Introduction To ACLS 2005

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Introduction To ACLS : 

Introduction To ACLS Directed By: Behdad Bazargani M.D. Anesthesiologist Ali Shah Abbasi M.D. Anesthesiologist

ABCD : 

ABCD Witnessed or unwitnessed collapse- Verify unresponsiveness Call 911 Get AED Start CPR Asphyxial Victim Verify unresponsiveness Provide 5 cycles Call 911 Get AED

AIRWAY : 

AIRWAY Head tilt-chin lift - try 1-2 times to open airway Jaw thrust without head extension- if trauma suspected OPA – NPA , ETT , LMA , Combitube , Quick Trach

Breathing : 

Breathing Verify not breathing: Give 2 breaths that make the chest rise at 1 sec/breath Abdominal thrusts for foreign body Rescue breathing only 10-12 breaths/min Recheck pulse every 2 minutes Bag & Mask with Oxygen Sources

Breathing : 

Breathing Rescue breathing with CPR Use 30:2 ratio compressions to ventilations Push hard and fast at 100/min Release completely Minimize interruptions in compressions

Circulation : 

Circulation Check pulse Check carotid pulse up to 10 sec Check up to 30-45 sec if hypothermic Minimize CPR interruptions Monitoring Rhythm & Rate

Circulation : 

Circulation 1 or 2 Rescuer CPR Use 30:2 ratio at 100/min. Push hard and fast at 1.5-2 inches Allow complete recoil Heels of both hands between nipples If two rescuers rotate compressor role every 2 minutes

Defibrillation with AED : 

Defibrillation with AED Settings Monophasic-360 Joules Biphasic Manual: 150-200 second dose same or higher Use adult pads

Defibrillation : 

Defibrillation Sequence Begin/resume CPR immediately after shock delivered: Check rhythm every 5 cycles or 2 minutes Continue until ACLS providers arrive or victim starts to move

The Universal Advanced Life Support Algorithm : 

The Universal Advanced Life Support Algorithm Two arrest rhythms VF/Pulseless VT Ventricular fibrillation Pulseless ventricular tachycardia Non-VF/VT Pulseless Electrical Activity Asystole