Introduction To ACLS 2005

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Information about Introduction To ACLS 2005

Published on July 16, 2009

Author: behdad16


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

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