ACLS (Main): Difference between revisions

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== 2010 AHA Recommendation Changes==
''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 ==
==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]] ==
==Algorithms==
 
*[[Adult Pulseless Arrest]]
==Adult Cardiac Arrest==
*[[ACLS: Bradycardia]] (with pulse)
=== V-Fib and Pulseless V-Tach ===
**Use [[Adult Pulseless Arrest]] algorithm if no pulse = PEA
*Shock as quickly as possible and resume CPR immediately after shocking
*[[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==
*[[AHA ACLS Recommendation Changes by Year]]
*[[ACLS (Treatable Conditions)]]
*[[ACLS (Treatable Conditions)]]
*[[Adult Quick Drug Card]]
*[[BLS (Main)]]
*[[SVT]]
*[[Critical care quick reference]]
*[[Antiarrhythmics]]
*[[Post cardiac arrest]]
*[[Arrhythmias (DDX)]]
*[[PALS (Main)]]
*[[Cardiac Arrest Management]]
*[[Synchronized Cardioversion]]


== Source ==
==References==
*AHA 2010 Guidelines for ACLS
<references/>


[[Category:Airway/Resus]]
==External Links==
*[http://www.blog.numose.com/emed-basics/pulseless Numose EMed: The Pulseless Patient]
*[http://www.blog.numose.com/emed-cardiology/bradycardia Numose EMed: ACLS Bradycardia]
*[http://www.blog.numose.com/emed-cardiology/svt Numose EMed: ACLS Narrow Complex Tachycardia]
*[http://www.blog.numose.com/emed-cardiology/wct Numose EMed: ACLS Wide Complex Tachycardia]


[[Category:Cards]]
[[Category:Cardiology]]
[[Category:EMS]]
[[Category:Critical Care]]

Revision as of 23:51, 8 August 2018