Difference between revisions of "ACLS (Main)"

(Tachycardia (with Pulse))
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== [[BLS]] ==
 
== [[BLS]] ==
 
+
==[[Adult Cardiac Arrest]]==
==Adult Cardiac Arrest==
 
=== V-Fib and Pulseless V-Tach ===
 
*Shock as quickly as possible and resume CPR immediately after shocking
 
**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)]]==
 
== [[Bradycardia (with Pulse)]]==
 
 
== [[Tachycardia (with Pulse)]] ==
 
== [[Tachycardia (with Pulse)]] ==
  

Revision as of 04:42, 12 January 2012

2010 AHA Recommendation Changes

  • 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

  1. Is the rhythm fast or slow?
  2. Are the QRS complexes wide or narrow?
  3. Is the rhythm regular or irregular?

BLS

Adult Cardiac Arrest

Bradycardia (with Pulse)

Tachycardia (with Pulse)

See Also

Source

  • AHA 2010 Guidelines for ACLS