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ACLS

It refers to a set of clinical interventions for the urgent treatment of cardiac arrest, stroke and other life threatening medical emergencies, as well as the knowledge and skills to deploy those interventions.

STEPS IN BLS
Check for response Call for help

Activate emergency response and ask for AED Check carotid pulse Then CPR start

AED
AUTOMATED EXTERNAL

DEFIBRILLATOR

REVERSIBLE CAUSES
HsHypoxia Hypovolemia Hyperkalemia/hypokalemia Hypothermia/hyperthermia Hydrogen ions Hypoglycemia

TsTension pneumothorax
Tamponade Toxic/therapeutic

Thromboembolism

Ventricular fibrillation/tachycardiaEpinephrine

Vasopressin
Amiodarone

Lidocaine
Magnesium

Asystole Epinephrine

Vasopressin
Atropine (removed from algorithm

per 2010 ACLS Guidelines)

Bradycardia
Atropine
Epinephrine Dopamine

Tachycardia
Adenosine Diltiazem Beta-blockers Amiodarone Digoxin Verapamil Magnesium

Acute Coronary Syndrome


Oxygen Aspirin Nitroglycerin Morphine Fibrinolytic therapy Heparin Beta-Blockers

Acute stroketPA-tissue plasminogen activator Glucose (D50) Labetalol Nitroprusside Nicardipine Aspirin

2011 updated guidelinesCirculation, circulation and

circulation.. Deemphasize drugs, devices and other distracters. Atropine is out. Bicarbonate is out.

Procainamide is first for stable

VT. Amiodarone is first for unstable VT. Lidocaine is out. Post arrest care. No tPA for hypertension emergency.