ACLS (Main): Difference between revisions

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''See [[critical care quick reference]] for drug doses and equipment size by weight.
''See [[critical care quick reference]] for drug doses and equipment size by weight.'' {{Adult top}} [[PALS (Main)]].''
==Background==
*A series of clinical algorithms created by the AHA/ASA used in the treatment of cardiovascular/neurological emergencies.
*Involves airway management, IV access, and ECG interpretation.


==ECG Analysis==
==[[ECG]] Analysis==
#Is the rhythm fast or slow?
*What is the atrial and ventricular rate?
#Are the QRS complexes wide or narrow?
*Is the rhythm regular or irregular?
#Is the rhythm regular or irregular?
**If irregular, does it follow any repeatable pattern?
*What is the axis?
**ERAD often seen in VT but not SVT
*What is the P wave amplitude, duration, morphology, and synchrony with QRS complex?
**Is the P wave positive in Lead II
*What is the QRS complex amplitude, duration, morphology?
*What is the T wave amplitude, duration, morphology?
**Is the T wave positive in Lead II
*What is the length of PR and QT intervals?
*Is there ST Elevation/Depression or Hyperacute T waves?
**If yes, does it follow any anatomical pattern or is it diffuse?
*Is there anything else abnormal about this ECG?
**Pacemaker Spikes
**Hypertrophy of atrial/ventricles


==Algorithms==
==Algorithms==
*[[Adult Pulseless Arrest]]
*[[Adult Pulseless Arrest]]
**Pulseless Ventricular Tachycardia/Ventricular Fibrillation
**Pulseless Electrical Activity/Asystole
**Cardiac Arrest In Pregnancy
*Adult [[Post-Cardiac Arrest Care]]
*Termination of Resuscitation
*[[ACLS: Bradycardia]] (with pulse)
*[[ACLS: Bradycardia]] (with pulse)
**Use [[Adult Pulseless Arrest]] algorithm if no pulse = PEA
*[[ACLS: Tachycardia]] (with pulse)
*[[ACLS: Tachycardia]]
*[[Acute coronary syndrome]]
*Suspected [[cerebrovascular event]]


==See Also==
==See Also==
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*[[Post cardiac arrest]]
*[[Post cardiac arrest]]
*[[PALS (Main)]]
*[[PALS (Main)]]
==External Links==
*[https://cpr.heart.org/-/media/cpr-files/cpr-guidelines-files/highlights/hghlghts_2020_ecc_guidelines_english.pdf 2020 AHA Guidelines]
*[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]


==References==
==References==
<references/>
<references/>
==External Links==
*[http://www.blog.numose.com/emed-basics/pulseless Numose EMed: The Pulseless Patient]


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

Revision as of 03:35, 8 January 2022

See critical care quick reference for drug doses and equipment size by weight. This page is for adult patients. For pediatric patients, see: PALS (Main).

Background

  • A series of clinical algorithms created by the AHA/ASA used in the treatment of cardiovascular/neurological emergencies.
  • Involves airway management, IV access, and ECG interpretation.

ECG Analysis

  • What is the atrial and ventricular rate?
  • Is the rhythm regular or irregular?
    • If irregular, does it follow any repeatable pattern?
  • What is the axis?
    • ERAD often seen in VT but not SVT
  • What is the P wave amplitude, duration, morphology, and synchrony with QRS complex?
    • Is the P wave positive in Lead II
  • What is the QRS complex amplitude, duration, morphology?
  • What is the T wave amplitude, duration, morphology?
    • Is the T wave positive in Lead II
  • What is the length of PR and QT intervals?
  • Is there ST Elevation/Depression or Hyperacute T waves?
    • If yes, does it follow any anatomical pattern or is it diffuse?
  • Is there anything else abnormal about this ECG?
    • Pacemaker Spikes
    • Hypertrophy of atrial/ventricles

Algorithms

See Also

External Links

References