACLS: General Principles Q. A visitor has collapsed in the lobby of the hospital; IV access is needed. Where is the IV started? R. Pages

29 ACLS: General Principles Q. A visitor has collapsed in the lobby of the hospital; IV access is needed. Where is the IV started? R. A peripheral IV is preferred; if an peripheral IV cannot be establish use an IO. Avoid starting a central line because CPR must be interrupted; an existing central line may be used. Pages 69-70

30 ACLS: ROSC Q. What is the ACLS Survey? R. Pages 14 to16, 62.

31 ACLS: ROSC Q. What is the ALCS Survey? R. The ACLS Survey is: A Airway B Breathing C Circulation D Differential Diagnosis. Please look at the content on pages 14 to 16 especially Table 2. Pages 14 to 16, 62

32 ACLS: ROSC Q. What are the top 2 treatment priorities for a patient who has achieved ROSC? R. Page 73 and 74.

33 ACLS: ROSC Q. What are the top 2 treatment priorities for a patient who has achieved ROSC? R. Airway and breathing are the top 2 treatment priorities for someone with a pulse; ensure the airway is secured and the patient is supported with ventilations and oxygen if needed. Page 73 and 74

34 ACLS: ROSC Q. Nimrod Jones was resuscitated successfully, but remains hypotensive even after a fluid bolus. Dopamine drip is ordered; what is the starting dose range for a Dopamine drip for hypotension? R. Page 73 and 76.

35 ACLS: ROSC Q. Nimrod Jones was resuscitated successfully, but remains hypotensive even after a fluid bolus. Dopamine drip is ordered; what is the starting dose range for a Dopamine drip for hypotension? R. Start Dopamine for hypotension within the range of 2 to 10 mcg/kg/min. Page 73 and 76

36 ACLS: ROSC Q. Nimrod Jones was resuscitated successfully, but remains hypotensive even after a fluid bolus. Epinephrine drip is ordered; what is the starting dose range for a Epinephrine drip for hypotension? R. Page 73 and 76.

37 ACLS: ROSC Q. Nimrod Jones was resuscitated successfully, but remains hypotensive even after a fluid bolus. Epinephrine drip is ordered; what is the starting dose range for a Epinephrine drip for hypotension? R. Start Epinephrine for hypotension within the range of 0.1 to 0.5 mcg/kg/min. Page 73 and 76

38 ACLS: General Principles Q. According to the AHA, what is the target systolic blood pressure? R. Pages 73, 76.

39 ACLS: General Principles Q. According to the AHA, what is the target systolic blood pressure? R. 90 mm Hg (we understand that certain specialties will tolerate higher or lower target blood pressures, but for the purposes of the course we will use 90 mm Hg for the standard for SBP). Pages 73, 76

40 ACLS: ROSC Q. Nimrod Jones has been successfully resuscitated; in the immediate post-code period Nimrod s BP is 78/52. A fluid bolus of NS has been ordered. According to the AHA what is the appropriate fluid volume range for a fluid bolus? R. Page 73, 76.

41 ACLS: ROSC Q. Nimrod Jones has been successfully resuscitated; in the immediate post-code period Nimrod s BP is 78/52. A fluid bolus of NS has been ordered. According to the AHA what is the appropriate fluid volume range for a fluid bolus? R. One to two liters (we understand that some specialties will want to give smaller volumes of fluid; for the purposes of the course we need a standard volume and we will use 1-2 L. In real life adjust the fluid volume for the individual patient). Page 73, 76

42 ACLS: ROSC Q. A resuscitation patient has ROSC, but remains unconscious. What order is considered? R. Pages 73 and 77.

43 ACLS: ROSC Q. A resuscitation patient has ROSC, but remains unconscious. What order is considered? R. Therapeutic hypothermia is considered; if ordered lower the body temperature to 32 degrees C to 34 degrees C for 12 to 24 hours. Pages 73 and 77

44 ACLS: Airway Q. Avoid hyperventilation. Why? R. Page 75

45 ACLS: Airway Q. Avoid hyperventilation. Why? R. Hyperventilation may lead to: 1. increased intrathoracic pressure and limit cardiac output 2. cerebral artery constriction thus reduced blood flow through the brain. NOTE: hyperventilation causes a loss of CO2 Q. Page 75

46 ACLS: Airway Q. Read the tips for securing an ET tube. Why is it a bad idea to secure an ET tube around the neck? R. Page 75

47 ACLS: Airway Q. Read the tips for securing an ET tube. Why is it a bad idea to secure an ET tube around the neck? R. Do not secure the ties around the neck obstructing the jugular veins and venous return from the brain. Q. Page 75

48 ACLS: ROSC Q. Some patients who are resuscitated have an acute MI or STEMI. What is a top priority for those patients? R. Page 77.

49 ACLS: ROSC Q. Some patients who are resuscitated have an acute MI or STEMI. What is a top priority for those patients? R. Coronary reperfusion is an important priority after the airway, breathing, and blood pressure are stabilized. Page 77

50 ACLS: Pulseless Arrest Q. Nimrod Jones is in Sinus Rhythm with a HR of 78, but has no pulse. What is the condition and how is it treated? R. Page 82 to 85.

51 ACLS: Pulseless Arrest Q. Nimrod Jones is in Sinus Rhythm with a HR of 78, but has no pulse. What is the condition and how is it treated? R. Nimrod is in PEA and the treatment is CPR, epinephrine 1 mg every 3-5 minutes, and treat the cause. Page 82 to 85

52 ACLS: Pulseless Arrest Q. Analyze this strip. This flat line may be one of three things. What are the three things? R. Pages 86 to 89.

53 ACLS: Pulseless Arrest Q. Analyze this strip. This flat line may be one of three things. What are the three things? R. This flat line may be: 1. Equipment failure like the leads have popped off of the patient. 2. Asystole. 3. Fine ventricular fibrillation. If the equipment is OK, check the rhythm in a second lead, if the rhythm remains flat the patient is in asystole, if it gets bigger and wigglier it is VF. Page 86 to 89

54 ACLS: Pulseless Arrest Q. Nimrod Jones is in asystole and has no pulse. What is the treatment? R. Page 82, 86 to 89.

55 ACLS: Pulseless Arrest Q. Nimrod Jones is in asystole and has no pulse. What is the treatment? R. The treatment is CPR, epinephrine 1 mg every 3-5 minutes, and treat the cause. Page 82, 86 to 89

56 ACLS: ACS Q. Nimrod Jones is on your unit and complains of epigastric pain. The blood pressure is 120/70; respirations are 14/min., non-labored, and easy; and SpO2 is 96% on room air. What is the next intervention? R. Page 96-97, 119, 136, & 140

57 ACLS: ACS Q. Nimrod Jones is on your unit and complains of epigastric pain. The blood pressure is 120/70; respirations are 14/min., non-labored, and easy; and SpO2 is 96% on room air. What is the next intervention? R. A 12 lead EKG. If the patient is stable the next step is assessment; not all chest pain is cardiac in nature. This principle applies to all situations, if the patient is stable conduct assessments first. Q. Page 96-97, 119, 136, & 140

58 ACLS: ACS & Stroke Q. The Nimrod Jones Memorial hospital is a STEMI center. Currently all of the cardiac cath lab staff are involved in emergent STEMI cases and no one is left to care for any more patients. A patient is in an ambulance on the way to the STEMI Center; what needs to happen to the patient in the ambulance? R. Page 96, 139

59 ACLS: ACS & Stroke Q. The Nimrod Jones Memorial hospital is a STEMI Center. Currently all of the cardiac cath lab staff are involved in emergent STEMI cases and no one is left to care for any more patients. A patient is in an ambulance on the way to the STEMI Center; what needs to happen to the patient in the ambulance? R. Divert the patient to a STEMI Center who can take the patient right away. This principle applies to Stroke Centers when a stroke center cannot provide prompt care. Q. Page 96, 139

60 ACLS: ACS Q. What are contraindications for nitroglycerin? R. Page 97.

61 ACLS: ACS Q. What are contraindications for nitroglycerin? R. The contraindications for nitroglycerin are: 1. Inferior wall MI and RV failure, 2. Hypotension, 3. Bradycardia, 4. Tachycardia, 5. Phosphodiesterase* inhibitor use within 24 to 48 hours. Page 97 *Sildenafil, tadalafil, vadenafil, udenafil, anavafil. NOTE: phosphodiesterase inhibitors are used for erectile dysfunction and pulmonary hypertension.

62 ACLS: Bradycardia Q. Your patient is in respiratory distress and becomes apneic. His HR drops from 122 to 48. How is the bradycardia treated? R. Page 111.

63 ACLS: Bradycardia Q. Your patient is in respiratory distress and becomes apneic. His HR drops from 122 to 48. How is the bradycardia treated? R. Your patient has an identifiable cause of the bradycardia, respiratory arrest and hypoxia. Thus treat the cause by supporting the patient with ventilations and oxygen. Page 111

64 ACLS: Bradycardia Q. Nimrod Jones is hypotensive, pale, cool, and diaphoretic after his HR drops from 95 to 40. The cause of the bradycardia is not known, what is the first intervention? R. Page 109 and 110.

65 ACLS: Bradycardia Q. Nimrod Jones is hypotensive, pale, cool, and diaphoretic after his HR drops from 95 to 40. The cause of the bradycardia is not known, what is the first intervention? R. Give 0.5 mg of Atropine and the dose may be repeated up to a total of 3 mg. Page 109 and 110

66 ACLS: Bradycardia Q. Nimrod Jones is hypotensive, pale, cool, and diaphoretic after his HR drops from 95 to 40. The cause of the bradycardia is not known. In spite of 2 doses of 0.5 mg Atropine, he remains bradycardic and symptomatic. What are the choices for the second intervention? R. Page 109 to 114.

67 ACLS: Bradycardia Q. Nimrod Jones is hypotensive, pale, cool, and diaphoretic after his HR drops from 95 to 40. The cause of the bradycardia is not known. In spite of 2 doses of 0.5 mg Atropine, he remains bradycardic and symptomatic. What are the choices for the second intervention? R. The second intervention for symptomatic bradycardia are: 1. Transcutaneous pacing, 2. Dopamine drip, 3. Epinephrine drip. Page 109 to 114

68 ACLS: Bradycardia Q. Nimrod Jones has a HR of 38 in spite of 2 doses of 0.5 mg Atropine IV push. Dopamine drip is ordered; what is the starting dose range for a Dopamine drip for bradycardia? R. Pages 109 and 110.

69 ACLS: Bradycardia Q. Nimrod Jones has a HR of 38 in spite of 2 doses of 0.5 mg Atropine IV push. Dopamine drip is ordered; what is the starting dose range for a Dopamine drip for bradycardia? R. Starting dose range for Dopamine for bradycardia is 2 to 10 mcg/kg/min. Pages 109 and 110

70 ACLS: Bradycardia Q. Nimrod Jones has a HR of 38 in spite of 2 doses of 0.5 mg Atropine IV push. Epinephrine drip is ordered; what is the starting dose range for a Epinephrine drip for bradycardia? R. Pages 109 and 110.

71 ACLS: Bradycardia Q. Nimrod Jones has a HR of 38 in spite of 2 doses of 0.5 mg Atropine IV push. Epinephrine drip is ordered; what is the starting dose range for a Epinephrine drip for bradycardia? R. Starting dose range for Epinephrine for bradycardia is 2 to 10 mcg/min. Pages 109 and 110

72 ACLS: Tachycardia Q. Nimrod Jones has a regular narrow complex tachycardia with a HR of 179. He is pale, cool, diaphoretic with a BP of 80/60. What is the first intervention? R. Page 118 to 120.

73 ACLS: Tachycardia Q. Nimrod Jones has a regular narrow complex tachycardia with a HR of 179. He is pale, cool, diaphoretic with a BP of 80/60. What is the first intervention? R. The first intervention is immediate synchronized cardioversion. Page 118 to 120

74 ACLS: Cardioversion Q. Complete this sentence: Synchronize cardiovert the and defibrillate the. R. Page 121.

75 ACLS: Cardioversion Q. Complete this sentence: Synchronize cardiovert the and defibrillate the. R. Synchronize cardiovert the living and defibrillate the dead (or soon to be dead/very, very, very unstable). Page 121

76 ACLS: Cardioversion Q. What are the recommended energy settings during synchronized cardioversion for atrial fibrillation, SVT/atrial flutter, and VT? R. Pages Page 121

77 ACLS: Cardioversion Q. What are the recommended energy settings during synchronized cardioversion for atrial fibrillation, SVT/atrial flutter, and VT? R. The answers are given for biphasic defibrillators. For less serious rhythms like SVT/Aflutter start at 50 to 100J. For more serious rhythms like VT start at 100J. For atrial fibrillation start at 120 to 200 J. Page

78 ACLS: Tachycardia Q. Nimrod Jones has a regular narrow complex tachycardia with a HR of 179, but is stable. What are the first 2 interventions. R. Page 127 and 129.

79 ACLS: Tachycardia Q. Nimrod Jones has a regular narrow complex tachycardia with a HR of 179, but is stable. What are the first 2 interventions. R. Start with vagal maneuvers and if needed Adenosine 6 mg rapid IV push (second dose is 12 mg). Page 127 and 129

80 ACLS: Tachycardia Q. Nimrod Jones has a regular wide complex tachycardia with a HR of 180, but is stable. What are the suggested interventions. R. Page 127 to 129.

81 ACLS: Tachycardia Q. Nimrod Jones has a regular wide complex tachycardia with a HR of 180, but is stable. What are the suggested interventions. R. Always assume a regular wide complex tachycardia is VT until proven otherwise. The treatment for stable VT is Amiodarone 150 mg IV over 10 minutes. This is an appropriate first intervention. The regular wide complex tachycardia may be SVT with aberrancy (SVT with a wide QRS complex) and the AHA recommends Adenosine as an appropriate drug for this rhythm, if Adenosine is not successful use an antidysrhythmic like Amiodarone 150 mg IV over 10 minutes. Adenosine works on SA node and the AV node and is appropriate for SVT, but not for VT. Page 127 to 129

82 ACLS: Tachycardia Q. Irregular rhythms are complex, who are you going to call? R. Page 127 to 130.

83 ACLS: Tachycardia Q. Irregular rhythms are complex, who are you going to call? R. An expert. Page 127 to 130

84 ACLS: Airway Remember there needs to be a fair amount of anxiety about keeping chest compressions going when someone is pulseless.

85 THE END

ACLS Review. Pulse Oximetry to be between 94 99% to avoid hyperoxia (high oxygen tension can lead to tissue death

ACLS Review. Pulse Oximetry to be between 94 99% to avoid hyperoxia (high oxygen tension can lead to tissue death ACLS Review BLS CPR BLS CPR changed in 2010. The primary change is from the ABC format to CAB. After establishing unresponsiveness and calling for a code, check for a pulse less than 10 seconds then begin

More information

Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket

Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket BLS BASICS: Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket facemask or AMBU bag) Adults call it in, start CPR, get AED Child CPR First, Phone call second

More information

Advanced Cardiac Life Support (ACLS) Science Update 2015

Advanced Cardiac Life Support (ACLS) Science Update 2015 1 2 3 4 5 6 7 8 9 Advanced Cardiac Life Support (ACLS) Science Update 2015 What s New in ACLS for 2015? Adult CPR CPR remains (Compressions, Airway, Breathing Chest compressions has priority over all other

More information

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia

More information

Unstable: Hypotension/Shock, Fever, Altered Mental Status, Chest discomfort, Acute Heart Failure Saturation <94%, Systolic BP < 90mmHg

Unstable: Hypotension/Shock, Fever, Altered Mental Status, Chest discomfort, Acute Heart Failure Saturation <94%, Systolic BP < 90mmHg Bradycardia Heart Rate less than 50/min Stable: Monitor Seek expert help Treat Reversible Causes Unstable Signs and Symptoms: chest pain, shortness of breath, altered mental status, weak, Hypotension,

More information

Routine Patient Care Guidelines - Adult

Routine Patient Care Guidelines - Adult Routine Patient Care Guidelines - Adult All levels of provider will complete an initial & focused assessment on every patient, and as standing order, use necessary and appropriate skills and procedures

More information

MICHIGAN. State Protocols. Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.

MICHIGAN. State Protocols. Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6. MICHIGAN State Protocols Protocol Number Protocol Name Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.3 Tachycardia PEDIATRIC CARDIAC PEDIATRIC CARDIAC ARREST

More information

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia

More information

SUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC

SUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC SUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC The following is a summary of the key issues and changes in the AHA 2010 Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac

More information

ACLS. Advanced Cardiac Life Support Practice Test Questions. 1. The following is included in the ACLS Survey?

ACLS. Advanced Cardiac Life Support Practice Test Questions. 1. The following is included in the ACLS Survey? 1. The following is included in the ACLS Survey? a. Airway, Breathing, Circulation, Differential Diagnosis b. Airway, Breathing, Circulation, Defibrillation c. Assessment, Breathing, Circulation, Defibrillation

More information

national CPR committee Saudi Heart Association (SHA). International Liason Commission Of Resuscitation (ILCOR)

national CPR committee Saudi Heart Association (SHA). International Liason Commission Of Resuscitation (ILCOR) 2 It is our pleasure to present to you this work as a result of team work of the national CPR committee at the Saudi Heart Association (SHA). We adapted the 2010 guidelines as per International Liason

More information

INSTITUTE FOR MEDICAL SIMULATION & EDUCATION ACLS PRACTICAL SCENARIOS

INSTITUTE FOR MEDICAL SIMULATION & EDUCATION ACLS PRACTICAL SCENARIOS Practical Teaching for Respiratory Arrest with a Pulse (Case 1) You are a medical officer doing a pre-operative round when 60-year old patient started coughing violently and becomes unconscious. Fortunately

More information

ADULT TREATMENT GUIDELINES

ADULT TREATMENT GUIDELINES A1 Adult Patient Care A2 Chest Pain / Suspected ACS A3 Cardiac Arrest Initial Care and CPR A4 Ventricular Fibrillation / Ventricular Tachycardia A5 PEA / Asystole A6 Symptomatic Bradycardia A7 Ventricular

More information

CSI Skills Lab #5: Arrhythmia Interpretation and Treatment

CSI Skills Lab #5: Arrhythmia Interpretation and Treatment CSI 202 - Skills Lab #5: Arrhythmia Interpretation and Treatment Origins of the ACLS Approach: CSI 202 - Skills Lab 5 Notes ACLS training originated in Nebraska in the early 1970 s. Its purpose was to

More information

Advanced Cardiac Life Support ACLS

Advanced Cardiac Life Support ACLS Essential Medical Training, LLC Providing Quality, Professional Training Advanced Cardiac Life Support ACLS Course Study Guide and Agenda 772-781-9249 office 772-382-0607 fax Email: treasurecoastcpr@gmail.com

More information

Management of Cardiac Arrest Based on : 2010 American Heart Association Guidelines

Management of Cardiac Arrest Based on : 2010 American Heart Association Guidelines Management of Cardiac Arrest Based on : 2010 American Heart Association Guidelines www.circ.ahajournals.org Elham Pishbin. M.D Assistant Professor of Emergency Medicine MUMS C H E S Advanced Life Support

More information

Final Written Exam ASHI ACLS

Final Written Exam ASHI ACLS Final Written Exam ASHI ACLS Instructions: Identify the choice that best completes the statement or answers the question. Questions 1 and 2 pertain to the following scenario: A 54-year-old man has experienced

More information

MICHIGAN. State Protocols

MICHIGAN. State Protocols MICHIGAN State Protocols Protocol Number 5.1 5.2 5.3 5.4 5.5 Protocol Name Adult Cardiac Table of Contents General Cardiac Arrest Bradycardia Tachycardia Pulmonary Edema/CHF Chest Pain/Acute Coronary Syndrome

More information

Preparing for your upcoming PALS course

Preparing for your upcoming PALS course IU Health PALS Study Guide Preparing for your upcoming PALS course UPDATED November 2016 Course Curriculum: 2015 American Heart Association (AHA) Guidelines for Pediatric Advanced Life Support (PALS) AHA

More information

Chapter 9. Learning Objectives. Learning Objectives 9/11/2012. Cardiac Arrhythmias. Define electrical therapy

Chapter 9. Learning Objectives. Learning Objectives 9/11/2012. Cardiac Arrhythmias. Define electrical therapy Chapter 9 Cardiac Arrhythmias Learning Objectives Define electrical therapy Explain why electrical therapy is preferred initial therapy over drug administration for cardiac arrest and some arrhythmias

More information

Michigan Adult Cardiac Protocols TABLE OF CONTENTS

Michigan Adult Cardiac Protocols TABLE OF CONTENTS Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Asystole Section 2-1 Bradycardia Section 2-2 Cardiac Arrest General Section 2-3 Cardiac Arrest ROSC Section 2-4 Chest Pain Acute Coronary Syndrome

More information

Adult Basic Life Support

Adult Basic Life Support Adult Basic Life Support UNRESPONSIVE? Shout for help Open airway NOT BREATHING NORMALLY? Call 112* 30 chest compressions 2 rescue breaths 30 compressions *or national emergency number Fig 1.2_Adult BLS

More information

COUNTY OF SACRAMENTO EMERGENCY MEDICAL SERVICES AGENCY

COUNTY OF SACRAMENTO EMERGENCY MEDICAL SERVICES AGENCY COUNTY OF SACRAMENTO EMERGENCY MEDICAL SERVICES AGENCY Document # 8024.31 PROGRAM DOCUMENT: Initial Date: 10/26/94 Cardiac Dysrhythmias Last Approval Date: 11/01/16 Effective Date: 11/01/18 Next Review

More information

Simulation 15: 51 Year-Old Woman Undergoing Resuscitation

Simulation 15: 51 Year-Old Woman Undergoing Resuscitation Simulation 15: 51 Year-Old Woman Undergoing Resuscitation Flow Chart Flow Chart Opening Scenario Section 1 Type: DM Arrive after 5-6 min in-progress resuscitation 51 YO female; no pulse or BP, just received

More information

1 Pediatric Advanced Life Support Science Update What s New for 2010? 3 CPR. 4 4 Steps of BLS Survey 5 CPR 6 CPR.

1 Pediatric Advanced Life Support Science Update What s New for 2010? 3 CPR. 4 4 Steps of BLS Survey 5 CPR 6 CPR. 1 Pediatric Advanced Life Support Science Update 2010 2 What s New for 2010? 3 CPR Take no longer than seconds for pulse check Rate at least on per minute (instead of around 100 per minute ) Depth change:

More information

Objectives: This presentation will help you to:

Objectives: This presentation will help you to: emergency Drugs Objectives: This presentation will help you to: Five rights for medication administration Recognize different cardiac arrhythmias and determine the common drugs used for each one List the

More information

The ALS Algorithm and Post Resuscitation Care

The ALS Algorithm and Post Resuscitation Care The ALS Algorithm and Post Resuscitation Care CET - Ballarat Health Services Valid from 1 st July 2018 to 30 th June 2020 2 Defibrillation Produces simultaneous mass depolarisation of myocardial cells

More information

THE FOLLOWING QUESTIONS RELATE TO THE RESUSCITATION COUNCIL (UK) RESUSCITATION GUIDELINES 2005

THE FOLLOWING QUESTIONS RELATE TO THE RESUSCITATION COUNCIL (UK) RESUSCITATION GUIDELINES 2005 THE FOLLOWING QUESTIONS RELATE TO THE RESUSCITATION COUNCIL (UK) RESUSCITATION GUIDELINES 2005 1. The guidelines suggest that in out-of-hospital cardiac arrests, attended but unwitnessed by health care

More information

Emergency Cardiovascular Care: EMT-Intermediate Treatment Algorithms. Introduction to the Algorithms

Emergency Cardiovascular Care: EMT-Intermediate Treatment Algorithms. Introduction to the Algorithms Emergency Cardiovascular Care: EMT-Intermediate Treatment Algorithms Introduction to the Algorithms Cardiac Arrest Algorithms Prehospital Medication Profiles Perspective regarding the EMT- Intermediate

More information

PALS Case Scenario Testing Checklist Respiratory Case Scenario 1 Upper Airway Obstruction

PALS Case Scenario Testing Checklist Respiratory Case Scenario 1 Upper Airway Obstruction Respiratory Case Scenario 1 Upper Airway Obstruction Directs administration of 100% oxygen or supplementary oxygen as needed to support oxygenation Identifies signs and symptoms of upper airway obstruction

More information

ADVANCED CARDIAC LIFE SUPPORT (ACLS) RECERTIFICATION EXAMINATION

ADVANCED CARDIAC LIFE SUPPORT (ACLS) RECERTIFICATION EXAMINATION 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

Chain of Survival. Highlights of 2010 American Heart Guidelines CPR

Chain of Survival. Highlights of 2010 American Heart Guidelines CPR Highlights of 2010 American Heart Guidelines CPR Compressions rate of at least 100/min. allow for complete chest recoil Adult CPR depth of at least 2 inches Child/Infant CPR depth of 1/3 anterior/posterior

More information

PEDIATRIC CARDIAC RHYTHM DISTURBANCES. -Jason Haag, CCEMT-P

PEDIATRIC CARDIAC RHYTHM DISTURBANCES. -Jason Haag, CCEMT-P PEDIATRIC CARDIAC RHYTHM DISTURBANCES -Jason Haag, CCEMT-P General: CARDIAC RHYTHM DISTURBANCES - More often the result and not the cause of acute cardiovascular emergencies - Typically the end result

More information

ACLS Study Guide Key guidelines recommendations for healthcare professionals:

ACLS Study Guide Key guidelines recommendations for healthcare professionals: 1 ACLS Study Guide 0.849. Key guidelines recommendations for healthcare professionals: Effective teamwork techniques should be learned and practiced regularly. Professional rescuers should use quantitative

More information

table of contents pediatric treatment guidelines

table of contents pediatric treatment guidelines table of contents pediatric treatment guidelines P1 PEDIATRIC PATIENT CARE...70 P2 APPARENT LIFE-THREATENING EVENT (ALTE)...71 P3 CARDIAC ARREST INITIAL CARE AND CPR...72 73 P4 NEONATAL CARE AND RESUSCITATION...74

More information

ADVANCED LIFE SUPPORT

ADVANCED LIFE SUPPORT ANSWERS IN ITALICS WITH REFERENCES 1. The guidelines suggest that in out-of-hospital cardiac arrests, attended but unwitnessed by health care professionals equipped with a manual defibrillator, the providers

More information

Adult Advanced Cardiovascular Life Support. Emergency Procedures in PT

Adult Advanced Cardiovascular Life Support. Emergency Procedures in PT Adult Advanced Cardiovascular Life Support Emergency Procedures in PT BLS Can be learned & practiced by the general public Includes: CPR First Aid (e.g. choking relief) Use of AED ACLS Used by healthcare

More information

Update of CPR AHA Guidelines

Update of CPR AHA Guidelines Update of CPR AHA Guidelines Donald Hal Shaffner Course objective is to have an updated understanding of the American Heart Association s treatment algorithms for the management of cardiac decompensation

More information

Updated Policies and Procedures # s 606, 607, 610, 611, 612, 613, 625, 628, 630, 631, and 633 (ACLS Protocols and Policies)

Updated Policies and Procedures # s 606, 607, 610, 611, 612, 613, 625, 628, 630, 631, and 633 (ACLS Protocols and Policies) SLO County Emergency Medical Services Agency Bulletin 2012-09 PLEASE POST Updated Policies and Procedures # s 606, 607, 610, 611, 612, 613, 625, 628, 630, 631, and 633 (ACLS Protocols and Policies) July

More information

Shifts 28, 29, 30 Quizzes

Shifts 28, 29, 30 Quizzes Shifts 28, 29, 30 Quizzes Name: Score: Date: 1. You are on the scene of a 4 year old in cardiac arrest. CPR is initiated and an E.T. tube has been placed, an I.V. has been established. What is the correct

More information

DYSRHYTHMIAS. D. Assess whether or not it is the arrhythmia that is making the patient unstable or symptomatic

DYSRHYTHMIAS. D. Assess whether or not it is the arrhythmia that is making the patient unstable or symptomatic DYSRHYTHMIAS GENERAL CONSIDERATIONS A. The 2015 American Heart Association Guidelines were referred to for this protocol development. Evidence-based science was implemented in those areas where the AHA

More information

Adult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular

Adult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Adult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care 1 DR. Alireza Abootalebi Assistant Professor Of

More information

PALS PRETEST. PALS Pretest

PALS PRETEST. PALS Pretest PALS PRETEST 1. A child with a fever, immune system compromise, poor perfusion and hypotension is most likely to be experiencing which type of shock A. cardiogenic B. Neurogenic C. Septic D. Hypovolemic

More information

1. Normal sinus rhythm 2. SINUS BRADYCARDIA

1. Normal sinus rhythm 2. SINUS BRADYCARDIA 1. Normal sinus rhythm 2. SINUS BRADYCARDIA No signs and symptoms observe There are severe signs or symptoms o What are the signs and symptom Hypotension

More information

ADULT CARDIAC EMERGENCIES

ADULT CARDIAC EMERGENCIES ADULT CARDIAC EMERGENCIES Last Revised: July 2017 Cardiac Emergencies Section A 1 CARDIOPULMONARY ARREST NOTE: High quality CPR includes: 1. Chest Compressions at a depth of at least 2 inches 2. Rate of

More information

table of contents adult treatment guidelines

table of contents adult treatment guidelines table of contents adult treatment guidelines A1 ADULT PATIENT CARE... 3 A2 CHEST PAIN SUSPECTED ACUTE CORONARY SYNDROME/STEMI...4 5 A3 CARDIAC ARREST INITIAL CARE AND CPR...6 7 A4 VENTRICULAR FIBRILLATION

More information

Prehospital Resuscitation for the 21 st Century Simulation Case. VF/Asystole

Prehospital Resuscitation for the 21 st Century Simulation Case. VF/Asystole Prehospital Resuscitation for the 21 st Century Simulation Case VF/Asystole Case History 1 (hypovolemic cardiac arrest secondary to massive upper GI bleed) 56 year-old male patient who fainted in the presence

More information

VENTRICULAR FIBRILLATION. 1. Safe scene, standard precautions. 2. Establish unresponsiveness, apnea, and pulselessness. 3. Quick look (monitor)

VENTRICULAR FIBRILLATION. 1. Safe scene, standard precautions. 2. Establish unresponsiveness, apnea, and pulselessness. 3. Quick look (monitor) LUCAS COUNTY EMS SUMMARY PAGES VENTRICULAR FIBRILLATION 2. Establish unresponsiveness, apnea, and pulselessness 3. Quick look (monitor) 4. Identify rhythm 5. Provide 2 minutes CPR if unwitnessed by EMS

More information

Advanced Cardiac Life Support G 2010

Advanced Cardiac Life Support G 2010 Advanced Cardiac Life Support G 2010 Produced by the Advanced Cardiac Life Support Council of the Irish Heart Foundation March 2012 Introduction: The Arrhythmia and ACLS Councils of the Irish Heart Foundation

More information

European Resuscitation Council

European Resuscitation Council European Resuscitation Council Objectives To know basic elements to evaluate patients with rythm disturbance To know advanced treatment of paediatric cardiac arrest To know emergency treatment of most

More information

Department of Paediatrics Clinical Guideline. Advanced Paediatric Life Support. Sequence of actions. 1. Establish basic life support

Department of Paediatrics Clinical Guideline. Advanced Paediatric Life Support. Sequence of actions. 1. Establish basic life support Advanced Paediatric Life Support Sequence of actions 1. Establish basic life support 2. Oxygenate, ventilate, and start chest compression: - Provide positive-pressure ventilation with high-concentration

More information

ADULT CARDIAC EMERGENCIES

ADULT CARDIAC EMERGENCIES ADULT CARDIAC EMERGENCIES Last Revised: September 2018 Cardiac Emergencies Section A 1 CARDIOPULMONARY ARREST NOTE: High quality CPR includes: 1. Chest Compressions at a depth of at least 2 inches 2. Rate

More information

Hanna K. Al-Makhamreh, M.D., FACC Interventional Cardiologist

Hanna K. Al-Makhamreh, M.D., FACC Interventional Cardiologist Hanna K. Al-Makhamreh, M.D., FACC Interventional Cardiologist Introduction. Basic Life Support (BLS). Advanced Cardiac Life Support (ACLS). Cardiovascular diseases (CVDs) are the number one cause of death

More information

2. General Cardiac Arrest Protocol Medical Newborn/Neonatal. Protocol 8-3 Resuscitation 4. Medical Supraventricular

2. General Cardiac Arrest Protocol Medical Newborn/Neonatal. Protocol 8-3 Resuscitation 4. Medical Supraventricular PEDIATRIC CARDIAC SECTION: Pediatric Cardiovascular Emergencies REVISED: 06/2017 Section 8 1. Cardiac Arrest Unknown Rhythm (i.e. Protocol 8-1 BLS) 2. General Cardiac Arrest Protocol 8-2 3. Medical Newborn/Neonatal

More information

The ARREST Trial: Amiodarone for Resuscitation After Out-of-Hospital Cardiac Arrest Due to Ventricular Fibrillation

The ARREST Trial: Amiodarone for Resuscitation After Out-of-Hospital Cardiac Arrest Due to Ventricular Fibrillation The ARREST Trial: Amiodarone for Resuscitation After Out-of-Hospital Cardiac Arrest Due to Ventricular Fibrillation Introduction The ARREST (Amiodarone in out-of-hospital Resuscitation of REfractory Sustained

More information

Cardiopulmonary Resuscitation in Adults

Cardiopulmonary Resuscitation in Adults Cardiopulmonary Resuscitation in Adults Fatma Özdemir, MD Emergency Deparment of Uludag University Faculty of Medicine OVERVIEW Introduction Pathophysiology BLS algorithm ALS algorithm Post resuscitation

More information

Review Packet EKG Competency This packet is a review of the information you will need to know for the proctored EKG competency test.

Review Packet EKG Competency This packet is a review of the information you will need to know for the proctored EKG competency test. Review Packet EKG Competency 2015 This packet is a review of the information you will need to know for the proctored EKG competency test. Normal Sinus Rhythm Rhythm: Regular Ventricular Rate: 60-100 bpm

More information

Pediatric Cardiac Arrest General

Pediatric Cardiac Arrest General Date: November 15, 2012 Page 1 of 5 Pediatric Cardiac Arrest General This protocol should be followed for all pediatric cardiac arrests. If an arrest is of a known traumatic origin refer to the Dead on

More information

Algorithm Focus. Emergency Cardiovascular Care: EMT-Intermediate Treatment Algorithms. Perspective regarding the EMT- Intermediate algorithms

Algorithm Focus. Emergency Cardiovascular Care: EMT-Intermediate Treatment Algorithms. Perspective regarding the EMT- Intermediate algorithms Emergency Cardiovascular Care: EMT-Intermediate Treatment Algorithms Algorithms for the Conscious Patient Prehospital Medication Profiles Algorithm Focus Bradycardia Acute Pulmonary Edema and Shock Hypothermia

More information

Yolo County Health & Human Services Agency

Yolo County Health & Human Services Agency Yolo County Health & Human Services Agency Kristin Weivoda EMS Administrator John S. Rose, MD, FACEP Medical Director DATE: December 28, 2017 TO: Yolo County Providers and Agencies FROM: Yolo County EMS

More information

Advanced Resuscitation - Adult

Advanced Resuscitation - Adult C02A Resuscitation 2017-03-23 17 years & older Office of the Medical Director Advanced Resuscitation - Adult Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia Algorithm

More information

THE EVIDENCED BASED 2015 CPR GUIDELINES

THE EVIDENCED BASED 2015 CPR GUIDELINES SAUDI HEART ASSOCIATION NATIONAL CPR COMMITTEE THE EVIDENCED BASED 2015 CPR GUIDELINES (EXECUTIVE SUMMARY) Page 1 FORWARD Since 2000, the International Liaison Committee on Resuscitation (ILCOR) has published

More information

Supplemental Digital Content 1. Simulation scenarios and critical action checklist for debriefing

Supplemental Digital Content 1. Simulation scenarios and critical action checklist for debriefing Supplemental Digital Content 1. Simulation scenarios and critical action checklist for debriefing Simulation Scenario #1 I. Title (ACS)-VF-Asystole-ROSC II. Target learner 6-7 medical students per team

More information

Arrhythmic Complications of MI. Teferi Mitiku, MD Assistant Clinical Professor of Medicine University of California Irvine

Arrhythmic Complications of MI. Teferi Mitiku, MD Assistant Clinical Professor of Medicine University of California Irvine Arrhythmic Complications of MI Teferi Mitiku, MD Assistant Clinical Professor of Medicine University of California Irvine Objectives Brief overview -Pathophysiology of Arrhythmia ECG review of typical

More information

1. What would you do first to restore oxygenation and ventilation to an unresponsive, breathless, near-drowning victim?

1. What would you do first to restore oxygenation and ventilation to an unresponsive, breathless, near-drowning victim? ACLS Provider Course SAMPLE ACLS PRE-TEST EXAM This is a single-answer multiple-choice examination. There is only one correct answer to each question. 1. What would you do first to restore oxygenation

More information

TABLE OF CONTENTS. Page 2 of 52

TABLE OF CONTENTS. Page 2 of 52 Page 1 of 52 TABLE OF CONTENTS Table of Contents...2 List of Figures...4 List of Tables...4 Unit One: ACLS Overview...5 Preparing for ACLS...5 Organization of the ACLS Course...5 2015 ACLS Guideline Changes...6

More information

MASTER SYLLABUS

MASTER SYLLABUS A. Academic Division: Health Sciences B. Discipline: Respiratory Care MASTER SYLLABUS 2018-2019 C. Course Number and Title: RESP 2330 Advanced Life Support Procedures D. Course Coordinator: Tricia Winters,

More information

Advanced Resuscitation - Child

Advanced Resuscitation - Child C02C Resuscitation 2017-03-23 1 up to 10 years Office of the Medical Director Advanced Resuscitation - Child Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia Algorithm

More information

Lesson 4-3: Cardiac Emergencies. CARDIAC EMERGENCIES Angina, AMI, CHF and AED

Lesson 4-3: Cardiac Emergencies. CARDIAC EMERGENCIES Angina, AMI, CHF and AED Lesson 4-3: Cardiac Emergencies CARDIAC EMERGENCIES Angina, AMI, CHF and AED THREE FAMILIAR CARDIAC CONDITIONS Angina Pectoris Acute Myocardial Infarction Congestive Heart Failure ANGINA PECTORIS Chest

More information

Manual Defibrillation. CPR AGE: 18 years LOA: Altered HR: N/A RR: N/A SBP: N/A Other: N/A

Manual Defibrillation. CPR AGE: 18 years LOA: Altered HR: N/A RR: N/A SBP: N/A Other: N/A ROC AMIODARONE, LIDOCAINE OR PLACEBO FOR OUT OF HOSPITAL CARDIAC ARREST DUE TO VENTRICULAR FIBRILLATION OR TACHYCARDIA (ALPS) STUDY: MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE An Advanced Care Paramedic

More information

McHenry Western Lake County EMS System Optional CE for EMT-B, Paramedics and PHRN s Bradycardia and Treatments Optional #7 2018

McHenry Western Lake County EMS System Optional CE for EMT-B, Paramedics and PHRN s Bradycardia and Treatments Optional #7 2018 McHenry Western Lake County EMS System Optional CE for EMT-B, Paramedics and PHRN s Bradycardia and Treatments Optional #7 2018 This month we will be looking at a specific ECG Rhythm and its treatments

More information

Utah EMS Protocol Guidelines: Cardiac

Utah EMS Protocol Guidelines: Cardiac Utah EMS Protocol Guidelines: Cardiac Version 1 / November 1, 2013 Cardiac Patient Care Guidelines These guidelines were created to provide direction for each level of certified provider in caring for

More information

EMT. Chapter 14 Review

EMT. Chapter 14 Review EMT Chapter 14 Review Review 1. All of the following are common signs and symptoms of cardiac ischemia, EXCEPT: A. headache. B. chest pressure. C. shortness of breath. D. anxiety or restlessness. Review

More information

ADULT CARDIAC Routine Cardiac Care

ADULT CARDIAC Routine Cardiac Care ADUL CADAC 2105 outine Cardiac Care Determine level of consciousness. valuate airway and confirm patency Assess breathing and circulation valuate SpO 2 Oxygen titrate O 2 to maintain SpO 2 94% Administer

More information

Lecture. ALS Algorithm

Lecture. ALS Algorithm Lecture ALS Algorithm 1 Learning outcomes The ALS algorithm Treatment of shockable and non-shockable rhythms Potentially reversible causes of cardiac arrest 2 Adult ALS Algorithm 3 To confirm cardiac arrest

More information

1 Cardiology Acute Care Day 22 April 2013 Arrhythmia Tutorial Course Material

1 Cardiology Acute Care Day 22 April 2013 Arrhythmia Tutorial Course Material 1 Cardiology Acute Care Day 22 April 2013 Arrhythmia Tutorial Course Material Arrhythmia recognition This tutorial builds on the ECG lecture and provides a framework for approaching any ECG to allow the

More information

PALS Review 2015 Guidelines

PALS Review 2015 Guidelines PALS Review 2015 Guidelines BLS CPR BLS CPR changed in 2010. The primary change is from the ABC format to CAB. 1. Scene Safety 2. Establish Unresponsiveness 3. Check for breathing if absent or agonal (No

More information

Pediatric Resuscitation

Pediatric Resuscitation Pediatric Resuscitation Section 24 Pediatric Cardiac Arrest Protocol The successful resuscitation of a child in cardiac arrest is dependent of a systematic approach of initiating life-saving CPR, recognition

More information

Requirements to successfully complete PALS:

Requirements to successfully complete PALS: The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010. The new AHA Handbook of Emergency Cardiac Care (ECC) contains these 2010 Guidelines.The 2010

More information

Pediatric advanced life support. Management of decreased conscious level in children. Virgi ija Žili skaitė 2017

Pediatric advanced life support. Management of decreased conscious level in children. Virgi ija Žili skaitė 2017 Pediatric advanced life support. Management of decreased conscious level in children Virgi ija Žili skaitė 2017 Life threatening conditions: primary assessment, differential diagnostics and emergency care.

More information

THE EVIDENCED BASED 2015 CPR GUIDELINES

THE EVIDENCED BASED 2015 CPR GUIDELINES SAUDI HEART ASSOCIATION NATIONAL CPR COMMITTEE THE EVIDENCED BASED 2015 CPR GUIDELINES Page 1 Chapter 3 ACLS AND SPECIAL SITUATIONS CHAPTER The International Liaison Committee on Resuscitation (ILCOR)

More information

Pediatric Advanced Life Support Overview Judy Haluka BS, RCIS, EMT-P

Pediatric Advanced Life Support Overview Judy Haluka BS, RCIS, EMT-P Pediatric Advanced Life Support Overview 2006 Judy Haluka BS, RCIS, EMT-P General Our Database is lacking in pediatrics Pediatrics are DIFFERENT than Adults not just smaller The same procedure may require

More information

CORONARY ARTERIES. LAD Anterior wall of the left vent Lateral wall of left vent Anterior 2/3 of interventricluar septum R & L bundle branches

CORONARY ARTERIES. LAD Anterior wall of the left vent Lateral wall of left vent Anterior 2/3 of interventricluar septum R & L bundle branches CORONARY ARTERIES RCA Right atrium Right ventricle SA node 55% AV node 90% Posterior wall of left ventricle in 90% Posterior third of interventricular septum 90% LAD Anterior wall of the left vent Lateral

More information

Advanced Resuscitation - Adolescent

Advanced Resuscitation - Adolescent C02B Resuscitation 2017-03-23 10 up to 17 years Office of the Medical Director Advanced Resuscitation - Adolescent Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia

More information

ADULT DRUG REFERENCE Drug Indication Adult Dosage Precautions / Comments

ADULT DRUG REFERENCE Drug Indication Adult Dosage Precautions / Comments ADENOSINE Paroxysmal SVT 1 st Dose 6 mg rapid IV 2 nd & 3 rd Doses 12 mg rapid IV push Follow each dose with rapid bolus of 20 ml NS May cause transient heart block or asystole. Side effects include chest

More information

Krittin Bunditanukul Pharm.D, BCPS Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Chulalongkorn University

Krittin Bunditanukul Pharm.D, BCPS Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Chulalongkorn University Krittin Bunditanukul Pharm.D, BCPS Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Chulalongkorn University Cardiac arrest Cardiac arrest can be caused by 4 rhythms: Ventricular fibrillation

More information

Cardiac arrest simulation teaching (CASTeach) session

Cardiac arrest simulation teaching (CASTeach) session Cardiac arrest simulation teaching (CASTeach) session Instructor guidance Key learning outcomes Overall aim: Scenarios should be facilitated by the Instructor in such a way that they are performed correctly.

More information

Pediatric Advanced Life Support (PALS) Study Assistance. A guide for employees of Lake EMS

Pediatric Advanced Life Support (PALS) Study Assistance. A guide for employees of Lake EMS Pediatric Advanced Life Support (PALS) Study Assistance A guide for employees of Lake EMS Situation Much of the great care we perform relies on our protocols Our protocols are primarily based on the guidelines

More information

Pediatric Advanced Life Support Essentials

Pediatric Advanced Life Support Essentials chapter 14 Pediatric Advanced Life Support Essentials Sharon E. Mace, MD, FACEP, FAAP 1Discuss the new developments in resuscitation science. Review new 2010 2 American Heart Association Guidelines for

More information

Automated External Defibrillation Principle of Early Defibrillation States that all BLS personnel be trained, equipped and allowed to operate a if

Automated External Defibrillation Principle of Early Defibrillation States that all BLS personnel be trained, equipped and allowed to operate a if 1 2 3 4 5 6 Automated External Defibrillation Principle of Early Defibrillation States that all BLS personnel be trained, equipped and allowed to operate a if they are expected to respond to persons in

More information

EKG Rhythm Interpretation Exam

EKG Rhythm Interpretation Exam as EKG Rhythm Interpretation Exam Name: Date: ID# Unit Assume each strip is a 6 second strip. Passing is 80%. 1. Identify the following rhythm: a. Asystole b. Ventricular fibrillation c. Atrial fibrillation

More information

ACLS.exam. Number: ACLS Passing Score: 800 Time Limit: 120 min File Version: ACLS. Advanced Cardiac Life Support

ACLS.exam. Number: ACLS Passing Score: 800 Time Limit: 120 min File Version: ACLS. Advanced Cardiac Life Support ACLS.exam Number: ACLS Passing Score: 800 Time Limit: 120 min File Version: 1.0 ACLS Advanced Cardiac Life Support Version 1.0 Exam A QUESTION 1 What is the effect of atropine on vagal reflexes? Correct

More information

18% Survival from In-Hospital Cardiac Arrest Ways we can do better! National Teaching Institute Denver, CO Class Code: 149 A

18% Survival from In-Hospital Cardiac Arrest Ways we can do better! National Teaching Institute Denver, CO Class Code: 149 A 18% Survival from In-Hospital Cardiac Arrest Ways we can do better! National Teaching Institute Denver, CO Class Code: 149 A Nicole Kupchik RN, MN, CCNS, CCRN, PCCN Independent CNS/Staff Nurse Objectives

More information

Asystole / PEA (PEDIATRIC)

Asystole / PEA (PEDIATRIC) FRRCKSBURG MS Asystole / A (ATRC) 1 Check for Responsiveness Check for Breathing Check for Carotid ulse nitiate CR o As soon as a mechanical external compression device (i.e. Lucas 2) (rocedure 11) becomes

More information

Northwest Community EMS System November 2018 CE: Cardiac Treatment Credit Questions

Northwest Community EMS System November 2018 CE: Cardiac Treatment Credit Questions Northwest Community EMS System November 2018 CE: Cardiac Treatment Credit Questions Name: EMS Agency/hospital: EMSC/Educator reviewer: Date submitted: Credit awarded (date): Returned for revisions: Revisions

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 Richard Harper MS MD Achieving Consensus on Resuscitation Science The American Heart Association

More information

DSED: Is It Real? Brent Myers, MD MPH FACEP CMO and EVP of Medical Operations, Evolution Health Associate CMO, American Medical Response

DSED: Is It Real? Brent Myers, MD MPH FACEP CMO and EVP of Medical Operations, Evolution Health Associate CMO, American Medical Response DSED: Is It Real? Brent Myers, MD MPH FACEP CMO and EVP of Medical Operations, Evolution Health Associate CMO, American Medical Response However beautiful the strategy, you should occasionally look at

More information

Case #1. 73 y/o man with h/o HTN and CHF admitted with dizziness and SOB Treated for CHF exacerbation with Lasix Now HR 136

Case #1. 73 y/o man with h/o HTN and CHF admitted with dizziness and SOB Treated for CHF exacerbation with Lasix Now HR 136 Tachycardias Case #1 73 y/o man with h/o HTN and CHF admitted with dizziness and SOB Treated for CHF exacerbation with Lasix Now HR 136 Initial Assessment Check Telemetry screen if pt on tele Telemetry

More information

1 of 6 1/8/2016 2:51 PM

1 of 6 1/8/2016 2:51 PM Official reprint from UpToDate www.uptodate.com 2016 UpToDate The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek

More information