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In 2020, the International Liaison Committee on Resuscitation published new guidelines containing several notable changes to systems of care, including altered life support and first aid algorithms. Changes were most notable for first aid, infant/child CPR, adult basic life support, advanced life support. Read the blog and watch the video below to learn more.

Updates to Pediatric Basic Life Support

When providing CPR to infants or small children, it is now recommended to perform 15 chest compressions, followed by 2 breaths. This is considered one “cycle” and should be continued until more sophisticated life-saving measures are available. Prior to these changes, recommendations were to give 30 compressions and two gentle breaths per cycle.

The 2020 update also alters the recommendations for providing life support to infants and children who have a pulse but have absent or inadequate breathing. The ILCOR recommends giving one breath every two to three seconds, which translates to 20 to 30 breaths per minute. In the past, the recommendation was to administer rescue breaths at a rate of one breath every three to five seconds, which would have translated to only 12 to 20 breaths per minute.

Full Updated Pediatric Basic Life Support Algorithm

The complete 2020 updated Pediatric Basic Life Support algorithm is as follows:

Verify that the patient is unresponsive with abnormal or absent respiration.
Call 911/EMS; Locate an AED or defibrillator if possible.
Assess the patient’s pulse.
If the patient has a weak pulse, administer one breath every three seconds. Add chest compressions if the pulse remains below 60 beats per minute. Assess the patient’s pulse every 2 minutes.
If the patient has no pulse, begin CPR cycles of 15 compressions and 2 rescue breaths.Once an AED becomes available, assess the patient for a shockable rhythm.
If the rhythm is shockable, administer one shock and resume CPR for 2 minutes before re-assessing rhythm.
If the rhythm is not shockable, resume CPR and reassess rhythm every 2 minutes.
Steps should be continued until more advanced life-saving measures are available or the patient shows evidence of a return to normal circulation.

Changes to Adult Basic and Advanced Life Support Algorithms

The ILCOR 2020 guidelines for Adult Basic and Advanced Life Support have also undergone some changes. The ILCOR re-emphasized the importance of initiating CPR quickly in cases where someone experiences cardiac arrest outside the hospital. The most recent studies show that, while in-hospital cardiac arrests have a survival rate of 25 percent, out-of-hospital cardiac arrests have a survival rate of only 10 percent. The ILCOR also emphasized the importance of performing chest compressions to a depth of 2 to 2.4 inches. Compressions should be performed at a rate of 100 to 120 per minute. In addition, the ILCOR 2020 guidelines emphasize the importance of administering epinephrine for non-shockable rhythms, as well as after defibrillation has failed in a shockable rhythm.

New to the ILCOR 2020 guidelines for Adult Basic and Advanced Life Support Algorithms were the following:

Point-of-care ultrasound changes: If an experienced sonographer is available, and if performing an ultrasound will not interfere with other life-saving measures, ultrasound can be used to provide additional information about the function of the heart and the cause of cardiac arrest during life support. However, research has not yet established the usefulness or effectiveness of this strategy.
Changes to the chain of survival: A sixth link has been added to the chain of survival. This link is “recovery”, and it includes observation, rehabilitation, psychological support and any other services the patient may need. This change applies to both adult and pediatric life support.
Post-cardiac arrest care: The focus of post-cardiac arrest care is on interventions during the initial stabilization phase. Continued management is also emphasized.
Neuroprognostication: When predicting neurological recovery and planning patient care, the ILCOR recommends using multiple modalities to improve the accuracy of decisions.

Full Updated Adult Basic Life Support Algorithm

The complete 2020 updated Adult Basic Life Support algorithm is as follows:

Verify that the patient is unresponsive and has abnormal respiration.
Call 911/EMS; Locate an AED if possible.
Assess the patient’s pulse.
If the patient has a pulse but respirations are absent or abnormal, administer one rescue breath every five to six seconds. Reassess pulse every two minutes.
If the patient has no pulse and respirations are absent or abnormal, start cycles of 30 chest compressions and two rescue breaths.
After a defibrillator/AED becomes available, assess the patient for a shockable rhythm.
If the rhythm is shockable, administer one shock and resume CPR for two minutes and reassess rhythm.
If the rhythm is not shockable, resume CPR for two minutes and reassess rhythm.
Steps should continue until more advanced life-saving measures are available or the patient shows evidence of a return to normal circulation.

It is important to begin chest compressions within ten seconds whenever possible. Chest compressions should be hard and fast, while allowing for a complete recoil of the chest between compressions. Rescue breaths should cause the chest to rise.

Changes to First Aid Recommendations

Several changes were made to ILCOR first aid recommendations. The changes, updates, and emphases are as follows:

Strokes – Stroke should be suspected in cases where a patient shows evidence of one-sided facial weakness, one-sided arm weakness and/or speech disruption. When these signs occur, call 911 immediately.
Chest Pain – When a patient is experiencing chest pain unrelated to trauma, call 911. Next, ask the patient to chew and swallow 162 mg to 324 mg aspirin. If the patient has an allergy to aspirin or has been advised not to take this medication, do not administer aspirin. Instead, simply wait for help to arrive.
Hypoglycemia – Patients with suspected hypoglycemia should be given glucose orally. If symptoms worsen or do not resolve within 10 minutes, call 911. Symptoms of hypoglycemia may include elevated heart rate, hunger, sweating, dizziness, and confusion.
Tooth Avulsion – If emergency replantation is not a possibility, collect the tooth gently and avoid touching the root. Wash the tooth carefully with water. For safe transport, place the tooth in a saline solution, in cow’s milk, or under the patient’s tongue, as long as the patient is a cooperative adult. Pediatric patients should not be asked to hold a tooth under the tongue, as this may put them at risk of airway obstruction.
Bleeding – If a patient is experiencing life-threatening bleeding, try to control bleeding with direct pressure. If direct pressure does not control the bleeding, apply a tourniquet. The tourniquet should be placed approximately two inches above the wound. Tighten the tourniquet until the bleeding has stopped and call 911 for assistance.
Hyperthermia – Hyperthermia occurs when someone’s temperature rises above safe levels, leading to rapid heart rate, nausea, vomiting, dizziness, confusion, and other symptoms. When someone is suspected to be a victim of hyperthermia or heatstroke, immerse the victim in cold water immediately. Keep the victim immersed in cold water until their temperature is no higher than 102.2 degrees Fahrenheit or until the victim’s symptoms have resolved. If immersion in cold water is not possible, use fanning, cold showers and/or ice packs to lower the victim’s temperature.

Other Changes and Updates

Double sequential defibrillation is no longer recommended based on the most recently available data.
ILCOR guidelines state that continuously measuring the patient’s arterial blood pressure and ETCO2 during ACLS resuscitation could improve CPR outcomes.
During ACLS resuscitation, the preferred route of administering medication is intravenous access. If IV access is not a possibility, intraosseous access is acceptable.
Following resuscitations, ILCOR guidelines recommend a debriefing for those involved in the event for the purpose of supporting their well-being and mental health.
When providing life support services to pregnant women, the primary focus is on resuscitating the mother. Preparations for perimortem cesarean delivery should also be made if it would be necessary to improve the chances of resuscitating the mother and/or to save the infant.
Recovery from an incident of cardiac arrest is a lengthy process, continuing long after the patient’s initial hospitalization. ILCOR guidelines recommend providing patients with a formal assessment, as well as support for their cognitive, physical, and psychosocial needs.
When providing care to patients after the return of normal circulation, ILCOR guidelines recommend paying close attention to blood pressure, oxygenation, and body temperature. Patients should also be evaluated for percutaneous coronary intervention.

The ILCOR guidelines also introduced a new Cardiac Arrest in Pregnancy Algorithm, as well as two new Opioid-Associated Emergency Algorithms to help with these specific, unique cases.

The Importance of Up-to-Date Information

Any changes to the ILCOR guidelines are made based on new knowledge gained, either through experience or through research. In many cases, data analysis is the primary driving factor behind these changes. The goal of these changes is always to improve the quality of life support, which in turn improves survival rates and patient outcomes. When laypeople or healthcare providers who may need to administer life support are aware of these changes, they can provide the best possible services to individuals who experience cardiac arrest or other types of medical incidents.

Because these guidelines change on a regular basis, it is important for anyone who hopes to provide life support in the future, as well as those who must be trained to provide life support services as a part of their employment, to keep up with any changes that are made. This is one of the reasons most healthcare employers require their employees to recertify their life support credentials at regular intervals.

The easiest way to make sure that you are always using the recommended algorithms and protocols when providing life support or first aid is to update your credentials as required by your employer. If you are not subject to these requirements, simply update your credentials before their expiration date to keep your skills honed. You should also take a course and update your life support credentials whenever you learn that the guidelines have changed substantially.

How To Update Your Life Support Credentials

Whether you want to recertify your life support credentials as a requirement for continued employment or for your own peace of mind, you can complete this task easily by taking a life support course. Both in-person and online options are available. However, because of the many benefits, many people are now choosing to take their life support courses online. Taking the course online allows you to progress through the materials at your own pace and in the comfort of your own home. You won’t have to follow anyone else’s schedule, and you won’t have to worry about traveling to a physical class or interacting with teachers and students in person. This option is ideal for people who have busy or unpredictable work schedules, as well as those who simply don’t want the hassle of an in-person course.

Advanced Medical Certification offers a range of life support courses, including First Aid, CPR, BBP, BLS, PALS and ACLS. All of our courses are conducted 100 percent online, and you will never be asked to come to a classroom. In addition, your credentials will be available immediately after you have passed the course. If you don’t pass the exam on the first try, you can take it as many times as necessary until you are able to get a passing score. Our credentials are accepted by the majority of employers, allowing you to satisfy your requirements easily. We also offer 3 course and 2 course bundles to make our courses more affordable. Contact us today to learn more.

About Greta

Greta is a dedicated life saver and a distinguished expert in the field of medical content creation and editing. Her impressive array of certifications in ACLS, CPR, PALS, and BLS underscores her commitment to excellence in the medical field. With over four years of invaluable experience in medical education, Greta plays an indispensable role within the Advanced Medical Certification team, shaping the way healthcare professionals around the world acquire and apply vital knowledge.

Greta's profound expertise serves as the driving force behind the development and distribution of medical content that has significantly enhanced the capabilities of countless healthcare practitioners across the globe.

In addition to her medical qualifications, Greta holds a prestigious academic distinction in Marketing and Global Business from Vilnius University. Her academic journey has been enriched by immersive studies in Slovakia and Portugal during her time as an exchange student, providing her with a global perspective that complements her medical expertise.

Beyond her professional commitments, Greta possesses a genuine passion for global exploration, with a particular focus on immersing herself in diverse cultures and appreciating the intricacies of the natural world. While residing in Vilnius, Lithuania, she continues to make substantial contributions to the field of medical education, leaving an indelible mark on the sector.

Reach out to Greta at greta.kviklyte@advmedcert.com.

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Protocols for Bloodborne Pathogens (BBP)

by Greta Kviklyte

Life Saver, AMC

Co-authored by Kim Murray, RN, M.S.

posted on Feb 12, 2021, at 5:55 am

Bloodborne pathogens (BBP) pose a substantial risk for both healthcare professionals and their patients. For this reason, it is important for all healthcare professionals to be aware of the proper protocols that must be followed when dealing with bloodborne pathogens. Protocols are established to reduce the risk of exposure to infectious agents when handling blood and other bodily fluids, as well as to reduce the risk of infection when someone has already been exposed to a contaminated fluid.

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Defining BBP

Bloodborne pathogens include all potentially infectious agents, such as bacteria and viruses, that are present in human blood and other bodily fluids. Bloodborne pathogens may also be found in human tissue or organs. Although many different pathogens can cause disease when transmitted through blood and other fluids, the pathogens that cause the most concern are Hepatitis C, Hepatitis B and Human Immunodeficiency Virus. While some bloodborne pathogens cause infections that can be cured entirely, others cause chronic infections that may affect the exposed individual for the rest of their life.

protocols-for-bloodborne-pathogens-bbp2-1

Bloodborne pathogens are most commonly transmitted in a healthcare setting when someone is accidentally cut or punctured with a contaminated sharp object. These pathogens may also be transmitted when contaminated fluids come into contact with broken skin or exposed mucous membranes. Pathogens may be transmitted when fluids splash onto a healthcare worker or patient. They may also be transmitted if the individual touches the fluids and then touches their eye, nose or mouth.

Basics of BBP Protocols

There are several steps healthcare providers can take to protect themselves and their patients from the danger of infection agents that may be present in blood or bodily fluids. These strategies are all designed to reduce the risk of infection transmission, but some risk is always present even when protocols are followed properly.

Some of the strategies used to protect against BBP include:

1. Following Standard Precautions. – Healthcare professionals should treat all blood and bodily fluids as though they are infectious, even if they are believed to be free of contaminants, to maximize safety and minimize the risk of infection. This means that the standard precautions listed below should always be followed, even if healthcare professionals are treating patients without a known bloodborne infection.

2. Wearing Personal Protective Equipment. – One of the most important strategies used to protect against bloodborne pathogens is wearing personal protective equipment. These specialized devices create an extra barrier between the healthcare professional’s body and the potentially infectious bodily fluids. Examples of personal protective equipment that may be worn include goggles, masks, gowns, face shields, and gloves. This equipment should be used any time a healthcare professional has the potential to come into contact with blood or other bodily fluids.
Different forms of personal protective equipment may be recommended in different situations. Healthcare professionals should be aware of which pieces of equipment are necessary in every situation. They should also understand how to wear these devices properly, as well as how to sanitize or dispose of them appropriately after use.

3. Practicing Proper Hygiene – Another important strategy that can be used to reduce the risk of infection involving bloodborne agents is proper hand hygiene. Healthcare professionals should wash their hands prior to touching a patient, before beginning a clean procedure, after any risk of exposure to bodily fluids, after touching patients, and after touching anything in the patient’s area. Healthcare professionals can clean their hands using soap and water or waterless hand sanitizers.
Washing the hands with soap and water is recommended when dealing with potential GI contaminants, such as norovirus. In these cases, waterless hand sanitizer will not be as effective.

4. Using Safe Medical Devices – Certain devices have been developed to reduce the risk of infection transmission through bloodborne pathogens. Examples include safe needle devices and needleless systems that are less likely to accidentally puncture personal protective equipment and/or the skin. Healthcare professionals should not only have access to these devices, but they should also be trained to use them properly in order to maximize their effectiveness.

5. Proper Disposal of Dangerous Materials or Substances – When disposing of any item, substance, or material that may be contaminated with bloodborne pathogens, medical professionals must take precautions and follow the appropriate protocols. For example, materials that are not considered sharps but may be contaminated with blood or other infectious substances should typically be placed in an infectious waste container. In most cases, these containers are red in color. Sharps, such as scalpels or syringes, should be placed in an approved sharps container designed to receive these items without risking injury to the user.

6. Obtaining appropriate vaccinations – Healthcare professionals can protect themselves against certain bloodborne pathogens by obtaining the appropriate vaccinations. Most institutions will require healthcare professionals to have evidence of these vaccinations on file. Healthcare professionals should keep up with all recommended vaccines to ensure their risk of infection is as low as possible.

Dealing with Exposures to BBP

Even when healthcare professionals are taking precautions, exposures to bloodborne pathogens can sometimes occur. When an exposure occurs, the healthcare professional is at risk of developing an associated infection or illness. When a healthcare professional has been exposed to a substance that may have contained bloodborne pathogens, certain steps should be taken in order to limit the risk of infection as much as possible.

Immediate Steps

Some of the steps healthcare providers should take immediately after a possible exposure to bloodborne pathogens include:

1. Wash the skin. – If any skin surfaces were exposed to the substance in question, wash them immediately and thoroughly with soap and water.

2. Clean the eyes. – If potential contaminants have come into contact with the eyes, healthcare professionals should use sterile saline or clean water to irrigate them. A significant amount of water or saline should be used to ensure that the eyes are cleaned as thoroughly as possible.

3. Clean and the mouth and nose. – If the healthcare professional’s mouth and/or nose was involved in the incident, water and/or mouthwash should be used for cleaning. These areas should be cleaned as thoroughly as possible.

Reporting the Incident

In addition to taking the initial steps to remove as much of the contaminated substance from the body as possible, it is also important for healthcare professionals to follow the appropriate protocol for reporting the incident. In most cases, the injury should be first reported to the healthcare professional’s supervisor. The healthcare professional should also seek medical treatment as soon as possible. Documentation may need to be completed to ensure the incident has been recorded and handled properly.

Follow-Up After Exposure to Bloodborne Pathogens

After there has been a potential exposure to bloodborne pathogens, most institutions will require healthcare professionals to adhere to a specific follow-up protocol. This will often involve testing to determine whether the pathogen in question has caused an infection. The results of these tests will indicate whether any treatment is needed. If the first test conducted does not show any evidence of infection, many institutions will conduct subsequent tests at specific intervals to make sure that an infection does not later develop.

If the appropriate amount of time passes with no positive test results, the healthcare professional will typically be released from follow-up, although records of the incident will remain on file. If testing eventually shows evidence of an infection, the healthcare professional will not be released from this protocol and will instead receive treatment for the illness contracted.

Patient Exposure to Bloodborne Pathogens

In most cases, unintended exposure to bloodborne pathogens affects healthcare workers. However, it is also possible for patients to be exposed to bloodborne pathogens when healthcare workers are careless or through simple accidents. When a patient is unintentionally exposed to blood or another bodily fluid that could contain infectious agents, the protocol followed is similar to the steps followed when a healthcare worker is exposed. Immediately after the exposure, the affected areas should be cleaned using the appropriate methods. For example, if the patient’s eyes were affected, they should be thoroughly irrigated immediately.
In most cases, a formal report of the incident will be filed, and the patient will receive medical attention. Testing will often be conducted at regular intervals to monitor the patient for a developing infection. If evidence of an infection is found, the patient will be treated.

The Importance of Proper Training

Coming into contact with bloodborne pathogens can be dangerous and even life-changing. For this reason, it is essential for every healthcare professional who has the potential to be exposed to bloodborne pathogens to understand how to protect themselves in these situations. One of the best ways to learn about the strategies, protocols and tools used to protect against bloodborne pathogens is formal training. In addition, formal training programs teach healthcare professionals how to better protect their patients from accidental exposure to bloodborne pathogens, as well as how to respond in situations where an exposure may have occurred.

The procedures used to handle bloodborne pathogens can be complicated. In order to be properly prepared, healthcare professionals need to understand:

- What situations put them at risk of coming into contact with bloodborne pathogens.
- Why bloodborne pathogens are dangerous.
- What equipment they should use to reduce the risk of contact with bloodborne pathogens.
- What procedures should be used to reduce the chances of infection when an exposure occurs.
- What procedures should be followed to monitor for signs of an infection after an exposure occurs.
- How to dispose of contaminated sharps and non-sharp materials.
- How to recognize potentially contaminated materials.

Learning all of this information can seem overwhelming. However, a high-quality bloodborne pathogen training program will provide all of the knowledge and skills healthcare professionals need. Not only are these programs valuable to healthcare workers, but they are often required as a condition of employment. Most employers in the healthcare industry require every employee who has the potential to come into contact with blood and other bodily fluids to obtain a bloodborne pathogens certification. This certification must also be renewed periodically to ensure that the healthcare professional is always prepared to deal with this sensitive matter.

Who Needs BBP Training?

BBP training is recommended for any individual who could come into contact with human blood, bodily fluids or tissue as a part of their employment. In most cases, this type of training will be required before an employee will be permitted to work in a situation that could expose them to bloodborne pathogens.

How to Obtain BBP Certification

If you are a healthcare professional who needs to obtain or renew BBP certification, you simply need to take an appropriate course. These courses can be taken online or in person, depending on your preferences. In light of the pandemic, as well as the convenience and other benefits of online study, many healthcare professionals are now choosing to take their certification courses over the internet.

Advanced Medical Certification offers a BBP Certification course that can be completed entirely online in your own time. This course qualifies you for three Category 2 CME credits and allows unlimited exam retakes. Our certifications are accepted by most employers. If your employer refuses to accept your certification, you can request a full refund of any fees you paid for the course. Contact us today to learn more or to get started.

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Reach out to Greta at greta.kviklyte@advmedcert.com.

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Understanding the Basics of Synchronized Cardioversion

by Greta Kviklyte

Life Saver, AMC

Co-authored by Kim Murray, RN, M.S.

posted on Jan 6, 2021, at 7:08 am

Cardiac arrhythmias are common but deadly conditions that affect patients both inside and outside the hospital. When this condition occurs, steps can be taken to reverse it, thus saving the patient’s life in many cases. However, the techniques used to treat cardiac arrhythmias vary and must be chosen based on the specifics of the patient’s situation. One of the techniques that may be used to successfully treat an arrhythmia is synchronized cardioversion. An overview of this technique and its use is provided below.

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What Is Synchronized Cardioversion?

Synchronized cardioversion is a specific medical procedure used to restore a normal heart rhythm to a patient who is experiencing an arrhythmia, which is an irregular heart rhythm. During this procedure, a direct electric current passes through the patient’s chest, which shocks the heart. After this shock, the heart often may resume a normal rhythm. Synchronized cardioversion requires the direct electric current used to be synchronized with the activity of the patient’s heart.

When Is Synchronized Cardioversion Necessary?

Synchronized cardioversion is typically utilized in cases where a patient is experiencing an unstable tachycardia arrhythmia. This means that the patient will have an abnormal heart rhythm coupled with an increased heart rate.

Arrhythmias reduce the amount of blood the heart can effectively pump to important parts of the body. If left untreated, these conditions can cause serious and even fatal complications, such as a stroke or heart attack. For this reason, prompt treatment of a serious arrhythmia is essential.

Some of the conditions most commonly treated by synchronized cardioversion include:

Monomorphic ventricular tachycardia
Atrial tachycardia
Atrial flutter
Atrial fibrillation
Supraventricular tachycardia

Are There Contraindications for Synchronized Cardioversion?

As long as a patient is experiencing one of the heart rhythms that indicates the use of synchronized cardioversion, this procedure can typically be implemented. There are no contraindications for this procedure, and it can be used even when the patient has a pacemaker or automatic implanted cardiac defibrillator. The presence of either of these devices should not impact the effectiveness of the synchronized cardioversion procedure.

How to Perform Synchronized Cardioversion

Prior to beginning the synchronized cardioversion procedure, it is important to make sure the procedure is actually necessary and that the chances of the patient surviving are as high as possible. Before the procedure begins:

Review and identify the patient’s rhythm.
Verify the patient’s rhythm with a 12-lead EKG if there are any doubts about the patient’s rhythm.
Sedate the patient with intravenous medication to reduce pain during the procedure.
Have emergency equipment on hand and available in case of complications. Be sure that you have access to a bag-mask device, suction device and airway management equipment.
Shave any hair on the patient’s chest to accommodate the electrodes.
Provide supplemental oxygen if required by the hospital.

The procedure begins after an IV has been placed and the sedation medication has been administered to the patient. Place the electrodes on the left side of the chest approximately two inches under the mid-axillary line. Place electrodes on the right side of the chest below the clavicle.

Once the electrodes are in place, press SYNC on the defibrillator machine. Verify that the machine is sensing and marking the R wave accurately by reviewing the rhythm strip. Otherwise, the shock may not be delivered at the appropriate time.

Choose the most appropriate energy level and make sure everyone else in the room is clear of the patient before you deliver the shock. Keep in mind that the delivery of the shock may not be immediate, as the machine must administer the shock at the appropriate time for the patient’s current rhythm.

Following the first shock, it is necessary to reassess your patient’s rhythm to see if it has returned to normal. If the patient’s rhythm has not returned to normal, you will need to administer a second shock. Because machines return to their default mode of defibrillation after administering the first shock, be sure to press SYNC again before administering the second shock. As with the first shock, you should make sure the machine is measuring the rhythm accurately. Clear the patient and administer the shock. Throughout cardioversion, be sure to monitor the patient’s vital signs and consciousness level. Even after a normal rhythm begins, you should continue to monitor vital signs and consciousness level until the patient is fully awake and stable.

Anticipating Complications during Cardioversion Procedures

Many cardioversion procedures will be completed without any complications. However, in some cases, complications may occur. For this reason, it is important to understand the possible complications and prepare to respond to them. Some of the most common complications of synchronized cardioversion include loss of pulse and ventricular fibrillation.

The response indicated in these cases will depend on the specific type of complication. For example, in cases where a patient who has unstable supraventricular tachycardia loses pulse, the best treatment is implementation of the ACLS algorithm for pulseless electrical activity. If a patient with an unstable ventricular tachycardia loses pulse during synchronized cardioversion, the best treatment is implementation of the ACLS algorithm for ventricular fibrillation. Finally, if the patient develops ventricular fibrillation during treatment with synchronized cardioversion, the defibrillator should be taken out of “synchronize” mode so it can be used for defibrillation.

If a patient is not breathing properly on their own, manual ventilation may be indicated as well.

Making Necessary Adjustments

In an ideal situation, the synchronized cardioversion procedure works seamlessly and the patient resumes a normal rhythm without complications. However, in some cases, you may need to make some adjustments to the procedure in order to make it work properly.
Below are some tips that may improve the success of synchronized cardioversion.

Make sure electrodes are placed in optimal locations.
Adjust the amplitude if the machine is not sensing the patient’s rhythm accurately.
Apply the appropriate force when delivering the shock to maximize the effectiveness of the current.
Monitor the patient continues to see if further adjustments or changes to the treatment plan are indicated.

Comparing Synchronized Cardioversion to Defibrillation

It is important to remember that synchronized cardioversion and defibrillation are not the same things. Defibrillation involves the delivery of a high energy shock to the heart. This procedure does not require you to deliver the shock at any specific time in the QRS complex. Synchronized cardioversion, on the other hand, involves the delivery of a low-energy shock at a specific time in the QRS complex. This means that careful preparation and synchronization is required when performing synchronized cardioversion, but not when performing defibrillation.

The purpose of synchronizing the shock delivered in synchronized cardioversion is to avoid causing a complication. For example, when a patient with atrial fibrillation undergoes synchronized cardioversion, the shock will be delivered at the best moment to convert the patient back to a normal sinus rhythm. Delivering the shock during the vulnerable wave on the QRS complex would instead lead to ventricular fibrillation.

Defibrillation is typically used when a patient’s rhythm is so unstable that no apparent QRS complex can be seen, which means there is no vulnerable wave or point in the complex to avoid. Defibrillation is commonly used to treat pulseless ventricular tachycardia and ventricular fibrillation, while synchronized cardioversion is more commonly used to treat other rhythm problems.

Although there are key differences between these two treatments, they do share a similarity. Bot defibrillation and synchronized cardioversion deliver a therapeutic dose of electrical energy to the myocardium. Nonetheless, understanding when each of these treatments is indicated is essential to avoid causing unnecessary complication and to maximize the likelihood of returning the patient to a normal sinus rhythm.

Who Needs to Know How to Perform Synchronized Cardioversion?

Patients can develop the rhythm problems that necessitate synchronized cardioversion can occur inside or outside of the hospital, and this technique can be used in either setting. Because it has been shown to save lives, it is important for all healthcare professionals to understand synchronized cardioversion and possess the skills necessary to perform it.

Synchronized cardioversion skills can be beneficial to nurses, doctors, pharmacists and emergency medical personnel.

Where Can You Learn How to Perform Synchronized Cardioversion?

Reading about the purpose and use of synchronized cardioversion is not sufficient to prepare healthcare professionals to use this procedure. In order to ensure that you are ready to perform synchronized cardioversion in a clinical setting, formal training is highly recommended. In fact, some employers may require you to have training in this technique.

The best way to learn how to perform synchronized cardioversion is to enroll in a course that includes this type of training. For example, Advanced Cardiac Life Support training often covers synchronized cardioversion. You may be able to find Advanced Cardiac Life Support courses from a variety of sources, giving you plenty of options to choose from when it comes to getting the education you need.

For the best results, it is important to consider several different factors as you compare ACLS programs. Some of these factors include:

The structure of the program. – Different ACLS program structures are available, including in-person programs, online programs and hybrid programs conducted both in person and online. Different program structures may be more appealing to you based on your own goals and preferences. For example, if you would rather complete your ACLS program from the comfort of your own home while learning at your own pace, you may opt for an online program.
The program’s reputation. – One of the most important things to consider when comparing ACLS courses is the reputation of the program in question. Be sure to investigate reviews from past students, as well as the general reputation of the company offering the course. Gathering this information will help you decide whether the program will be effective, affordable and easy for you to complete.
The certification provided. – Most people who are enrolling in an ACLS program are hoping to walk away with a certification that will be accepted by their employer. Before you begin any ACLS program, make sure the program ends in a certification that will satisfy your employer’s requirements.
The convenience of the program. – When you work in a busy, high-intensity profession like healthcare, convenience is always important. Look for a program that offers the conveniences that matter most to you. For example, at Advanced Medical Certification, we provide our students with a digital copy of their certification card as soon as they pass the ACLS exam. For students who need to turn in evidence of certification as quickly as possible, this is a highly valuable benefit.
Affordability – If you are not being reimbursed by your employer for the cost of your training program, you may also consider the price. However, it is always essential to prioritize program quality over expense.

The Importance of Continuing Education

Synchronized cardioversion is a complicated procedure that must be performed accurately in order to ensure the best chances of success. For this reason, studying the procedure only one time is not recommended. Even after you have studied synchronized cardioversion and obtained the related ACLS certification, it is still important to review these skills on a regular basis. In fact, most employers will require you to obtain an updated certification at regular intervals to show that you still possess the necessary knowledge and skills. Learning more about synchronized cardioversion and other important life-saving procedures through additional independent study can also be helpful to medical professionals, even if it is not a requirement to remain employed.

Have you learned something new? If yes what is it? Please share with us.

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Reach out to Greta at greta.kviklyte@advmedcert.com.

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How to Treat Pulseless Electrical Activity

by Greta Kviklyte

Life Saver, AMC

Co-authored by Kim Murray, RN, M.S.

posted on Dec 14, 2020, at 12:48 pm

Out-of-hospital cardiac arrests affect approximately 300,000 people in the United States each year. The survival rate among these patients is low, typically hovering around 8 percent. In-hospital cardiac arrests are also recorded in many patients Some patients with cardiac arrest present with pulseless electrical activity, or PEA. This type of presentation requires a specific approach in order to maximize survival rates.

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What Is Pulseless Electrical Activity?

Pulseless electrical activity occurs when a patient has cardiac electrical activity but no pulse. This means that no mechanical contracts are occurring, despite organized electrical activity in the heart. The pulseless electrical activity includes any type of cardiac arrest rhythm that cannot be categorized as asystole, ventricular fibrillation, or pulseless ventricular tachycardia. Pulseless electrical activity was previously referred to as “electromechanical dissociation.”

It is important to note that cases of PEA can be broken down into two subcategories: pseudo-PEA and true PEA. Pseudo-PEA occurs when cardiac contractions are occurring, but they are not strong enough to create a palpable pulse. True PEA, on the other hand, involves no mechanical contractions in the heart at all. True PEA is more serious than pseudo-PEA.

Causes of Pulseless Electrical Activity

Pulseless electrical activity may occur because of any issue that inhibits the shortening of myocardial fibers, thus preventing mechanical contractions. Possible causes of pulseless electrical activity include ionic perturbations, metabolic acidosis, ischemia and hypoxia. Patients may experience PEA after a drug overdose, myocardial infarction, trauma, hypothermia, hypoglycemia, cardiac tamponade, pulmonary embolism, or sepsis.
Studies indicate that pulseless electrical activity accounts for as many as 40 percent of cardiac arrests in the hospital and as many as 40 percent of cardiac arrest events outside of the hospital.

Seriousness of PEA

Pulseless electrical activity is associated with a poor prognosis for patients. Studies show that only 2 to 5 percent of patients who experience PEA outside of the hospital will survive. The survival rate is even lower when PEA presents after countershock instead of as the initial rhythm.

Treating Pulseless Electrical Activity

The treatment recommendations for patients with pulseless electrical activity vary based on whether the patient is in the hospital or outside of the hospital at the time of the event, as well as the cause of the PEA.

PEA in the Hospital

When PEA is being treated in a hospital setting, the recommended course of action typically depends on the suspected cause of cardiac arrest. The 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care recommends that healthcare providers assess 10 different possible issues that could cause PEA when this type of cardiac arrest occurs. These issues are broken down into five H’s and five T’s.

The five H’s are:

Hydrogen ion
Hyperkalemia or hypokalemia
Hypothermia
Hypovolemia
Hypoxia

The five T’s are:

Thrombosis (cardiac)
Thrombosis (pulmonary)
Toxins
Tamponade
Tension pneumothorax

Regardless of the cause of PEA, the first step in treating this condition is always to begin chest compressions based on the advanced cardiac life support protocol. Epinephrine should also be administered every three to five minutes while the cause of the PEA is identified. After the factors contributing to the development of PEA have been identified, treatment of PEA typically involves reversing the cause of the event. The basic treatment recommendations for each of these potential causes of PEA are detailed below.

Hydrogen Ion (Acidosis)

Acidosis can be quickly confirmed with an arterial blood gas. If the patient is suffering from metabolic acidosis, the treatment may involve sodium bicarbonate administration. if the patient is suffering from respiratory acidosis, ventilation is the recommended treatment.

Hyperkalemia or Hypokalemia

Hypokalemia is a common electrolyte disturbance that can cause PEA when potassium levels drop to dangerous lows. Administration of potassium is recommended in cases of hypokalemia.

Hyperkalemia occurs when potassium levels are dangerously high. The treatment of hyperkalemia involves protecting the heart, shifting potassium into cells and taking steps to remove potassium from the body.

Hypothermia

Hypothermia occurs when body temperature drops to a dangerous level. When hypothermia is the cause of PEA, rewarming of the patient’s body is the recommended treatment to return temperature to normal.

Hypovolemia

Hypovolemia occurs when extracellular fluid levels in the body drop too low. This may occur for many different reasons, from vomiting to blood loss. The recommended treatment for hypovolemia involves infusion of blood products and/or warmed crystalloids. The root cause of hypovolemia should be addressed as well.

Hypoxia

Low oxygen levels can occur for many different reasons, including asthma, anemia, drowning and many other conditions. Ventilation and restoring oxygen levels is the best treatment for hypoxia.

Thrombosis (Cardiac)

Treating cardiac thrombosis usually involves an intervention designed to resolve the clot, such as primary percutaneous coronary intervention or coronary angiography.

Thrombosis (Pulmonary)

Most cases of pulmonary thrombosis begin with deep vein thrombosis. Possible treatments involve surgical removal of the clot, percutaneous mechanical thrombectomy and administration of fibrinolytics.

Toxins

A variety of different toxins can cause pulseless electrical activity. Some of the different types of toxins that may cause this condition include local anesthetics, tricyclic antidepressants, opioids and benzodiazepines. The treatment for pulseless electrical activity caused by a toxin will depend on the type of toxin responsible.

Tamponade

Cardiac tamponade occurs when the pericardial sac fills with fluid, leading to cardiac arrest. This condition can be treated by pericardiocentesis or thoracotomy.

Tension Pneumothorax

Tension pneumothorax occurs when air accumulates in the patient’s pleural space. Treating this condition requires needle compression and/or a thoracostomy.

PEA Outside of the Hospital

Treating PEA outside of the hospital typically involves following an established, generalized protocol regardless of the cause of the event. This means that the individual administering aid will follow the advanced cardiac life support protocol until the patient can be transferred to a setting where more intensive diagnostic and treatment services are available. Once these resources are available, ACLS protocols should be continued and epinephrine should be administered every three to five minutes until the cause of the PEA can be identified.

Learning Advanced Cardiac Life Support

Treating pulseless electrical activity both inside and outside of the hospital involves the use of Advanced Cardiac Life Support protocols. In order to ensure that you are up-to-date on the latest ACLS guidelines, as well as to comply with your employer’s requirements, you must keep up with ACLS certifications. However, if you are working as a healthcare professional, you already have a busy schedule that may make it incredibly difficult to keep up with these requirements.

ACLS Course Options

To obtain the ACLS certification you need to remain compliant at work and be prepared to treat conditions like pulseless electrical activity, you need to complete an ACLS course at regular intervals. Three different course structures are available to healthcare professionals who need ACLS certification: in-person courses, hybrid courses and online courses.

In-Person Courses

In-person ACLS courses are completed entirely in a classroom setting. When you choose this type, of course, you will complete all of your coursework while surrounded by other students. You will also take your exam in-person. These programs are ideal for students who want face-to-face interactions with teachers and hands-on learning experiences. However, there are drawbacks to in-person courses as well. For example, when you enroll in an in-person course, you must attend scheduled sessions that could interfere with your other obligations.

Hybrid Courses

Hybrid courses are completed using a combination of in-person sessions and online coursework. While some of the course will require you to attend in-person, scheduled sessions, the remainder of the materials can be completed at your convenience in the comfort of your own home. Hybrid courses offer a greater level of freedom and convenience than in-person courses, but they are more structured than online courses.

Online Courses

Online courses are completed entirely over the internet, with no in-person meetings required. These courses can be completed entirely on your own time, allowing you to set your own pace and decide when and where you will complete your coursework. Online courses are ideal for students who are busy and/or prefer to work on their own.

Choosing the Right Course

In order to choose the right ACLS course for your needs, it is important to consider your own needs and preferences. For example, if you are someone who benefits from face-to-face interactions, you may prefer to study in person. However, if you are someone who prefers to set your own schedule and would rather not deal with the constraints of an in-person program, you may benefit more from an online or hybrid course.

ACLS Certification from Advanced Medical Certification

Advanced Medical Certification offers a fully online ACLS certification course to help you get the credentials and training you need to meet your employer’s requirements and make sure you have the skills necessary to do your job.

Some of the benefits of obtaining your ACLS certification online include:

- Fewer time constraints – When you choose to obtain your certification online, you won’t have to attend sessions at scheduled times. Instead, you can complete your coursework on your own time according to your own schedule.
- Flexibility – Advanced Medical Certification’s course can be completed at your own pace. If you want to complete the course quickly, you can move faster through the materials. However, you can also choose to take your time if necessary.
- Privacy – Completing your ACLS certification online with Advanced Medical Certification prevents you from being required to interact face-to-face with instructors or other students.
- Safety – In light of the pandemic, many students have chosen online learning over in-person and hybrid options because it offers less risk. When you obtain your credentials through Advanced Medical Certification, you won’t face any exposure to coronavirus or other pathogens because of the course.

Advanced Medical Certification’s ACLS course is designed to be as quick and convenient for students as possible. With our help, you will be able to complete your coursework with only a few hours of time invested. In addition, we have developed a stress-free exam process that takes the pressure off and allows you to obtain your credentials with ease. Like all of our coursework, our exam is completed entirely online. If you don’t pass the test on the first try, you can retake it as many times as needed at no additional cost. We will even provide you with immediate access to your results so you can see what you missed and improve your chances of passing the exam on the next attempt.

As soon as you have completed your ACLS course and passed the exam, you will receive a digital copy of your certification card to give to your employer. We can also mail you a hard copy of this document if needed. We know how important it is to obtain a quality ACLS certification that will fulfill your employer’s requirements. Our certifications are accepted all across the nation, and we guarantee that the certification you receive will meet your employer’s needs. If your certification is not accepted by your employer, we offer a full refund of all course fees.

All of the materials used in Advanced Medical Certification’s ACLS course are designed to offer the same quality of education as any in-person or hybrid course. These materials are included in the cost of your course and will be provided digitally.

If you are in need of an initial ACLS certification or a renewal, Advanced Medical Certification offers one of the most convenient and affordable options available. Please contact us today to learn more. You can also visit our website to enroll in a course.

About Greta

Reach out to Greta at greta.kviklyte@advmedcert.com.

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Tips for Keeping Up with Certifications as a Pandemic Travel Nurse

by Greta Kviklyte

Life Saver, AMC

Co-authored by Kim Murray, RN, M.S.

posted on Nov 30, 2020, at 6:17 pm

Working as a travel nurse is one of the best ways for nurses to increase their income and maintain an exciting lifestyle. In the midst of the pandemic, the need for travel nurses has increased dramatically, making this career path more popular among nurses all around the country.
When you are moving from one travel nursing job to the next, keeping up with all of your professional requirements can be a challenge. If you want to keep all of your required certifications up-to-date, you need to be proactive and plan carefully.

We offer Online ACLS, PALS and BLS Certification and Renewal

Continuing Education, Licensure and Employment Requirements for Nurses

Nurses are required to complete a specific number of continuing education hours in order to maintain licensure. Nurses must also obtain and renew certain certifications in order to maintain their employment. Your specific requirements will depend on the state issuing your nursing license, as well as your employer’s requirements. You may also have different requirements depending on the type of nursing license you possess, as well as the specifics of your position.

Challenges for Travel Nurses in the Pandemic

As a travel nurse working in the pandemic, you face unique challenges that may make it more difficult for you to maintain all of your professional requirements. Some of these challenges include:

Juggling employer requirements – Travel nurses typically take on short-term assignments with different employers. Each employer determines their own requirements for employees, which can make it difficult for nurses to keep up.
Traveling – Travel nurses often move to different cities or even different states for their assignments. Planning and preparing for these moves takes time and effort that makes it difficult for nurses to manage their other obligations and requirements.
Stress – Working as a nurse is stressful even under normal circumstances. Working as a travel nurse during the COVID-19 pandemic is even more challenging. With so much extra stress, you may forget to keep up with administrative tasks like finishing continuing education courses.

Tips for Keeping Up with Requirements

Keeping up with your continuing education and certification requirements is not always easy when you have a busy schedule. If you are working as a travel nurse in the midst of the current pandemic, the tips below will help you keep up with all of your professional obligations.

1. Understand all of your requirements.

The first step to keeping up with all of your professional requirements is understanding them. To learn about your requirements, contact your state’s nursing board and speak with your employer. If you are working as a travel nurse, your staffing service may also be able to help you take inventory of the requirements you need to meet.

2. Keep track of expirations and deadlines.

Keep written records of all of your certification expiration dates, continuing education deadlines and other important dates related to your professional requirements. Set electronic reminders so you don’t forget to fulfill your requirements on time.

3. Schedule your required courses at convenient times.

It can sometimes be tempting to leave your requirements to the last minute, especially when you are juggling so many other responsibilities. However, when you procrastinate on these requirements, you are more likely to miss one. You are also more likely to experience intense stress when trying to pack all of your requirements into a small amount of time.

4. Look for ways to complete your requirements more easily.

Different options are available to travel nurses who need to complete their continuing education requirements. Some of these options are more convenient for nurses than others. Looking for convenient options is one of the best ways to ease the burden of your professional requirements. For example, many CE courses and certifications can be obtained online, avoiding all of the trouble associated with going to an in-person class.

5. Make sure your courses and certifications will be accepted.

Some companies offer continuing education courses and/or certifications that are not accepted by all employers or nursing boards. For this reason, it is important to verify that the courses you take will get you CE credits and certifications that will actually be accepted. Otherwise, you have wasted valuable time and will need to find another way to meet your requirements.

Fulfilling Requirements with Online Courses

In the past, many of the continuing education and certification requirements nurses had to meet could only be fulfilled with in-person courses and meetings. This was highly inconvenient, especially for nurses who work long schedules. Many nurses would have trouble planning these meetings around their work schedules and personal obligations.
In the midst of the COVID-19 pandemic, these in-person meetings are not only an inconvenience, but they are also dangerous. When you meet in person for the purpose of fulfilling your professional requirements, you are putting yourself at risk of contracting the virus. Most of these classes involve multiple nurses all meeting in the same place and sharing equipment. If anyone in attendance is infected with the virus, you may contract it. Given that your nursing job itself is already putting you at risk, it is important to avoid additional exposures as much as you can.

Benefits of Online Courses

Taking your certification and continuing education courses online offers a wide range of benefits for travel nurses working in the pandemic. Some of these benefits include:

Convenience – One of the most obvious benefits of taking online continuing education or certification courses is the convenience of these courses. When you choose an online course, you can complete the coursework on your own time without worrying about interferences with your work schedule. You can also complete all of the coursework in the privacy and comfort of your own home. Since travel nurses are already spending significant time away from home, this is a highly desirable benefit.
Less time – Online continuing education and certification courses usually take up less of your time than a traditional in-person course. With a traditional in-person course, you must travel to and from the facility, and you must go through the course material at a pace designed to accommodate the slowest learners in the room. With an online course, you don’t have to spend time traveling back and forth, and you can move through the course more quickly if desired.
Less risk of exposure – Online courses do not pose any risk of COVID-19. These courses allow you to complete all of your coursework remotely, which means you won’t have to spend time in a room with any other people who could be carrying the virus.
Less pressure – In-person courses add an unreasonable amount of pressure to your life, which is busy enough on its own when you are working as a travel nurse. With an online option, you won’t have to adhere to anyone else’s schedule or timetable. Instead, you can move at your own pace.

Getting Certified Online with Advanced Medical Certification

Advanced Medical Certification is proud to offer several different types of certification for travel nurses and other healthcare professionals who are trying to keep up with their requirements in the midst of the COVID-19 pandemic. Certifications available from Advanced Medical Certification include:

Advanced Cardiac Life Support (ACLS)
Pediatric Advanced Life Support (PALS)
Basic Life Support (BLS)
Cardiopulmonary Resuscitation (CPR), Automated External Defibrillator (AED) and First Aid

Our courses are designed to be as convenient for travel nurses and other healthcare professionals as possible. When you choose to obtain your certifications through our company, you will:

1. Take a course that is both convenient and quick.

Traditional certification courses often require you to spend multiple days in training before you can obtain the certification. However, with an online option from Advanced Medical Certification, you can complete the entire course much more quickly, and you won’t have to attend multiple classes. Alternatively, if desired, you can also move through online courses more slowly.

2. Have a simplified exam process.

Our certification courses require you to pass an exam after you have completed all course materials. Advanced Medical Certification has designed the exam process to be as stress-free as possible for students. We offer all students practice tests to help them prepare for the exam. In addition, there is no time limit on the exam, which means you can move through the test at your own pace. In addition, you are allowed to take the exams as many times as you need in order to pass with no additional charges. If you fail a certification exam, you will have access to your results so you can improve your chances of passing the next time you take the test.

3. Gain access to high-quality educational materials.

Advanced Medical Certification provides all of the materials needed to complete the course. All materials will be made available digitally. Depending on the course, you may receive skills training videos, as well as reading materials. At the end of your course, you will complete an online certification exam.

4. Get training specific to COVID-19.

The COVID-19 pandemic has changed many medical protocols, including some of the protocols used in CPR and other life-saving measures. Keeping up with all of these changes can be challenging. However, these new guidelines are designed to minimize the transmission of the virus and make the best use of healthcare resources. All of the certifications available from Advanced Medical Certification are structured to teach students about any new guidelines related to COVID-19 so they can be well-prepared for all possible scenarios.

5. Have a guarantee of acceptance.

Nothing is more frustrating than completing an entire certification program only to realize that your certification will not be accepted by your employer. Advanced Medical Certification’s programs are designed to be as effective and robust as any other program available, including blended learning programs and in-person courses. Our certifications are accepted by employers all across the nation. For the benefit of our clients, we offer a guarantee that your certification will be accepted by your employer. If your certification is not accepted, we will refund your money.

6. Enjoy a simplified process.

With Advanced Medical Certification, it will be easy to get the training you need without dealing with confusing procedures or expectations. With our courses, you need only an internet connection and an appropriate device, such as a computer or tablet. You can even take the course on your phone. After you have completed the course, your certification will be immediately available to you digitally. Paper cards can also be mailed if desired.

The COVID-19 pandemic has changed the field of healthcare in a variety of different ways. Because of this pandemic, travel nursing has become a more popular choice among nurses everywhere. In fact, with the increase in patient loads across the nation, travel nurses are in higher demand than they have ever been before. Although choosing to work as a travel nurse may give you access to a higher salary and better benefits, it will also make it more difficult for you to keep up with all of your certifications. With the help of Advanced Medical Certification, however, you can keep all of your necessary credentials up-to-date with ease. Our courses are the most convenient option available, with no in-person classes or exams required. In addition, our certifications are recognized all around the country, and we guarantee that your credentials will be accepted. Visit our website today to learn more about our certification courses or to sign up.

About Greta

Reach out to Greta at greta.kviklyte@advmedcert.com.

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Basic Life Support Recommendations to Minimize Coronavirus Spread

by Greta Kviklyte

Life Saver, AMC

Co-authored by Kim Murray, RN, M.S.

posted on Nov 13, 2020, at 4:11 pm

The novel coronavirus has presented a wide variety of healthcare challenges that has changed the way providers interact with patients and their families. While some of these procedural changes are designed to protect the coronavirus patients themselves, others are designed to minimize the spread of this virus to other people. One area of healthcare that has seen a change in recommendations is Basic Life Support, or BLS. Below is a discussion of the need for changes to BLS procedures, as well as the current recommendations for individuals providing this type of care.

We offer Online ACLS, PALS and BLS Certification and Renewal

BLS and the Spread of COVID-19

Because of their close contact with infected patients, people working in the healthcare field have the highest risk of contracting COVID-19. This risk is especially pronounced when workers do not have the proper personal protective equipment, or when this equipment is not used in accordance with accepted guidelines. All interactions with infected patients can pose a risk of infection to healthcare providers, but this risk is even greater during resuscitations.

Why Are Resuscitations Risky?

When a healthcare professional administers basic life support, the procedure itself generates aerosols. For example, when a healthcare provider or another individual is establishing an airway, performing chest compressions or using positive-pressure ventilation, viral particles are released into the air. Once released into the air, the American Heart Association reports that these viral particles have a half-life of about one hour. In addition, resuscitation requires multiple healthcare providers to work close to one another, as well as close to the patient infected with COVID-19, which increases the risk of infection even more. In addition, resuscitations are emergency situations that bring about high stress. As a result, healthcare providers may be more likely to neglect important infection control practices, putting themselves and others at a greater risk of infection.

Exploring Basic Life Support Recommendations Amid the COVID-19 Pandemic

In response to the increased risks for healthcare providers who are administering BLS during the COVID-19 pandemic, the American Heart Association collaborated with the American Society of Anesthesiologists, The Society of Critical Care Anesthesiologists, the American College of Emergency Physicians, the American Association for Respiratory Care and the American Academy of Pediatrics to develop recommendations designed to minimize the risk of transmission. These new guidelines include:

1. Consider carefully whether CPR is appropriate.

Understand the burden of CPR in the context of COVID-19. – Providing life support requires great effort on the part of healthcare providers or other rescuers. When COVID-19 is present, the risk of exposure is high, especially in regions with high concentrations of infection. In addition, the mortality rate for patients who have COVID-19 increases significantly with age and for patients who have certain pre-existing conditions. Thus, it is important for healthcare providers to consider whether the benefits of beginning or continuing CPR for a given patient justify the associated risks.
Communicate with patients. – When interacting with patients who have COVID-19, discuss the possibility of life support services. Ask patients (or their healthcare proxies) to provide instructions in the event of a need for an increased level of care.
Create and follow clear policies for determining the appropriateness of CPR. – All healthcare organizations and agencies that provide life support services should develop clear policies that help frontline workers determine whether they should start or continue CPR for a patient who has COVID-19. These policies should be based on the patient’s goals of care, likelihood of survivor and risk factors for infection. Policies should be published and communicated to patients, as well as to every frontline worker.
Use extracorporeal CPR sparingly. – The use of extracorporeal CPR for patients with COVID-19 is not supported by data at this time.

2. Reduce the exposure of providers to COVID-19.

Wear the recommended PPE at all times. – Before entering a room to administer life support, every rescuer should put on the appropriate PPE in order to protect themselves from contact with any airborne virus. Specific PPE recommendations may vary based on the situation.
Limit personnel. – The number of personnel permitted in the room during BLS should be minimized as much as possible to permit social distancing and reduce the spread of COVID-19. Only people who are performing an essential function should be in the room during the procedure.
Use mechanical CPR devices. – When possible, mechanical CPR devices should be used in place of manual chest compressions. This reduces the number of rescuers required in the room, which in turn reduces the spread of COVID-19. Mechanical CPR devices should be used only in settings where the patient meets the device manufacturer’s height and weight criteria.
Communicate. – When new personnel arrives on the scene, or when a patient is being transferred to another location, COVID-19 status should be clearly communicated so that all personnel who interact with the patient can take the appropriate precautions.

3. Prioritize the use of strategies that have lower aerosolization rates.

Minimize aerosols before intubation. – Prior to intubating the patient, use a bag-mask device that has a tight seal and a HEPA filter. For adult patients, a non breathing face mask covered with a surgical mask may also be used for passive oxygenation.
Intubate patients in cardiac arrest. – Intubate patients who are in cardiac arrest with a cuffed tube as soon as possible.
Use video laryngoscopy. – If video laryngoscopy is available, use this technology to reduce the intubator’s exposure to aerosolized virus particles.
Improve intubation success. – Improve the success rate of intubation by choosing the approach that will give the best chance of success on the first try. Chest compressions should also be paused during this time to prevent intubation failure.
Use HEPA filters. – When using any mechanical or manual ventilation devices, attach a HEPA filter in the path of exhaled gas before administering life support.
Minimize disconnections. – Once the patient is on a closed circuit, reduce aerosolization of virus particles by minimizing disconnections.

Training and Certification

In order to administer BLS safely and appropriately, rescuers need the proper training. In light of the COVID-19 pandemic, the need for good quality training becomes even more important. Administering CPR now poses risks that were not present previously, and the protocols and recommendations are continuing to change as more information becomes available. For this reason, it is important for every healthcare provider, emergency medical services technician or other potential rescuer to get updated, quality BLS training and certification.

In the past, most people obtaining CPR certification attended in-person classes where they learned the procedures and practiced them under supervision. However, thanks to advances in technology, it is now possible to get the training and certification you need entirely online.

Comparing Program Types

Several different types of BLS training programs are available. These structures include courses conducted entirely in a classroom, blended courses and courses conducted entirely online. Each of these different programs offers its own benefits. However, in the era of COVID-19, online programs offer advantages that make them preferable for many people in need of certification. Some of the advantages of online training programs include:

A lower risk of exposure to COVID-19. – All courses are conducted entirely over the internet and no in-person interactions will be required. Both in-person and blended courses, on the other hand, will require the use of shared equipment, as well as close interactions with instructors and other students.
Convenience. – When you are working as a healthcare provider, you already have a busy schedule, and it can be difficult to get the training and certifications you need through in-person or even blended courses. With an online training course, however, you can complete your training on your own time from any location that has internet access. In addition, online courses allow you to determine your own pace, which means you can move through the program as slowly or as quickly as you want.
Certifications your employer will accept. – When comparing different program structures, prospective BLS training students are often concerned that an online course won’t provide an acceptable certification. However, a high-quality online BLS course will provide equivalent training using all of the same materials and teaching all of the same skills as an in-person or blended learning course.

BLS Training from Advanced Medical Certification

Advanced Medical Certification offers an online BLS training program to help both healthcare professionals and civilian rescuers gain the knowledge and skills they need to perform CPR. In addition, this course provides AMA Category 1 continuing education credit. Our course is appropriate for both initial BLS certifications and recertifications. Advanced Medical Certification’s BLS training program provides numerous benefits and advantages.

Guaranteed Acceptance

Our BLS certification program was designed specifically to maximize the likelihood of employer acceptance. We use all of the same high-quality materials as an in-person course, and we teach all of the same skills you would learn in any other high-quality program. In fact, we are so confident that your certification will be accepted that we offer a money-back guarantee.

A Simplified Exam Experience

When you choose to obtain your BLS certification from Advanced Medical Certification, you won’t have to take a classroom skills exam. Instead, you will complete your exam entirely online. Our exams are not timed, so you can move through the test at your own desired pace. If you fail the exam, you can re-take it as many times as you want with no additional payment required. In addition, we offer practice questions to help you prepare for the test.

Up-to-Date Information

Because of COVID-19, the guidelines and recommendations for BLS procedures are always changing. As a result, it is important for anyone obtaining BLS certification to make sure the program they choose is offering the most up-to-date information. Fortunately, Advanced Medical Certification takes steps to make sure all of its training programs are updated in accordance with all of the latest CPR recommendations.

A Quick Certification

Many students are able to complete our course in as little as one hour. This allows you to get the certification you need and get back to your life quickly. For added convenience, we also offer an instant digital BLS provider card you can download as soon as you have completed the course, as well as a BLS certificate. If necessary, we can also mail a copy of these documents free of charge.

Contact Advanced Medical Certification

Becoming BLS certified in the time of COVID-19 comes with its own unique complications. Because of changes to protocols and the increased risk of exposure to infection when providing CPR, it is essential for every rescuer to be sure that they have the information they need to provide CPR safely and appropriately. In addition, all frontline workers who have CPR certification requirements must still continue to obtain the necessary recertifications, regardless of the obstacles brought about by the pandemic.

Fortunately, Advanced Medical Certification makes it easy for you to become BLS certified or recertified with as little time, effort and risk as possible. With our program, you will learn everything you need to know to perform BLS, including updated information released because of the risks of COVID-19. In addition, you will not be required to attend in-person classes or take any in-person exams. Instead, you can complete the entire program on your own time from the comfort of your own home. Please contact Advanced Medical Certification today to learn more, or simply log onto our website to begin the enrollment process.

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Reach out to Greta at greta.kviklyte@advmedcert.com.

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Men in the Nursing Field: A Growing Demographic

by Greta Kviklyte

Life Saver, AMC

Co-authored by Kim Murray, RN, M.S.

posted on Oct 5, 2020, at 7:49 am

In the past, men have always represented a very small percentage of professionals in the nursing field. In fact, even today, the ratio of female to male nurses is so high that many people who visit the hospital will not see a single male nurse at any time during their stay. Nonetheless, the percentage of male nurses is rising. Experts predict that even more men will enter the nursing field in the future.

In light of this trend, many men thinking about a new career path are considering this field. Below is some information to help you understand the reasons for the increase in the percentage of male nurses, the benefits of working as a male nurse, the path to becoming a nurse and the steps you can take to improve your chances of a successful nursing career.

We offer Online ACLS, PALS and BLS Certification and Renewal

Men in Nursing by the Numbers

In 1970, less than three percent of registered nurses were male. This means that more than 97 percent of all RNs were female. In any given hospital, there may be only one or two male nurses, depending on the size of the staff. As of 2019, however, the percentage of male nurses had risen to 12 percent. That means that the percentage of male nurses working in the field has more than quadrupled in the past 50 years!

Individual hospitals have also seen a marked increase in the percentage of male nurses on staff. According to the Columbus Dispatch, Nationwide Children’s Hospital saw a 66 percent increase in the number of male nurses on staff over a period of five years, while Ohio State University’s Wexner Medical Center reports that the number of males on its nursing staff has more than doubled over the past decade.

Why More Men Are Entering the Nursing Profession

There are a variety of factors that have prompted more men to enter the field of nursing in recent years. Some of these factors include:

1. Disappearance of stereotypes.
Although sexism and gender inequality still exist, society has made some notable progress in this area. Loosening of the stereotypical definition of a nurse as a female healthcare professional has made it easier for men to pursue careers in this field. The more these stereotypes fade, the more appealing this field will become to men all across the country.

2. A greater demand for male nurses.
Male nurses bring a unique background and skillset to the nursing profession that can be an asset to any hospital, clinic, or other healthcare facilities. As more facilities become aware of these benefits of hiring male nurses, the demand for male nurses continues to increase. This gives men an advantage as they enter the nursing field and look for employment.

3. Increasing number of job opportunities.
As the population continues to age, the demand for nurses, in general, continues to grow in response. In fact, the U.S. Bureau of Labor Statistics that another 735,000 nursing positions will be available across the country by 2024. This means that men who enroll in nursing school over the next few years will have plenty of job opportunities available when they graduate and enter the field.

4. Flexibility.
A job in the nursing field offers more flexibility than many other career paths. Many facilities that employ nurses operate around-the-clock every day of the year, including holidays. As a result, nurses can work almost any schedule, allowing men to structure their work schedules around their other obligations or activities. Nurses also have an opportunity to earn extra money by working overtime, taking on weekend hours, or agreeing to work on holidays. Some men may even choose to explore travel nursing, which allows them to earn a handsome salary by taking on short-term positions in high-need areas.

5. Earning potential.
Men who enter the nursing field have the potential to earn a high salary. In fact, the U.S. Bureau of Labor Statistics reports that the median annual salary for nurses as of 2019 was $73,300, which translates to more than $35 per hour. The 10 percent of nurses earning the highest pay in the field earned more than $111,220 annually.

6. Opportunities for advancement.
A nursing career offers men plenty of opportunities for advancement. For example, men can move through the ranks in a given facility, taking on more responsibility and often receiving higher pay. Men can also advance their nursing careers by going back to school and earning higher degrees, such as a Master of Science in Nursing. These advanced degrees allow men to take on other roles in the nursing field, such as the role of Advanced Practice Nurse.

7. A chance to make a difference.
Nurses have a fulfilling career that makes a tangible difference in the lives of others. Depending on the specifics of their job, nurses may provide comfort to sick patients, aid in pain relief, educate patients about important healthcare topics, and provide guidance to family members.

Life as a Male Nurse

Some men may be hesitant to enter the nursing field because they are concerned that persistent gender stereotypes would make it difficult for them to do their job properly. However, with more men entering the field, these stereotypes, and the complications that come with them are beginning to face.

Life as a male nurse typically involves a busy schedule with time spent caring for patients, administering medications, assessing and observing patients, recording important information, reporting to doctors, and speaking with patients’ family members. Nursing requires a significant amount of physical and mental stamina. The physical aspects of nursing sometimes come easier for men, especially those who are capable of lifting heavy loads easily.

Men in the nursing field may still occasionally encounter someone who is surprised to see them in their chosen profession. However, it is likely that these interactions will become less frequent in the future as the number of males in this field continues to grow.

How to Become a Male Nurse

To become a male nurse, you must follow one of the available paths to licensure in your state. In most cases, this will involve getting an associate’s degree in nursing, a bachelor’s degree in nursing, or a diploma from another acceptable nursing program. You must also meet all of the other requirements for licensure in your state with regard to exam scores, background checks, and any other qualification.

Obtaining an associate’s degree in nursing typically requires two to three years of study, while a bachelor’s degree in nursing requires four years of study. Most nursing diplomas require two to three years of study, depending on the circumstances. If you have become a registered nurse by obtaining a diploma or associate’s degree, you can go back to school in the future to advance your education with an RN-to-BSN program.

While you are studying to receive your nursing degree, you will learn a variety of skills and build a base of knowledge that you will need to be successful in the nursing field. The U.S. Bureau of Labor Statistics reports that most students in nursing school will study psychology, microbiology, anatomy, physiology, and other social or behavioral sciences. Many students in nursing school will also study liberal arts. Nursing programs typically include a combination of classroom study and clinical hours, as clinical hours are required for licensure.

Building a Successful Career as a Male Nurse

Obtaining the needed education and licensure to become a male nurse is only the first step to building a successful career in the nursing field. Being successful as a male nurse requires a continued dedication to improving your skills, building your knowledge, and advancing your position within the profession. Tips for building a successful career as a male nurse include:

1. Don’t let the gender stereotype intimidate you.

Most discussions of gender stereotypes focus on injustices to women in favor of men. In the nursing field, however, the situation is reversed. Nonetheless, if you are a man interested in entering the nursing field, you should not let the possibility of gender stereotyping or discrimination change your mind. Discriminating against you on the basis of your sex is illegal, and employers are unlikely to engage in this behavior. In addition, as more men continue to enter this field, any biases you may encounter as you work are likely to improve in the future.

2. Pay attention to continuing education requirements.

When you decide to become a nurse, your education doesn’t end when you graduate from nursing school. Maintaining your licensure and satisfying the requirements of your employer will typically require you to participate in continuing education activities. For example, most nurses are required to maintain Basic Life Support Certification. Nurses working in certain environments, such as ICU or pediatric units, may also need ACLS and/or PALS certifications. Fortunately, you can now easily obtain these certifications online.

3. Practice self-care.

The nursing profession can be highly demanding, both mentally and physically. For this reason, practicing good self-care is essential for every male nurse. Do your best to eat a healthy, balanced diet. Get plenty of rest, and try to exercise regularly. It is also important to make time for friends and family.

When working as a nurse, it can be tempting to put your own needs last. However, this often leads to problems, regardless of whether you are male or female. If you are sick or need time off, don’t be afraid to use your vacation days.

4. Know how to recognize the signs of caregiver burnout.

Caregiver burnout is common among nurses, regardless of gender. This condition is a combination of mental, emotional, and physical exhaustion that results when you spend too much time caring for others without considering your own needs. Understanding how to recognize the signs of caregiver burnout will help you to catch this issue early so you can take steps to resolve it.

Some of the signs of caregiver burnout may include changes in your sleep patterns, getting sick more often, isolating yourself from friends and family, loss of interest in activities you once enjoyed, and feelings of depression.

5. Always look for opportunities to learn more.

One of the best ways to build a successful career is to continue your education at all times. Simply completing your requirements for the sake of keeping your license active or satisfying your employer isn’t enough. In order to get the most out of your career, you need to continue learning for the sake of becoming a better nurse. There are plenty of opportunities available to help you continue your learning through professional associations, higher education courses, conferences, and more.

Key Takeaways

Men are entering the nursing field at unprecedented rates, and this trend is only expected to become more pronounced in the future. The increase in the number of men entering the nursing field is the result of many different factors, including a reduction in gender stereotypes, a higher demand for men in the nursing profession, and opportunities for good pay and career advancement.

Becoming a male nurse requires obtaining a nursing diploma or a nursing degree, as well as qualifying for licensure by taking an exam and satisfying all other requirements established by the state. You can improve your chances of success as a male nurse by being proactive about self-care, looking for opportunities to learn, and refusing to allow any gender stereotypes to have a negative impact on your career.

Have you noticed the demand for male nurses in recent years? Share with us on social media.

About Greta

Reach out to Greta at greta.kviklyte@advmedcert.com.

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CPR Certification in the Time of Coronavirus: Special Considerations

by Greta Kviklyte

Life Saver, AMC

Co-authored by Kim Murray, RN, M.S.

posted on Sep 10, 2020, at 11:17 am

CPR certification is a necessity for most medical professionals. This type of training can also be beneficial for the general public, especially those who act as caregivers for adults and/or children. CPR training provides trainees with potentially life-saving skills that can be invaluable in the event of an emergency. Although CPR has always been an essential skill, it has become even more important due to the COVID-19 pandemic. In addition, this pandemic has impacted multiple aspects of CPR protocols and certification considerations.

If you are considering CPR certification coronavirus, or if you are someone who needs to become recertified, the information below will help you to understand how the novel coronavirus has affected CPR needs, procedures and training.

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A Greater Need for CPR Certification

COVID-19 can cause multiple serious complications in patients, including cardiac arrest. In addition, because the COVID-19 pandemic has prevented many people from receiving preventative care and other non-essential healthcare services, conditions with the potential to cause cardiac arrest have been more likely to go unnoticed or be poorly monitored during this time. As a result, the possibility of cardiac arrest has increased even among patients who are not infected with COVID-19, and many of these patients are out of the hospital at the time of the incident.

In fact, according to a study published by the Lancet, the maximum weekly out-of-hospital cardiac arrest incidence from March to April in years prior to the pandemic was 13.42 per million people. During the pandemic period, this rate nearly doubled to 26.64 per million people.

The significant increase in the incidence of out-of-hospital cardiac arrest indicates a much greater need for CPR certification coronavirus.

How Coronavirus Impacts CPR Protocols and Use

Even before the pandemic, many people who could have benefitted from CPR were not receiving needed services. The American Heart Association reports that as many as 54 percent of people experiencing an out-of-hospital cardiac arrest will not receive any immediate CPR while waiting for professional help to arrive. Given that CPR can double or triple the chances of survival in these cases, the lack of CPR administration is a serious issue.

Unfortunately, the existence of coronavirus has made it even less likely that someone experiencing an out-of-hospital cardiac arrest will receive CPR. Because coronavirus spreads through respiratory droplets, people are hesitant to administer CPR out of fear that they may contract the virus if the recipient is infected. In fact, the study published in the Lancet showed that bystander CPR administration has decreased by more than 25 percent since the beginning of the COVID-19 pandemic.

Even in the era of coronavirus, people who have been trained to administer CPR are still encouraged to use their skills if they encounter someone in cardiac arrest. Whether or not the affected individual is COVID-19 positive, administering CPR still has the potential to be life-saving. However, because COVID-19 exposure can be a risk, those who are trained in CPR should only provide CPR if they are both able and willing.

In a hospital setting, certain strategies are recommended to help healthcare providers reduce their own risk of exposure. For example, the American Heart Association states that healthcare providers preparing to provide resuscitation to patients with suspected COVID-19 should:

- Limit the number of people in the room to only those essential for providing patient care.
- Wear all recommended PPE to reduce exposure.
- Use mechanical CPR devices in place of manual chest compressions when feasible.
- Communicate the COVID-19 status of patients receiving resuscitative services to any new personnel entering the room.
- Use ventilation and oxygenation strategies that have a lower aerosolization risk as much as possible.

The American Heart Association also recommends careful consideration with regard to the initiation and termination of CPR in patients who are known to be COVID-19 positive. These decisions should be made based on the patient’s individual risk factors and likelihood of survival, as well as the availability of resources and level of risk to healthcare providers.

Getting Certified to Administer CPR Safely

Based on the information above, it is clear that the demand for CPR both inside and outside of hospital settings is only continuing to grow. At the same time, administering CPR has become more complicated and risky for healthcare professionals and the general public alike. For this reason, it is important for anyone who hopes to be able to administer these life-saving services to have the proper training. Fortunately, a variety of CPR certification coronavirus options are available to people who want to gain the knowledge and skills they need to provide CPR effectively.

When comparing different CPR certification coronavirus training programs, you will find three primary program structures: classroom courses, blended learning and online courses. Classroom courses are conducted entirely in person and typically include both instructional and clinical components. Blended learning CPR programs allow students to complete the instructional component of the court online while requiring students to attend clinical sessions to practice their skills in person. Online courses are conducted entirely over the internet and require no in-person classes or clinical sessions.

Each CPR program structure offers its own advantages and disadvantages. However, online CPR certification coronavirus programs offer clear advantages over the other options, especially with the risks of COVID-19.

Advantages of Online CPR Programs

Choosing to obtain your CPR certification coronavirus training on the internet in the time of the COVID-19 pandemic offers several key advantages. Some of these advantages include:

1. A lower risk of exposure.

In many cases, in-person CPR courses require you to use shared equipment and remain in close proximity to other students for extended periods of time. When you receive your CPR training through a program conducted entirely online, you won’t be forced to attend any in-person sessions where you could potentially be exposed to COVID-19.

2. Flexibility.

Online CPR courses allow you to complete the work at your own pace and in your own time. If you have a busy schedule, or if you prefer to work faster or slower than the average-student, an online CPR certification coronavirus training program will give you the flexibility you need.

3. Low-stress experience.

Getting your CPR training online is much less stressful than a blended learning or traditional classroom-based program. Online training does not require you to travel back and forth to classrooms, nor does it require you to build your schedule around the CPR course. In addition, because no in-person interactions are required, you won’t need to worry about wearing a mask or taking other steps to reduce your risk of disease.

4. Equivalent training.

Even though the structure of an online program is different from blended learning or classroom-based learning, the quality of the training you receive will be the same. Online courses use the same materials and aim to teach the same skills as other CPR course structures. The certification you receive from an online course is recognized in the same way as certifications obtained from other sources.

Get CPR Training from Advanced Medical Certification

Advanced Medical Certification is proud to offer a fully-online CPR certification coronavirus course suitable for both healthcare professionals and members of the general public. The goal of this class is to help you gain the knowledge and skills you need to administer CPR to anyone experiencing cardiac arrest in order to improve their chances of survival. Our CPR course qualifies for AMA Category 2 continuing education credits and does not require you to take a classroom skills exam.

Some of the specific advantages of choosing to receive your CPR training from Advanced Medical Certification include:

1. Exclusive, high-quality materials.

We are happy to provide all the tools you need to complete your course. These study materials are available digitally. The Advanced Medical Certification CPR course is divided into several modules focusing on different topics, including administering first aid, emergency medical conditions, trauma management, environmental injury and illnesses management, CPR, AED and choking in adults, child CPR, AED and choking and infant CPR and choking. Our course also includes skills training videos and an online certification exam.

2. A reliable certification that is guaranteed to be accepted.

We have designed our CPR training and certification program to be just as robust and effective as any other program available, including those conducted in the classroom or in a blended learning format. In fact, if your employer requires you to obtain CPR certification, we guarantee that our certification will be accepted or your money will be refunded. Our certifications are accepted nationwide.

3. Quick and convenient.

Some CPR certification courses may require you to commit several hours over multiple days before your training is complete. Our CPR course can be completed in less than one hour. However, if you want to spend more time completing the course, you can move through it at your own pace. You can even take the course in small amounts of free time over several days if you don’t have the time to complete it in one sitting.

4. No-stress exam.

Before you can obtain your CPR certification, you must pass our exam. However, we have designed this experience to be as low-pressure as possible. The exam is not timed, so you can move through it as slowly or quickly as you want. We offer practice tests so you can be prepared for the actual exam, and we will permit you to take the exam as many times as necessary to pass at no additional charge. If you fail an exam, you will be able to access your results easily so you can resolve any issues and improve your chances of passing on the next attempt.

5. COVID-19 compatible training.

At Advanced Medical Certification, we stay up-to-date on all of the latest developments and recommendations with regard to CPR administration. Our courses incorporate all of the latest guidance and guidelines related to CPR algorithms and COVID-19. You choose to receive your training from Advanced Medical Certification, you can feel fully prepared to administer CPR as safely as possible even in difficult circumstances. In addition, because our program is conducted entirely online, you will not have to worry about any increased exposure to COVID-19. This is especially important if you are a healthcare provider, or if you are a caregiver providing care to someone who may be vulnerable to this virus.

6. No confusion.

Anyone can obtain the online CPR training they need through our course without worrying about confusing expectations or complicated procedures. You can complete the entire course with only a connection to the Internet and a suitable device, such as a phone or computer. Once the course has been completed, you will receive your digital certification card immediately. If desired, you can also request a copy of this card in print and it will be mailed to you.

Advanced Medical Certification makes it easy for anyone to obtain CPR training in the comfort of their own home and on their own time. Our online CPR course is designed to be as flexible and convenient as possible. We also update our course materials continuously to make sure you are getting the best education. Our goal is to help every student to obtain the necessary skills to provide life-saving CPR services in any circumstance.

Because of the coronavirus pandemic, we believe that CPR training is more important than ever before, whether you are a healthcare professional or non-professional. If you are interested in obtaining CPR certification coronavirus, please contact Advanced Medical Certification today. You can also begin the enrollment process for your CPR certification coronavirus training easily on our website.

About Greta

Reach out to Greta at greta.kviklyte@advmedcert.com.

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The best alternatives for PALS and ACLS Certification

by Greta Kviklyte

Life Saver, AMC

Co-authored by Kim Murray, RN, M.S.

posted on Aug 24, 2020, at 9:17 am

If your profession requires you to obtain PALS and/or ACLS certification, you have many different options available. These certifications are available from a variety of sources, making it difficult to determine the best way to gain the required credentials. In light of the COVID-19 pandemic and the risks and restrictions that accompany it, many ACLS and PALS certification students are looking for alternatives to traditional, in-person certification courses. Fortunately, you can safely and easily get the certification you need through online training.

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About PALS and ACLS Certifications

Both PALS and ACLS certifications are life support certifications. Both of these certifications are more advanced than Basic Life Support, First-Aid, and CPR certifications.

group-of-medical-professionals-in-the-hospital-walking

PALS Certification

PALS stands for “Pediatric Advanced Life Support.” According to the American Heart Association, the goal of this certification is to improve the quality of care received by children who are seriously injured or critically ill. Topics covered in the PALS certification course include:

Differentiating between different types of shock
Early interventions in the treatment of shock
Differentiating between respiratory distress and respiratory failure
Early interventions for respiratory failure or distress
Differentiating between patients who require immediate
intervention and patients who do not require immediate intervention
Infant CPR and child CPR techniques
Managing patients after cardiac arrest
Early recognition of cardiopulmonary arrest
Differentiating between stable and unstable patients with arrhythmias

ACLS Certification

ACLS stands for “Advanced Cardiovascular Life Support,” and it has been designed to build on the skills you learned when obtaining the BLS certification. The course aims to teach students a variety of skills, including:

How to recognize and manage peri-arrest conditions
How to recognize and manage respiratory and cardiac arrest
How to perform basic life support skills, including chest compressions, the use of an AED and the use of a bag-mask device
Management of stroke and ACS
Management of airways
Relevant pharmacology
How to communicate with others on a resuscitation team

Who Needs PALS and ACLS Certification?

The PALS certification was created for healthcare providers who respond to emergencies involving infants and children. This certification may also be necessary for personnel who work in critical care units, intensive care units, emergency medicine, and emergency response.

The ACLS certification was created for healthcare professionals who will be involved in the management of cardiopulmonary arrest cases, as well as other cardiovascular emergencies. Healthcare professionals can benefit from acquiring an ACLS certification regardless of whether they will be directing a resuscitation team or just participating as a member of a resuscitation team. ACLS certification may also be recommended for personnel who are involved in emergency response but are not considered healthcare professionals.

While some people may need only PALS or ACLS certification, others may need both types of certifications.

PALS and ACLS Through AHA

The American Heart Association offers both ACLS and PALS courses. Two different structures are available for these courses, including a blended learning option and a classroom course.

While the blended learning option includes an online portion and an in-person portion, the classroom course is conducted entirely in person.

The American Heart Association estimates that the time investment required for each of these courses is as follows:

Blended learning ACLS Full Course – 6.5 to 7 hours for the online portion, 5 hours for the hands-on skill session.
Blended learning ACLS Update Course – 6.5 to 7 hours for the online portion, 2.5 hours for the hands-on skill session.
Classroom ACLS Full Course – 15 hours and 20 minutes with breaks.
Classroom ACLS Renewal Course – 8 hours and 25 minutes with breaks.
Blended learning PALS Course – 6 to 9 hours for the online portion, 3 to 4 hours for the hands-on skill session.
Classroom PALS Full Course- 13 hours and 30 minutes plus breaks.
Classroom PALS Update Course – 6 hours and 20 minutes to 8 hours and 20 minutes plus breaks.

PALS and ACLS Through ARC

The American Red Cross also offers ACLS and PALS courses. Like the ILCOR, their courses are available in blended learning and in-person formats. Blended learning formats allow students to complete the majority of the course online and then meet with an instructor in person for the hands-on skill portion of the course. In-person courses cover all course material and skill training in a traditional classroom format. Streamlined course options are available for providers who have substantial experience.

Benefits of Online PALS and ACLS Certification Programs

If you don’t like the idea of a blended learning or in-person certification course, you can also get the training you need from a program conducted entirely online. Some of the advantages of obtaining your PALS or ACLS certification in a fully online program include:

1. Convenience.

When choosing a blended learning program or an in-person certification, you are required to travel to a classroom for some or all of your coursework. This can be daunting and inconvenient, especially if you have a busy schedule and/or other responsibilities. You will also spend extra money and time traveling back and forth from these sessions. With an online certification course, however, no travel will be required, and all of the time you dedicate to your certification will be spent on course material and examinations.

2. Safety.

In light of the COVID-19 pandemic, most people are trying to limit their in-person interactions as much as possible. Online courses will protect you from any added exposure to illness that would accompany an in-person course. Given that these courses often include many students working near to one another, this is an important benefit, especially for healthcare workers who need to stay well.

3. Flexibility.

Many ACLS and PALS certification programs offer increased flexibility over in-person and blended courses. Online certification courses allow you to progress through the material at your own pace. If you want to complete your certification as quickly as possible, you can move through the course more rapidly. However, if you have a busy schedule, or if you simply prefer to take your time moving through the course, you can move through the material more slowly. If you choose to obtain your certification through Advanced Medical Certification, you can even move through examinations at your own pace.

4. High-quality education.

Online courses can offer the same quality of education as an in-person or blended learning option. The best online courses are based on the same materials used in an in-person or blended learning course. Good quality online certification courses will also qualify for CME credit, allowing you to use them to meet your licensure requirements. Certifications obtained from online programs can carry the same weight as a certification obtained from another source. An excellent online ACLS or PALS program’s certification will be nationally recognized as well.

PALS and ACLS Through Advanced Medical Certification

Advanced Medical Certification is proud to offer both PALS and ACLS certification options in an entirely online format. If you are looking for the easiest and most effective way to earn the certification or recertification you need, our courses are the best option.

Our ACLS Certification Course

Our ACLS certification is CME compatible, qualifying students to receive AMA Category 1 Credits. All course materials and exams are completed entirely over the internet. The course includes exclusive study materials not available from other programs, including both audiobooks and videos, to help you learn the needed skills. As soon as you have completed all of the required coursework and passed the exams, you will receive an instant digital ACLS provider card. We guarantee that your credentials will be accepted or you can receive a full refund. The ACLS certification course available through Advanced Medical Certification costs only $129. Both certification and recertification options are available.

Our PALS Certification Course

Like our ACLS certification course, our PALS certification course will qualify you to receive AMA Category 1 CME credits. The entire course and all required exams can be completed online, and no in-person skills assessments will be required. When you enroll in the PALS certification course from Advanced Medical Certification, you will receive exclusive training videos, audiobooks, PDF handbooks, and access to a skills webinar. Upon completion of the course and satisfactory exam scores, students receive an instant digital PALS provider card. As with our other certifications, we offer a full refund if your certification is not accepted.

Advantages of Choosing Advanced Medical Certification

Advanced Medical Certification recognizes the importance of high-quality training that gives you the knowledge and skills you need to perform your professional duties effectively. We also understand that you need a certification that meets all of your CME requirements and will be easily accepted by your employer. We have carefully constructed our programs to fulfill all of these needs. Some of the most important advantages of our online certifications include:

High-quality Instructional Materials

For each student who enrolls in one of our certification courses, we include all necessary digital study materials and tools. All of the handbooks we offer to our students have been based on the latest provider handbooks. Currently, students enrolled in the ACLS certification course receive materials based on the International Liaison Committee on Resuscitation (ILCOR) 2015-2020 Edition ACLS Provider Handbook, while students enrolled in the PALS certification course receive materials based on the International Liaison Committee on Resuscitation (ILCOR) 2015-2020 Edition PALS Provider Handbook.

All Exams Conducted Online

Every exam we administer is entirely web-based, with no skills exams conducted in person. However, in order to ensure that you have all the information you need to perform the skills you learn in a clinical setting, we offer live skills sessions and webinars with our trained medical educator.

Quick, Convenient Certification or Recertification Option

Our certification and recertification programs require minimal time dedication. In fact, we estimate that our ACLS certification and PALS certification programs will require only eight hours to complete. Our ACLS recertification and PALS recertification programs can be completed in as little as four hours. The speed of this course is convenient for providers and other professionals who have busy schedules and need to take care of certification or recertification with as little time invested as possible.

A Low-Stress Option

Advanced Medical Certification programs can be completed on your own time. There are no time limits on the exam, allowing you to complete it at your own pace. If you are not able to finish the exam in one sitting, for example, you can save your progress and finish it later. If you don’t pass the exam on the first try, you can take it as many times as you need to. Each attempt at the exam will come with a different set of questions.

Although online courses may seem intimidating to some people at first, our program requires very little technology or experience with online learning. All you need is a tablet, phone, or computer that has a connection to the internet and a modern internet browser. All other materials will be provided and included in the cost of your course. Certification cards are provided digitally and/or in print.

Robust, Widely-Accepted Certification

Whether you are receiving your initial ACLS or PALs certification or you are recertifying credentials you have already earned, you can expect the certification you earn from Advanced Medical Certification to be accepted nationwide. Our certification programs cover all the same topics you would discuss in an in-person course, and the skills exams are designed to ensure that you have grasped all of the relevant concepts.

Advanced Medical Certification has already issued thousands of accepted certifications to healthcare providers and other professionals across the world. Our certifications are accepted 98 percent of the time. If your employer refuses to accept your certification for any reason, we will issue a full refund. Our certifications remain valid for two years after the date of completion.

Clear Expectations

If you choose to obtain your certification or recertification from Advanced Medical Certification, you won’t have to deal with any confusion or misguided expectations. The course itself and the requirements for passing are simple and easy to understand. Simply review the learning objectives and disclosures, complete the educational activity, and pass the exam to obtain your certification or recertification. To pass our exams, you must attain a score of at least 80 percent. As soon as you have passed the exam, your digital certification will be available for download. We also mail printed certification cards to students who have completed our courses and request a hard copy of their certification. If you request certification cards, you can expect your card to arrive in five to seven business days.

If you are interested in learning more about our programs, or if you are ready to enroll in one of our ACLS or PALS courses, please contact Advanced Medical Certification today. You can also chat with us or begin the enrollment process on our website.

About Greta

Reach out to Greta at greta.kviklyte@advmedcert.com.

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by Greta Kviklyte

Life Saver, AMC

Co-authored by Kim Murray, RN, M.S.

posted on Jun 23, 2020, at 10:00 am

COVID has swept through our lives, from social events to shopping to feeling safe enough to go outside. In the U.S. alone, we saw over two million confirmed cases during the spring months and over 117 thousand deaths, according to CDC.gov.

We offer Online ACLS Certification and Renewal

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As a healthcare professional, you’ve likely seen firsthand how well your community is managing the spread. And some states are struggling right now. You may be there on the frontlines for battle after battle to preserve life and quality of life while also protecting yourself and loved ones.

Why Get Your ACLS and PALS Online During the Pandemic

Even if we were not currently facing a pandemic, there are many reasons to get ACLS and PALS Online.

It’s convenient. All you need is the Internet and any compatible device.
We’re Joint Commission-certified, so you know you’re taking industry-approved, top-quality courses.
Courses count toward CME credits for licensure and other job requirements 98% of the time.
The courses are self-paced. We know you’re incredibly busy right now. You can do this in your spare time.
This is one place you can avoid people. Everything is online, including testing for your certificate.
Getting certified or recertified ACLS and PALS Online is affordable. You can even get group rates and lifetime recertifications to reduce your relicensure cost year after year significantly.
It’s practical knowledge you can use. After completing these or other online healthcare courses, you’ll be better prepared to deliver care or support more effectively during a code, even if you’re not a professional who typically saves lives.
You’ll have added confidence to navigate the ongoing pandemic challenges.
You may feel less stressed on the job because you feel more prepared.
Getting ACLS and PALS Online may also open doors for advancement, higher payer, or a new job.

If you’re a healthcare worker in elective procedures and other areas that are seeing reduced patient workload, you might also find you have extra time and are wondering how to make the best use of it. This could be it.

Next, let’s take a look at why ACLS and PALS are critical training to have right now.

Why PALS Certifications?

When you think of a cardiac arrest, you might picture an older adult with health issues. But children may require resuscitation too. According to the American Heart Association, 5000, children will experience cardiac arrest each year.

A swimming accident, trauma, or childhood illness could leave them fighting for their life. And while the severity of COVID has been less in children, we have seen children, even seemingly healthy ones, have severe reactions to the disease.

Staying Up-to-Date

The tools and techniques you learn in a PALS online course can save a child’s life and improve the long-term outcome. And even if you’ve taken Pediatric Advanced Life Support before, know that technologies, pharmaceuticals, and best practices change faster with pediatric care. That’s one reason for recertification.

At one time, PALS algorithms were updated every five years in line with ACLS updates. But when it comes to children, new research is continually revealing better ways to treat little bodies. And science is showing that implementing changes sooner can impact children’s healthcare outcomes. So ECC.Guidelines.Heart.Org now updates these guidelines continually. And when they do, we also update our online medical training courses, so you’ll find the source of truth in our classes.

Some of the most recent PALS updates include:

Early, Rapid IV of Isotonic fluids for septic shock.
Removal of Atropine as a Brachycardia preventative
Risks of high-dose Epinephrine and when benefits outweigh the risks
Pediatric Cardiac Arrest Algorithm for Suspected or Confirmed COVID-19 Patients

These are just a few of the many recent changes you’ll learn about when you get PALS online.

PALS Megacodes Improve Outcomes

Even if you are not required to have PALS, taking it can make a significant difference in the outcome of an event with a child. These include preventing brain damage, learning disability, lost speech, and hardship that the child and family may experience for a lifetime, even if the child does survive.

Children’s bodies are not just miniature versions of an adult. They work differently. And even trained healthcare professionals can miss signs that a child needs CPR because adult measures do not apply.

For example, electronic vital sign monitors that are not set correctly based on a child’s age can provide staff with false readings and a misunderstanding of a child’s stability. On these devices, a child may have a rhythm over 60 but actually have no pulse. Human intervention is required when our technologies fail us. PALS trains humans on what to look for to know that everything’s not alright.

Sadly, this is just one type of misunderstanding of child physiology that may explain why only 35-40% of children who experience an event in a hospital survive, according to AHAJournals.Org. Those aren’t odds we think we should have to accept.

Research has shown that PALS Megacodes can improve outcomes. When you take PALS online, you get an opportunity to walk through these simulations to experience these differences in a safe setting before you potentially need to perform resuscitation on a child during COVID or after.

Why ACLS?

ACLS Online is one of the fastest ways to expand your healthcare experience quickly. Each video in the course is designed to provide the most significant amount of training in the least amount of time, without sacrificing quality or leaving you with holes in your understanding. After completing a course, you know exactly what to do within your license. And you’ll even walk through case studies and scenarios that test your knowledge, skills, and retention of what you’re learning.

According to the American Journal of Critical Care (AJCC), facilities make medication errors in emergencies between one and 50 percent. The difference between those ones and fifties almost always comes down to the level of training, particularly mock codes (cardiac event practice scenarios), which AJCC found to Improve nursing response time by 12 percent and time to first compressions by 52 percent, among other improvements.

AJCC also noted the role that confidence plays in these situations. When people are confident, they can stay calmer, act faster, and are less likely to make a mistake, which could end in lost life and a lawsuit.

ACLS represents a level of excellence for professionals and facilities.

Careers Where ACLS Spells Success

When it comes to ACLS, there are many ways that this advanced training can increase your success on the job. What careers need ACLS?

Nurses
Nurses are required to have ACLS to work in critical care. And as our population ages in the U.S., we will have an even greater need for nurses across nursing professions from surgery to nursing facilities. It’s best if these nurses have advanced emergency training.

Demand for nurses is growing at a rate of 12% over the next 10 years, according to BLS.gov. The need is even more significant when you consider the number of nurses retiring each year, adding to the void.

EMTs
EMTs from basic to paramedic benefit from getting ACLS and PALS Online. You’ll be better equipped to manage cardiac emergencies and have the confidence you need to stay calm in the most stressful situations. While it’s true that all EMTs will not have it within their scope of practice to administer medications, ACLS certainly gives you the skills you need to provide a game-winning assist when it matters.

Medical Assistants
Medical Assistants have long played a critical role in many medical offices. And with the nursing shortage anticipated to continue over the next 10 years, it’s crucial that Medical Assistants have advanced training to understand protocols during a resuscitation event and support medical staff in an emergency and understand protocols. Medical assistants are already required to have Basic Life Support (BLS) and CPR for their licenses. Adding ACLS, especially during COVID, when many medical facilities are overwhelmed, shows initiative and ambition that can pay off.

EKG Tech and Other Ancillary Tech
EKG Techs, in particular, play a vital role because emergency EKG administration and interpretation are part of ACLS. Other techs from radiology to pharmacy would benefit from advanced training, depending on their level of work with patients.

Your Questions About Online Medical Training Online

If this is the first time you’ve considered getting ACLS and PALS Online, you likely have a lot of questions specifically about the “Online” part. You may be wondering if you can get the same quality training online that you can in a lab course. So our team here at AMC prepared some of the common questions they get from those considering taking healthcare certifications online. Here’s how they answer.

Can I Get Certified/Recertified 100% Online?

Absolutely. Thanks to modern technology, we can provide you with everything you need online. That includes practical training through case studies and scenarios as well as testing.

No PPE required for these courses. So you can save that $5 P95 for somewhere you’ll actually need it.

What Are Courses Like?

You’ll complete modules on various components of ACLS or PALS through comprehensive videos, audiobooks, and written study guides, all included in the package. Put your skills into action by completing our online ACLS Megacodes and PALS Megacodes, which simulate real-life emergencies in an online setting. You’ll get to make decisions and save a virtual life by applying what you’ve learned in training.

When you’re ready, you’ll take the test to get certified. We understand how busy medical professionals are and how much they get interrupted. So there is no time limit. If you need to leave the test, it will save your progress.

Is Online Training Recognized Everywhere?

That’s a smart question. We have around a 98% acceptance rate nationally. Not bad, right? Most organizations and employers now recognize the power of technology to educate and simulate real-world code scenarios.

You may still run into some situations where getting ACLS and PALS online isn’t accepted. But these are few and far between. We guarantee acceptance or your money back. But you get to keep everything you learned, in the off-chance that that happens.

Do Online Courses Count Toward CME Credits?

Yes, with those rare exceptions discussed above, ACLS and PALS Online are good for AMA Category 1 continuing medical education credits. Our CPR, AED & First Aid Certification, and Bloodborne Pathogens online certifications earn AMA Category 2 credits.

Are These Online Courses Up-to-Date?

You may be wondering, will you be watching videos shot in the 90s that haven’t been updated in years? We can put your mind at ease. We’re Joint Commission-certified for our quality standards. We have an extensive process to consistently review and keep our course materials current with the latest algorithms. Check the new PALS and ACLS algorithms that cover the suggested cardiac arrest algorithms for suspected or confirmed COVID-19 patients.

cover the suggested cardiac arrest algorithms for suspected or confirmed COVID-19 patients.

How Long Is an Online Certification Good for?

Your provider card is valid for two years. You can recert through us at any time, even if your certification has lapsed. You get your card digitally. So you can print it immediately.

Get Your ACLS and PALS Online During COVID

Getting your PALS, BLS, or ACLS certification online is easy. Simply sign up for ACLS Certification or Recertification or PALS Certification or Recertification. We also offer a PALS and ACLS bundle to save you money while keeping you current on advanced healthcare code practices. Get started today.

About Greta

Reach out to Greta at greta.kviklyte@advmedcert.com.

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