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ACLS Algorithms, check response oxygen AED/crash cart IV , Reversible…
ACLS Algorithms
DEAD (cardiac arrest) = CPR!!!
Asystole, PEA
NO SHOCK!
EPINEPHRINE
VF, pVT
EPINEPHRINE, AMIODARONE, LIDOCAINE
SHOCK
ALIVE = no CPR
ACS (chest pain)
12 LD EKG
OXYGEN, MORPHINE, NITROGLYCERIN, ASPIRIN
RECOGNIZE STEMI OR HIGH RISK - REPERFUSE
Brady
ATROPINE, DOPAMINE, EPINEPHRINE
PACE
Stroke
CT head r/o bleed
BLEED --> OR
No BLEED --> fibrinolytics
Tachy
NARROW: ADENOSINE PUSH
WIDE: ADENOSINE PUSH, ANTIARRHTYMIC INFUSION
SYNCHRONIZED CARDIOVERSION
check response
oxygen
AED/crash cart
IV
Reversible causes H/Ts:
hypovolemia, hydrogen ions, hypo/hyperkalemia, hypothermia, hypoxia, tension pneumothorax, toxins, thrombosis (cardiac, lung), tamponade (cardiac)
ROSC:
Optimize airway
Goal O2 Sat 92-98%
Treat hypotension Goal BP >90/65
Consider hypothermia
32-34 C
L. Delumpa, NP
updated 2021
High Quality CPR:
rate 100-120 bpm
depth of at least 2 inches
minimize interruptions <10 sec
no breathing, no pulse --> 30:2
no breathing, + pulse --> rescue breathing = 1 breath every 6 sec
unstable =
electricity!
stable
= meds, specialty consult, vagal
TIME is TISSUE
Tertiary center ASAP