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ACLS Algorithm Review

Algorithms for Advanced Cardiovascular Life Support (ACLS) Provider course; Pulseless arrest, bradycardia and tachycardia algorithms. For use in the AHA's ACLS provider course. Based on the Guideline 2010.
by

Jinwoo Jeong

on 6 November 2013

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Transcript of ACLS Algorithm Review

Adult Cardiac Arrest
Shout for Help / Activate Emergency Response
Give oxygen
Attach monitor/defibrillator
Start CPR
Rhythm
Shockable?
VF / VT
Asystole / PEA
Shock
CPR 2 min
IV/IO access
Rhythm
Shockable?
CPR 2 min
Epinephrine every 3-5 min
Consider advanced airway, capnography
Shock
Rhythm
Shockable?
Shock
CPR 2 min
Amiodarone
Reversible courses
CPR 2 min
IV / IO access
Epinephrine every 3-5 min
Consider advanced airway, capnography
Rhythm
Shockable?
CPR 2 min
Treat reversible causes
ROSC??
Rhythm
Shockable?
VT/VF
Algorithm
Continue CPR
Post-Arrest Care
Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hyper/Hypokalemia
Hypothermia
Tension pneumothorax
Tamponade, cardiac
Toxins
Thrombosis, pulmonary
Thrombosis, coronary
Adult
Pulseless
Arrest

Adult
Bradycardia

Adult Bradycardia with Pulse
Appropriateness for clinical condition
Identify and treat underlying cause
Airway and breathing
Oxygen if hypoxemic
Monitor : ECG, BP, SpO2
IV access
12-lead ECG; don't delay therapy
Bradycardia with Severe Synptoms?
Hypotension?
Altered mental status?
Signs of shock?
Ischemic chest discomfort?
Acute heart failure?
Observe
Atropine : 1st line
2nd line choices
Transcutaneous pacing
Dopamine
Epinephrine
Consider:
Expert consultation
Transvenous pacing
Adult
Tachycardia

Adult Tachycardia with Pulse
Appropriateness for clinical condition
Identify and treat underlying cause
Airway and breathing
Oxygen if hypoxemic
Monitor : ECG, BP, SpO2
Tachycardia causing Severe Synptoms?
Hypotension?
Altered mental status?
Signs of shock?
Ischemic chest discomfort?
Acute heart failure?
Synchronized Cardioversion
Consider sedation
Consider adenosine
Wide QRS?
IV and 12-Lead ECG
Consider adenosine if regular and monomorphic
Consider antiarrhythmics
Consider expert consultation
IV and 12-Lead ECG
Vagal maneuvers
Adenosine (if regular)
Beta blocker or CCB
Consider expert consultation
Yes
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ACLS
Algorithm
Review

Wide-QRS Tachy
Narrow-QRS tachy
Based on the AHA Guidelines for CPR/ECC 2010
Prezi by Jinwoo Jeong, M.D.
Full transcript