Difference between revisions of "ACLS (Main)"

(Tachycardia (with Pulse))
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== 2010 AHA Recommendation Changes==
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''See [[critical care quick reference]] for drug doses and equipment size by weight.
*Routine use of cricoid pressure is NOT recommended
 
*Airway adjunct is recommended while performing ventilation
 
*Pulse/rhythm checks should only occur q2min
 
*Most critical component is high-quality compressions
 
*Atropine and cardiac pacing are NOT recommended for asystole/PEA
 
  
== ECG Analysis ==
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==ECG Analysis==
 
#Is the rhythm fast or slow?
 
#Is the rhythm fast or slow?
 
#Are the QRS complexes wide or narrow?
 
#Are the QRS complexes wide or narrow?
 
#Is the rhythm regular or irregular?
 
#Is the rhythm regular or irregular?
  
== [[BLS]] ==
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==Algorithms==
 
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*[[Adult Pulseless Arrest]]
==Adult Cardiac Arrest==
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*[[ACLS: Bradycardia]] (with pulse)
=== V-Fib and Pulseless V-Tach ===
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**Use [[Adult Pulseless Arrest]] algorithm if no pulse = PEA
*Shock as quickly as possible and resume CPR immediately after shocking
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*[[ACLS: Tachycardia]]
**Biphasic - 200J
 
**Monophasic - 360 J
 
*Give Epi 1mg if (shock + 2min of CPR) fails to convert the rhythm
 
*Give antiarrhythmic if (2nd shock + 2min of CPR) again fails
 
**1st line: Amiodarone 300mg IVP w/ repeat dose of 150mg as indicated
 
**2nd line: Lidocaine 1-1.5 mg/kg then 0.5-0.75 mg/kg q5-10min
 
**Magnesium 2g IV, followed by maintenance infusion
 
***Only for polymorphic V-tach
 
 
 
=== Asystole and PEA ===
 
*Give [[epinephrine|Epi]] 1mg q3-5min
 
*Consider H's and T's
 
**Hypovolemia
 
**Hypoxia
 
**Hydrogen ion
 
**Hypo/hyperkalemia
 
**Hypothermia
 
**Tension pneumo
 
**Tamponade
 
**Toxins
 
**Thrombosis, pulmonary
 
**Thrombosis, coronary
 
 
 
== [[Bradycardia (with Pulse)]]==
 
 
 
== [[Tachycardia (with Pulse)]] ==
 
  
 
==See Also==
 
==See Also==
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*[[AHA ACLS Recommendation Changes by Year]]
 
*[[ACLS (Treatable Conditions)]]
 
*[[ACLS (Treatable Conditions)]]
*[[Adult Quick Drug Card]]
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*[[BLS (Main)]]
*[[SVT]]
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*[[Critical care quick reference]]
*[[Antiarrhythmics]]
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*[[Post cardiac arrest]]
*[[Arrhythmias (DDX)]]
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*[[PALS (Main)]]
*[[Cardiac Arrest Management]]
 
*[[Synchronized Cardioversion]]
 
  
== Source ==
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==References==
*AHA 2010 Guidelines for ACLS
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<references/>
  
[[Category:Airway/Resus]]
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==External Links==
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*[http://www.blog.numose.com/emed-basics/pulseless Numose EMed: The Pulseless Patient]
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*[http://www.blog.numose.com/emed-cardiology/bradycardia Numose EMed: ACLS Bradycardia]
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*[http://www.blog.numose.com/emed-cardiology/svt Numose EMed: ACLS Narrow Complex Tachycardia]
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*[http://www.blog.numose.com/emed-cardiology/wct Numose EMed: ACLS Wide Complex Tachycardia]
  
[[Category:Cards]]
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[[Category:Cardiology]]
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[[Category:EMS]]
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[[Category:Critical Care]]

Latest revision as of 23:51, 8 August 2018