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In an acute care situation it is important to recognize and initiate early ACLS algorithms. Early/effective CPR and defibrillation when indicated has been shown to decrease mortality. As well, working effectively as a team and concurrent management is vital. Please see airway information under Trauma.


Core PrinciplesEdit

  • It is important to keep up to date with advanced cardiac life support (ACLS) recommendations
  • Promptly defibrillate a patient with ventricular fibrillation, or pulseless or symptomatic ventricular tachycardia
  • Diagnose serious arrhythmias and treat according to ACLS principles
  • Suspenct and promptly treat reversible causes of arrhythmias (think H's and T's) - see below
  • Ensure adequate ventilation and secure airway in a timely fashion
  • In patients requiring resusitation assess circumstances to help you decide when to STOP (e.g. not witnessed, living wills, no bystander CPR, no shock delivered, time to CPR, initial arrest rhythm, time to defibrillation, comorbidities, return of spontaneous circulation at some point in resus
  • Important to discuss code status on all admissions to hospital
  • Important to discuss end of life/code status with patients and family members in office
  • Important during a resusitation to attend to family members

Adult Cardiac Arrest Algorithm Edit

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Post-cardiac Arrest Care Algorithm Edit

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Adult Tachycardia Algorithm (with pulse) Edit

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Adult Bradycardia Algorithm (with pulse) Edit

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Acute Coronary Syndrome Algorithm Edit

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Suspected Stroke Algorithm Edit

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ArrhythmiaEdit

BradyarrhythmiasEdit

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TachyarrhmiasEdit

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Pediatric ResusitationEdit

  • Use resources as needed: e.g. Broselow tape, pedistat app

Pediatric Cardiac Arrest Edit

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Pediatric BradycardiaEdit

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Pediatric TachycardiaEdit

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Neonatal ResusitationEdit

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Edit

Edit

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Resources Edit

http://www.innosols.com/ACLS%20Class%20Packet.pdf

http://circ.ahajournals.org/content/122/18_suppl_3/S876.figures-only

http://emsseo.com/wp-content/uploads/2011/07/EKG%20Flash%20Chart.pdf

http://www.cps.ca/uploads/nrp/MedicationsTable.pdf

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