ACLS

(ADVANCED CARDIOVASCULAR
LIFE SUPPORT)

2015 American Heart Association Guidelines Update for

Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
KEY POINTS

Basic life support (BLS)

Advanced cardiovascular life support

(ACLS)

Postcardiac arrest care

BLS
BLS is the foundation for saving lives after cardiac arrest
(OHCA and IHCA)
Fundamental aspects of adult BLS include :
Immediate recognition of sudden cardiac arrest
Activation of the emergency
response system
Early CPR
Rapid defibrillation with an automated external defibrillator (AED)
BLS
BLS
Pulse Check
no more than 10 seconds
Ideally, the pulse check is performed simultaneously
with the check for no breathing or only gasping, to minimize delay
in detection of cardiac arrest and initiation of CPR
Early CPR
Begin chest compressions as quickly as possible after recognition
of cardiac arrest (C-A-B)
Early Defibrillation With an AED
Immediate Recognition Cardiac Arrest

If the patient is unresponsive

with abnormal or absent
breathing, it is reasonable for the
emergency dispatcher to
assume that the patient is in
cardiac arrest
High quality CPR
Rate of 100/min to 120/min
Depth of at least 2 inches
or 5 cm
Allow full chest wall recoil
Minimizing Interruptions
Compression to ventilation
ratio of 30:2
position hands for chest
compressions on the lower
half of the sternum in
adults
4 Irama CARDIAC ARREST
SHOCKABLE
pVT
VF
NON-SHOCKABLE
PEA
ASISTOL
DEFIBRILLATION
DEFIBRILLATION VS CARDIOVERSION ??
DRUGS
Consider Advance Airway
1 breath every 6 sec (10
breath/min)
Sign UNSTABLE

Hypotension

Acutely altered mental status

Sign of shock

Ischemic chest discomfort

Acute heart failure

Kasus 1
Ps datang ke IGD dengan keluhan nyeri dada setelah
dilakukan pemeriksaan vital sign oleh perawat tiba-tiba ps
kejang & tidak sadarkan diri dan tidak bernafas apa
yang anda lakukan sebagai dr IGD?
Irama?
Irama?
Irama?
Irama?
Irama?