The ACLS algorithms are designed to make it easier to remember the key interventions we should deliver, and the order in which they should be delivered, to provide the best evidence-based care possible.Generally speaking, if there’s a change in a patient’s condition, we should ensure we’re using the correct algorithm.Three key points to remember when using ACLS algorithms:1. If a patient’s condition changes, we should do an assessment and use the algorithm that matches the patient’s current state.2. If an action was already done, we don’t need to repeat it.3. We only do actions that are clinically appropriate and within our scope of practice.Walk through of an example mega code scenario with explanations of when and why we change to a different ACLS algorithm. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
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Beta Blocker Use in ACLS Algorithms
Beta blocking medications attach to Beta receptors to inhibit or “block” the effects of epinephrine (adrenaline) and norepinephrine in the body.The primary locations of Beta I, II, and III receptors.Effects of epinephrine & norepinephrine’s stimulation of beta receptors on the heart.Beta blockers effects on the heart.When we should consider the use of beta blockers in the Acute Coronary Syndrome (ACS)and Tachycardia algorithms.Contraindications to the use of beta blocker medications.More detailed information about beta blocker’s mechanism of action and specific instances for their use can be found on the Pod Resource page at PassACLS.com. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
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Advanced Airways
This episode we review the use of advanced airways in the adult cardiac arrest algorithm.When we should consider insertion of an advanced airway for patients in a shockable vs non-shockable rhythm.In addition to an endotracheal tube (ETT), other ACLS advanced airways include the Laryngeal Mask Airway (LMA) and the Laryngeal Tube airway.The advantages of using an advanced airway over basic airway maneuvers.Use of end tidal CO2 waveform capnography to confirm placement and assess the adequacy of CPR. Identification and management of a misplaced ET tube.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
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Antiarrhythmic Use After ROSC
Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient’s vital organs and decreasing cerebral damage.Post-arrest goals for O2 saturation, ETCO2, and BP/MAP.Indications for use of an antiarrhythmic after ROSC.Determining which antiarrhythmic to use post cardiac arrest. Administration of Amiodarone or Lidocaine to control ventricular ectopy after ROSC.The use of Amiodarone post arrest if no antiarrhythmics were administered prior to obtaining ROSC.Links to other medical podcasts that cover antiarrhythmics and other ACLS-related topics are on the Pod Resource page at PassACLS.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
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Hydrogen Ions as a H&T Reversible Cause of Cardiac Arrest
Hydrogen ions is on one of the Hs in ACLS's H&T reversible causes of cardiac arrest. When considering hydrogen ions as a cause, what we’re looking at is the patient’s pH, or acid/base balance, and conditions that affect it.The body's normal pH.Using patient history, ABGs, & labs to determine acidosis or alkalosis.Common conditions/causes that may lead us to suspect acidosis.Common conditions/causes that may lead us to suspect alkalosis.Correcting acidosis by changing the rate of ventilations.The indications, dose, and considerations for use of Sodium Bicarbonate.Treatment of alkalosis depends on the type (metabolic or respiratory) and is aimed at correcting the underlying cause.Other podcasts that cover acid/base balance and conditions that cause acidosis or alkalosis can be found on the Pod Resource Page at PassACLS.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
I'm Paul from PassACLS.com and I'm here to help you pass ACLS. Like an audio flash card, this podcast is intended to aid any medical professional preparing for an Advanced Cardiovascular Life Support (ACLS) class. Each three-to-nine minute episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high performing team to deliver safe, quality patient care.
Listening to a tip a day for a few weeks prior to your ACLS class will help cement the core concepts that have been shown to improve outcomes in patients suffering a heart attack, cardiac arrest, or stroke. In addition to the Chain of Survival, core concepts, and ACLS algorithms; specific information needed to pass the written exam, BLS checks, and megacode following the 2020 guidelines is presented.
Healthcare providers that are already ACLS certified, but rarely participate in codes, may find listening a helpful reminder.
Disclaimer: This podcast is a supplement to your course's approved text book and videos - not a replacement. The information presented is for educational purposes only, is intended for medical professionals, and is not medical advice. Medical professionals should follow their local laws, agency protocols, and act only within their scope of practice.
Ireland