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)

Post–cardiac 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
• Pulseless VT
• 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?