Maintaining a Chest Compression Fraction (CCF) Above 80%
Even good CPR is far less efficient at circulating blood than a functioning heart.The indicators of high-quality CPR that were identified at the 2012 AHA CPR Quality Summit in order of importance include:Chest compression fraction (CCF);Chest compression rate;Chest compression depth;Allowing for full recoil; andAdequate ventilations.Using real-time feedback devices and ETCO2 to assess CPR quality.Three tips to limit pauses in CPR compressions to 10 seconds or less.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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5:36
Epinephrine and Dopamine Review
Epinephrine and Dopamine are adrenergic agonist used in several ACLS algorithms.The use of epinephrine for severe anaphylaxis and unstable bradycardia.Review epinephrine’s effects on blood vessels and bronchioles.Why epinephrine is helpful for patients with anaphylaxis.Using an epi drip for unstable bradycardia.Epinephrine administration during cardiac arrest.Starting an epinephrine or Dopamine drip for patients that have ROSC.Review the effects of Dopamine based on mcg/kg/min dosing.Monitoring the patient and titrating epi or Dopamine drips to prevent harm.For more information on ACLS medications, check out 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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6:26
Providing High Quality Ventilations
Providing rescue breathing to apneic patients with a palpable pulse.Normal end tidal CO2 for patients with a pulse.Identification of cardiac arrest and our immediate actions.Providing artificial ventilations during CPR without an advanced airway vs with an advanced airway in place.Using quantitative waveform capnography to confirm placement of an advanced airway, assess the quality of CPR, and identify ROSC.The effects of hyperventilating patients in cardiac arrest. 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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5:57
Hypothermia: A H&T Reversible Cause of Cardiac Arrest
Hypothermic patients aren't dead until they are warm and dead.When a patient’s core body temperature drops below 96.8 F (36 C), they are hypothermic. As the body’s temperature drops below 36 C, hypothermia may further be classified as moderate or severe:Moderate if the patient’s body core temp is between 30-34 C; andSevere if it's below 30 C.Modifying the ACLS Adult Cardiac Arrest algorithm for patients with severe hypothermia.Following the ACLS algorithm for patients with a body core temperature above 30 C.Methods for rewarming patients with moderate vs severe hypothermia.Continuation of CPR and ACLS efforts until the patient’s body core temp is above 36 C.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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4:11
Calcium Channel Blockers Used in ACLS
Calcium is one of the ions that move across the cellular membrane during cardiac contraction and relaxation.The primary use of calcium channel blockers in ACLS is for the treatment of stable, narrow complex tachycardias refractory to Adenosine and to lower the blood pressure of ischemic stroke patients with severe hypertension.Use of calcium channel blockers for SVT refractory to Adenosine and A-Fib or A-Flutter with RVR.Contraindications of calcium channel blockers.Nicardipine use during the treatment of ischemic strokes.For more information on ACLS medications, tachycardia, or stroke check out 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.