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    Preview ACLS Algorithm PDF

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    siti marwiyah
    The document provides recommendations for using the Adult Advanced Cardiac Life Support (ACLS) algorithm to manage cardiac arrests. It emphasizes high-quality chest compressions with minimal interruptions, as well as reducing time to defibrillation which are the highest priorities. The algorithm outlines protocols for shockable and non-shockable rhythms, including defibrillation, medications, CPR, and considering reversible causes. Adherence to the ACLS guidelines is associated with improved survival rates, with each 10% improvement in adherence resulting in a 30% increase in patients' return of spontaneous circulation.

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    Preview ACLS Algorithm PDF

    Uploaded by

    siti marwiyah
    122 views29 pages
    The document provides recommendations for using the Adult Advanced Cardiac Life Support (ACLS) algorithm to manage cardiac arrests. It emphasizes high-quality chest compressions with minimal interruptions, as well as reducing time to defibrillation which are the highest priorities. The algorithm outlines protocols for shockable and non-shockable rhythms, including defibrillation, medications, CPR, and considering reversible causes. Adherence to the ACLS guidelines is associated with improved survival rates, with each 10% improvement in adherence resulting in a 30% increase in patients' return of spontaneous circulation.

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    The document provides recommendations for using the Adult Advanced Cardiac Life Support (ACLS) algorithm to manage cardiac arrests. It emphasizes high-quality chest compressions with minimal interruptions, as well as reducing time to defibrillation which are the highest priorities. The algorithm outlines protocols for shockable and non-shockable rhythms, including defibrillation, medications, CPR, and considering reversible causes. Adherence to the ACLS guidelines is associated with improved survival rates, with each 10% improvement in adherence resulting in a 30% increase in patients' return of spontaneous circulation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    122 views29 pages

    Preview ACLS Algorithm PDF

    Uploaded by

    siti marwiyah
    The document provides recommendations for using the Adult Advanced Cardiac Life Support (ACLS) algorithm to manage cardiac arrests. It emphasizes high-quality chest compressions with minimal interruptions, as well as reducing time to defibrillation which are the highest priorities. The algorithm outlines protocols for shockable and non-shockable rhythms, including defibrillation, medications, CPR, and considering reversible causes. Adherence to the ACLS guidelines is associated with improved survival rates, with each 10% improvement in adherence resulting in a 30% increase in patients' return of spontaneous circulation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Preview ACLS

    Algorithm
    Protocols for Adult Advanced Cardiac Life
    Support
    Recommendations
    1.That the Adult ACLS algorithm be used as a tool to
    manage all adults who require advanced life support.

    2.Good quality CPR and reducing time to defibrillation


    are the
    highest priorities in resuscitation from sudden cardiac
    arrest.

    3.Rescuers should aim to minimise interruptions to CPR


    during any ACLS intervention.
    What seems to work?
    • Performing ACLS • Compared guideline
    correctly is associated adherence for survivors
    with an improvement in vs. non-survivors
    outcome – 75 survivors
    – 75 non-survivors
    • Survivors older and with
    more cormorbidities

    Resuscitation. 2013;85:82-87
    Resuscitation. 2013;85:82-87
    • Each 10% improvement
    in adherence results in
    a ˜30% increase in
    ROSC.

    Resuscitation. 2013;85:82-87
    What is Recommended
    • Defibrillation
    • Chest Compressions
    • Oxygenation
    • Medications
    • Procedures
    Chest Compressions
    • Place patient on a firm surface
    – Backboard
    – Deflation of air mattress
    • Had in the middle of the chest
    – 5 cm of depression
    – Allow complete recoil
    • Lifting the hand completely of the chest can improve
    recoil

    Circulation. 2010;122:S685-705
    CPR
    • Depth: 5cm
    • Rate: 100-120bpm
    • Minimise interruptions
    • Cycle every 2 minutes or more frequently of
    required
    • ETCO2 < 10mmHg = inadequate compressions
    Monomorphic VT
    Polymorphic VT
    Polymorphic VT/TdP
    VF
    Shockab
    • 200 J shock
    le
    (biphasic)

    • Recommended it is
    CPR 2 reasonable to
    minutes
    increase energy
    level for
    subsequent shocks.
    CPR for 2 minutes
    1mg Adrenaline
    IV/IO (1 in 1000)
    Then every 2nd
    cycle

    CPR for 2
    minutes
    Amiodarone
    300mg IV/IO
    Non shockable
    Non
    shockable

    1mg Adrenaline
    IV/IO (1 in
    1000)

    CPR 2
    minutes

    CPR 2
    minutes
    Reversible causes
    4 H’s & 4 T’s

    • Hypoxaemia
    • Hypovolaemia
    • Hyper/hypokalaemia & metabolic
    disorders
    • Hypo/hyperthermia
    • Tension pneumothorax
    • Tamponade
    • Toxins / poisons / drugs
    • Thrombosis-pulmonary / coronary
    Cardioversion
    Rhythm Energy level (biphasic)
    Atrial fibrillation 120-200 J (synchronised)
    Atrial flutter 50-100 J (synchronised)
    SVT 50-100 J (synchronised)
    Pulsed VT 100 J (synchronised)
    VF/Pulseless VT 200 J (consider increasing if
    unsuccessful)
    Algorithms for Advanced Cardiac Life
    Support 2018
    Summary
    • All cardiac arrests should follow the ALS
    algorithm

    • Good quality CPR with minimal interruptions


    including

    • Resuscitate with 100% O2

    • Early defibrillation

    • Consider higher energy levels if 1st shock


    unsuccessful
    Thank You

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