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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

healthcare-professionals-in-the-hospital 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

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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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.

We offer Online CPR and BLS Certification

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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.

woman wearing a protective mask in public transport

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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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.

We offer Online PALS Certification and Renewal

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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

medical-nurse-working-on-laptop 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.

Keep reading

What is advanced cardiac life support (ACLS) certification

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ACLS and PALS Online During Covid

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

infant-manikin-compression 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.

Keep reading

What is advanced cardiac life support (ACLS) certification

What Does Basic Life Support (BLS) Stand For?

ACLS vs. ALS

Are ACLS-certified persons, without a prescribing license, allowed to push medications in cardiac arrest emergencies?

by Greta Kviklyte

Life Saver, AMC

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

posted on May 26, 2020, at 1:53 am

MEDICAL INTERVENTION isn’t as simple as it may seem, especially with legalities that have to be considered. A recent Reddit thread has prompted us to think more into the legal side of when and where individual health care professionals can practice their scope of knowledge.

“Is there a doctor onboard?” A classic fear associated with air travel: medical emergencies. Although they aren’t as common as many assume, medical emergencies occur on about 50 U.S. flights every day. Most of these are minor, but some can be life-threatening, such as heart attacks or respiratory issues.

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Source: Aerospace Medical Association

This statistic may seem a bit alarming, but planes are some of the most equipped places to experience cardiac arrest, as laws and regulations have required a surplus of medical equipment, kits, and properly certified staff. The friendly flight attendants and pilots can do much more than serve you pretzels and water, they could easily save your life, as they are all CPR, AED & First Aid certified. Resources for emergencies, especially cardiac emergencies, vary based on location. Still all U.S. aircrafts weighing over 7,500 pounds or more are required to be serviced by at least one flight attendant to carry a defibrillator and an enhanced emergency medical kit.

If you’re not ACLS certified, some of these resources look like gibberish. If you are, these look like a relatively simple, easy to understand list. But what if you are ACLS certified, but don’t have a prescribing license, like an MD, NP, or DO, or are not working under the license of someone else, like an EMT? What if you’re a medical student with ACLS certification, but not working yet?

Legally, you’re not allowed to administer prescriptions to anyone without a prescribing license. Therefore, if someone goes in cardiac arrest on an airplane and there is no doctor on board, can you do anything?

According to the Aviation Medical Assistance Act of 1998, it is the flight crew’s responsibility to determine if a medical student is qualified to intervene with ACLS pharmacology. The act states: “An individual shall not be liable for damages in any action brought in a Federal or State court arising out of the acts or omissions of the individual in providing or attempting to provide assistance in the case of an in-flight medical emergency unless the individual, while rendering such assistance, is guilty of gross negligence or willful misconduct.” (source: FAA Advisory Circular)

The FAA also states that to determine the eligibility and validity of passengers who claim to be medical specialists, they should carry verification of licensure, certification, prescription pad with valid DEA number or business card to help with identification.

So, medical students can’t legally administer ACLS drugs. Still it’s worth noting that this hasn’t exactly been an issue historically, as flight attendants are fully trained to deliver BLS interventions, which are most likely the extent of treatment necessary. In addition to the available help of staff, there is most likely going to be a physician on the flight who can assist where needed. Frank Barr, the director of in-flight training and standards for Frontier Airlines, stated that 40-60% of flights have on-board medical professionals willing to help in a cardiac emergency, reported in an article from the American College of Emergency Physicians.

If you’re a medical student who experiences a cardiac emergency anywhere where there are ACLS protocols available, try and find a physician who you can help. One-rescuer is always less effective than two-rescuer. As a medical student, you will most likely not be the most qualified person on board who can help, but you can facilitate help and provide expertise in other needed areas, such as with CPR, AED, BLS, and first aid response.

If someone goes into cardiac arrest on an airplane and there are no doctor on board, can you do anything? Leave your thoughts below.

About Greta

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

Keep reading

What is advanced cardiac life support (ACLS) certification

What Does Basic Life Support (BLS) Stand For?

Learn More About CPR Certification

ACLS vs. ALS

10 Benefits Of CPR Training For High School Students

by Greta Kviklyte

Life Saver, AMC

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

posted on May 25, 2020, at 3:28 pm

The prevalence of sudden cardiac arrest (SCA) in adolescents and young adults is a significant issue in today’s world. According to the Mayo Clinic, SCA costs the life of one out of 50,000 young athletes annually, and the etiology continues to evolve. SCA implies a person does not realize an underlying cause of cardiac arrest exists. Meanwhile, less than 10 percent of adolescents that suffer SCA survive. However, the introduction of life-saving skills training, such as CPR training, in high schools, can turn this tide, as well as provide students with several key benefits.

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1. It Teaches Life-Saving Skills for Use in Any Environment

ems performing chest compressions in a man

The nature of SCA can provide a false sense of security to high school and college students. Although it routinely occurs during periods of high-intensity exercise, it could strike at any moment. This means SCA could happen in any location, regardless of activity levels. Skills gained in a life-saving course can be used in any environment, and areas where high school students congregate, such as restaurants, classrooms, school facilities, and recreational centers, could become the scene of an emergency.

Even mundane locations, including shopping centers, have an increased prevalence of SCA occurrence among this age group. Of course, knowing how to perform CPR is applicable for adults of any size and age. Shopping malls have the third-highest rate of cardiac arrest in the U.S., reports My.AmericanHeart.Org. Therefore, the life a student saves may not be a classmate; it could be a total stranger or a family member of a friend.

2. Students Learn How to Respond in Emergencies to Those in Cardiac or Respiratory Distress

photo-credit-by-kyle-gregory-devaras-woman-studying

It is easy to assume CPR training only teaches people how to respond and provide life-saving care. Completing the course teaches students about their responsibilities and what they can do to stay safe when responding to emergencies.

For example, a core component of modern training programs is checking the scene for safety. After all, getting yourself injured will not help anyone, even if you are trying to provide care.

3. Students Graduate Knowing How to Use an AED—Critical for Entry to Some Professions

As more companies grow aware of the risk of mortality following cardiac arrest, even when caused by lifestyle factors, CPR Certification will become a prerequisite to employment. Although CPR does provide life-saving support, it is equally important to understand how to apply and use an automated external defibrillator (AED). Certain occupations also mandate such training before ever hiring someone. In other words, health professions and those involved in the direct care of others, such as daycare centers, may not allow anyone without an existing certification to even apply for employment.

4. CPR May Reduce Risky Behaviors in Students

man-unconscious-woman-checking-for-breathing

Completing a CPR course in high school offers significant benefits to participants and everyone they encounter. High school is an already tumultuous time, and no one should face the prospect of increased mortality due to a lack of education. Also completing such courses provide life-long skills that carry over among careers, recreational activities, and personal endeavors. More schools should consider implementing CPR program requirements. Those ready to learn the skills needed to provide care to those in distress should enroll in a life-saving skills course and increase awareness for SCA among today’s youth.

This information may be useful in reducing participation in risky behaviors among adolescents and college students. Due to the prevalence of such activities among today’s youth, instructors may touch on this risk and encourage high school students to avoid risky behavior. Depending on the institution and program, a review of the signs and symptoms of alcohol poisoning may be included, as well as information about the importance of obtaining professional medical help when such symptoms arise, notes the Centers for Disease Control and Prevention.

5. Skills Carry Forward Into College Settings, Including Programs of Study

Skills gained in completing a life-saving course in high school carry forward into college settings too. Although the risk of SCA resulting from congenital disabilities decreases as students near college graduation, the risk of coronary artery disease begins to climb. Unfortunately, the added stress that accompanies college coursework may lead to poor lifestyle choices, including unhealthy diets, lack of exercise, and extreme stress on the body. Such factors contribute to an increased risk of cardiac arrest, and since time lost, when arrest strikes, is the equivalent to decreased survival, those with the skills and training to respond can effectively increase the survival chances of those in need.

6. It Builds Awareness for Cardiac Illness Screenings

The prevalence of congenital heart problems is a key reason for the higher risk of SCA among today’s youth. In high school populations, more than 85 percent of deaths among those under age 25 are attributable to congenital cardiac pathology, says ACC.Org. It is important to note the risk of mortality from SCA increases as individuals age past 25. This is believed to be the result of acquired coronary artery disease. However, risk factors for this disease increase among those with a predisposition to cardiac health problems. Thus, screenings for congenital disabilities build awareness for future risk of coronary artery disease and catch cases where SCA may occur among high school and college students.

7. CPR Training Is Likely to Become Mandated in All States Within Coming Years

Multiple states have enacted legislation to mandate high school students to complete CPR courses before graduating. However, the vast majority have not implemented such legislation. As explained by USA today, the debate over whether students should be required to complete coursework of this invasive nature will likely continue. This is a similar effect of increased vigilance over what students learn and what they are required to do to graduate. For example, some states allow an exemption, without any justification other than personal beliefs, from requiring students to maintain their vaccines.

However, the renewed interest in the debate over vaccines in public health schools will likely translate into an infusion of CPR topics. As a result, more states are likely to mandate CPR training for high school students as a basic graduation requirement.

8. It May Count Toward Graduation Credits or Electives

photo-credit-by-md-duran-students-graduation

In states where CPR classes are not required among high school and college students, another benefit may still exist. Although a CPR classes takes little time, often less than a single day to complete, some schools may count it toward graduation credits or elective requirements. Of course, this aspect of the conversation brings up another point; students engaged in work-school programs may be required to obtain their CPR certification for employment in certain occupations. Since the course takes less time to complete than traditional high school classwork, schools may also implement programs that combine multiple life-saving courses into one.

For example, students may learn how to administer CPR, use an AED, protect themselves against blood-borne pathogens, perform First Aid, and more. The opportunities are endless.

9. Students Completing a CPR Course Begin to Think About Ways to Prepare for Real-World Disasters

Those that complete a CPR class have an advantage in responding to emergencies and preparing for the threat of natural disasters. Over recent years, the prevalence of natural disasters has increased dramatically. Today’s disasters are not just occurring more often; they are occurring with increased severity.

Take the example of Hurricane Harvey. The storm did produce severe damage when it made landfall, but much of the damage resulted from the continuing rain that stalled across much of the Texas coast. Numerous people needed high-water rescues, and many lost their lives. The immediate response when someone is suspected of for the translation in the water is to assess the state of consciousness and basic vital signs, including respiration and checking for a pulse. When someone is neither breathing nor exhibits a pulse, the best course of action is to begin CPR. Of course, preparing for natural disasters through life-saving skills training is not limited to severe weather.

The skills gained from getting a CPR Certification can help students prepare for the threat of natural disasters or emergencies. An emergency can arise out of any situation. Car accidents may occur. A wildfire could lead to respiratory distress, and the risk of another terror attack will always exist. Taking steps to know how to save lives is the cornerstone of effective disaster preparedness. Knowing how to evacuate, creating a First Aid kit, and developing a plan form integral parts of disaster preparedness, knowing what to do to save someone’s life when their heart stops beating or breathing ceases is essential to survival. Therefore, other courses are useful in disaster preparedness, and since the prevalence of natural disasters appears to be increasing, completing a course could mean the difference between overcoming such disasters or lives cut too short.

10. The Life Saved Could Be a Friend, Coworker, Family Member or a Total Stranger

The final benefit of meeting a CPR program in high school is the simplest and the most empowering. High school students in their many restrictions on their lives. They may have responsibilities at home, such as chores or watching after siblings, and they spend countless hours socializing with family and friends. The high level of socialization among high school students makes this age group particularly susceptible to seeing someone suffers from cardiac arrest. Of course, high school students will always rank family members and friends as the most important people in their lives.

Obtaining the skills necessary to respond when that person suffers from cardiac arrest or respiratory distress could save a life. However, saving the life of a total stranger is one of the greatest feelings on earth. It is a sense of accomplishment, a show of compassion, a willingness to stand up for others, and commitment to always to remember that person. High school students could be the people that save the life of a choking victim in a fast-food restaurant, or they could simply be in the right place at the right time. This is the greatest benefit of completing a CPR class while in high school. It builds leadership qualities in people. It connects high school students with the rest of humanity.

Consider Developing a Program for High-School Training Courses Now

photo-credits-by-sam-balye-students-in-classroom

Has your school implemented a free or mandated CPR course? Share your thoughts and this article on social media now to help build awareness for SCA in high school and college students. Anyone can become a life-saver, including those that are still in high school or simply spending time with their friends.

About Greta

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

Keep reading

What is advanced cardiac life support (ACLS) certification

What Does Basic Life Support (BLS) Stand For?

ACLS vs. ALS

EMT Training Options You Need to Know

by Greta Kviklyte

Life Saver, AMC

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

posted on Feb 29, 2020, at 1:57 pm

From heart attack through injury, the chain of survival follows a common path. Recognize the emergency, activate emergency medical services (EMS), begin life-saving measures, obtain defibrillation for cardiac arrest, and begin basic and advanced emergency medical services, says CPR.Heart.Org. While it’s easy to focus on the value of chest compressions and first aid, as found in the course here, the biggest factor for out-of-hospital incident survival is obtaining EMS. Emergency medical technicians (EMTs) go through rigorous training to respond to the most high-stress of health care fields, working in people’s homes, stranger’s facilities, and everywhere in between to bring life-saving care to those that cannot make it to a hospital on their own.

We offer Online ACLS, PALS and BLS Certification and Renewal

Through EMT training, these remarkable individuals become lifesavers that go above and beyond daily, and the movement toward this career is expected to continue.

According to the U.S. Bureau of Labor Statistics (U.S. BLS), the demand for EMTs and Paramedics will increase 7% by 2028. Annual pay ranges from $22,760 to $58,640. The difference in wage reflects the culmination of EMTs across all levels, employment types, and experience. With demand expected to grow faster than the national average from all occupations, more students and health professionals will start considering their EMT training options and how to enter the fast-paced field.

To that end, those interested in moving to EMS should take the time to understand the various certification and licensing levels, how long EMT training may take, renewal requirements, and 10 tips to make training successful.

EMT Certification and License Vary by State

A big problem for prospective students interested in EMT training is deciding what course to take. No, this does not mean figuring out what institutions offer EMT training. Instead, it focuses on how far students wish to take their careers. While the National Registry of Emergency Medical Technicians (NREMT) maintains accreditation and records for all students that complete a program and pass examination, individual states have the authority to set different levels of EMT training and positions. The National EMS Scope of Practice Model, published by EMS.Gov, sets four specific levels for EMT training and employment that include:

Emergency Medical Responder (EMR)
EMT
Advanced EMT
Paramedic

A more robust description of each form of EMT training and occupation is as follows:

EMR

The EMR level is primarily a basic, initial assessment EMT. While this person does not necessarily have the title of EMT, he or she is responsible for initiating lifesaving care, including Cardiopulmonary Resuscitation (CPR) and Basic Life Support. These individuals work under the direction of an advanced medical professional, such as a Paramedic or Transport Nurse, and may use an AED, stabilize suspected cervical spine injuries, maintain bleeding control, and assist with emergency patient movement. High school students may also complete EMR training, and some schools, such as Jefferson High School, says the Marshall News Messenger, have taken the steps to offer basic and advanced EMT programs for students that can sit for the examination after turning age 18.

EMT

The EMT is a position that serves to provide basic emergency medical care and transportation for patients. The person must function as part of the comprehensive EMS response, comparable to an EMR. This position also includes the obtaining of vital signs, documenting a brief medical history, assisting patients with taking personal medications, administering oral glucose or aspirin, and applying a pneumatic anti-shock garment.
In some states, such as Texas, the levels are split into EMT-Basic, EMT-Intermediate, and EMT-Paramedic. For this reason, all three levels in Texas have the title of EMT. However, the EMT-Basic is most comparable to an EMR. Again, the differences in states may mean that a person with an EMT-Basic may work in EMR positions or as an EMT, depending on education and experience.

EMT Advanced

The advanced form of an EMT further complicates the levels. The EMT-Advanced is comparable to an EMT-Intermediate in Texas. The individual gains skills to bandage wounds, address serious medical emergencies, and may have the authority to administer medications in the presence of a higher-trained EMT. The type and variety of medications that an EMT-Intermediate or Advanced EMT may administer again varies by location. A few notable skills of an EMT Advanced level worker include establishing and maintaining IV access, administration of nitroglycerine, administering epinephrine, providing inhaled beta agonists, giving Narcan or administering nitrous oxide.

EMT Paramedic

The EMT Paramedic, or more simply Paramedic, is the most advanced form of an EMT. This allied health professional provides a comprehensive set of emergency medical care services, using both basic and advanced equipment. Paramedics may administer a wide variety of medications, start intravenous or intraosseous fluids, begin infusion of blood or blood products, and more. The Paramedic also commands the ambulance, so he or she carries the responsibility of making complex decisions and determining what to best care for each unique patient. Paramedics may also work on helicopters and planes to safely transport patients.

A Fifth Level: Pre-Hospital Nursing Courses Mirror EMT Training Programs

In addition to traditional EMT programs, some hospitals and health organizations have taken the initiative to train nurses, specifically RNs, to work in ambulances and provide added support. In such cases, the RN would take an EMT training course that would allow for working as a Transport Nurse. Furthermore, Transport Nurses may also work in flight capacities, explains EveryNurse, moving patients by plane, administering care under the direction of a physician, and covering paramedic staff shortages.

Other Levels Specific to an Individual Program or Course of Study

Individual counties and hospitals may also create added EMT-like programs to better serve community needs. While sources and statistics vary, dozens of different titles and meanings exist for these professionals across the country. They all tend to reflect one of the four primary levels of EMT training and work listed above.

Length of Time to Complete EMT Training

EMT training requirements also differ by level and state. The eligibility requirements for someone wishing to work as an EMR include completion of an accredited EMR training program. These programs may be as short or require up to eight weeks. Some areas may offer a short, one-day EMR training course that does offer minor EMT training, but it falls short of eligibility to work in the back of an ambulance. EMRs may also attain the designation of EMR prior to age 18, and the course takes approximately 12 hours to complete, depending on the program.

Obtaining a Basic EMT Certification requires approximately 150 hours of specialized instruction, says the U.S. BLS. Advanced EMT training requires approximately 400 hours of instruction. Paramedics have the longest duration of EMT training—around 1,200 hours. However, those that pursue a Paramedic Certification may also quickly qualify for an Associate’s or Bachelor’s degree.

It is important to note that while the courses generally include all necessary classwork to obtain the respective certifications, some programs may require students pursuing an Advanced EMT training program or higher complete prerequisite classes at an approved educational institution. For example, students interested in becoming a Paramedic may need to complete an Anatomy and Physiology course prior to enrollment. To avoid delays, interested students should review pre-requisite requirements prior to enrolling in any program.

10 Tips for Learning the Most From Clinical Ride-Alongs

emt-rescuers-patient-ambulance Since EMT training includes clinical ride-alongs in ambulances and in-hospital, hands-on experience, it helps to have a few tricks to maximize learning experiences and keep track of new skills.

1. Get Plenty of Sleep

The first tip might seem unhelpful. But, getting enough sleep is essential. Unlike classroom work, the clinical setting is an active environment, and tired students could make mistakes that cause poor health outcomes for patients. Regardless of what is happening in the social realm, ensure you get a full night’s rest before going on any clinical trips.

2. Complete all Required Applications, Focusing on Why You Want to Enter EMT Training

The next step is completion of the physical application for the program. Since the EMT training program is an evolving career, it may be necessary to reapply for subsequent semesters or training sessions. It depends on the specified policies per institution. When completing any application, always stay forward-thinking and answer any questions fully and to the best of your ability. Since the field of EMTs is expected to grow, more programs are following competitive entry processes, requiring students to pass strict tests and complete essay-like questions. So, take the time to brush up on your grammar and spellling along the way. To help that point, there are four hidden errors in this tips’ section. Can you find them in three minutes or less? If not, it’s time to review your writing skills.

3. Review Course Materials Daily

Review all course materials assigned prior to attending clinicals. If you are uncertain what the next topic will be, consider reviewing your outlined notes and pysiology books as added preparation. Also, reviewing medication abbreviations will go a long way in building your skills.

4. Keep a Small Notepad on Hand

A small notepad is a great tool for taking notes. While your phone might have numerous note-taking apps and resources, using your phone in the clinical setting may spread pathogens and contribute to poor patient outcomes. Also, avoid taking notes when wearing gloves.

5. Write Down Top Learning Notes at the End of Each Day

At the end of each day write down a list of the top things learned from that experience. This list can be ongoing within your notepad, or it may also be a review of your primary experiences. It is up to you to decide what to write. Just remember to avoid mentioning any patient information that is protected under HIPAA in it.

6. Focus on the Needs of the Patient and How to Best Address the Problem

The next tip is to think like an EMT. This means looking to the patient to figure out the most severe problem and how to best address the situation. Do not worry; the Paramedic or other instructor will be in charge. The challenge is for you to determine what the next best step will be and how it will help the patient survive.

7. Apply Skills Per the Clinical Instructor

During clinicals, hands-on instruction can be overwhelming. Try to overcome your fears of working with patients by applying your skills. If some thing does not make sense, ask.

8. Stay Open to Learning New Skills

Keeping your mind open to new experiences during clinicals will teach you more in a day than you can imagine. In the EMT field, new experiences can range from car accidents through people experiencing mental health crises. In fact, consider reviewing other materials, such as Mental Health First Aide, noted here, to help prepare for the unexpected.

9. Join or Create a Peer Study Group for Discussing Different Experiences and Skills

Unlike in-hospital clinicals, the experiences in the back of an ambulance are always changing and moving. The experiences you have may not be the same as your peers. Consider joining or creating a study group to discuss experiences and learn as a team. This tip also has the benefit of teaching students to work together—a critical skill for EMTs and all health professionals alike.

10. Get Your CPR and BLS

Taking the step to obtain your CPR and BLS Certification prior to enrolling in EMT training demonstrates your willingness to stay prepared and be ready to respond. Remember that EMTs are driven by response, so any pre-emptive measure in school will lend itself to better preparedness in the ambulance and other clinical settings. More importantly, EMT training programs may require all applicants to complete basic CPR and BLS courses before applying. However, some EMT-Basic programs may also include CPR and BLS initial training as part of the course. It all depends on the course provider.

Become a Lifesaver; Start Thinking About EMT Training for Your Next Career Move

EMT training is a great way to give back to the community and become a more focused professional. EMTs deal with a variety of circumstances and literally save lives. While EMT training requirements vary by level and state, the career opportunities are significant. It is a fast-growing, well-paying aspect of the health industry, and by learning more about the field, you can be better prepared to succeed and save lives as well.

Have you thought about becoming an EMT? If so, share why you want to enter the excitement of pre-hospital care, as well as this article, to social media now. Also, take the next step by enrolling in your life-saving skills course, such as the one available here, today.

About Greta

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

Keep reading

What is advanced cardiac life support (ACLS) certification

What Does Basic Life Support (BLS) Stand For?

ACLS vs. ALS

PEA vs Asystole: A Primer

by Greta Kviklyte

Life Saver, AMC

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

posted on Jan 27, 2020, at 2:41 pm

Pulseless electrical activity and asystole are deadly algorithms if left untreated. According to International Liaison Committee on Resuscitation (ILCOR), pulseless electrical activity refers to any rhythm that occurs without a detectable pulse; however, it excludes ventricular fibrillation (VF) and ventricular tachycardia (VT). Asystole is the more life-threatening arrhythmia. Also known as flatline, asystole occurs when all cardiac electrical activity stops and eventually presents itself in all dying individuals. With that in mind, these arrhythmias are not death sentences, provided appropriate action is taken in a timely manner.

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For those new to the Advanced Cardiac Life Support (ACLS) algorithm, which is taught in courses across the country, such as the one available here, understanding the difference between these two rhythms is critical to maximizing patient treatment outcomes and avoiding adverse interventions during care.

What Exactly Is Asystole

Asystole does not occur without a cause. An event, trauma, injury, or literal electrical shock may stun the cardiac muscle and lead to asystole. This is known as secondary asystole. Asystole may also occur from a failure of the electrical nodes in the heart to generate an action potential (contraction), known as primary asystole. Primary asystole occurs when the sinoatrial (SA) node or atrioventricular (AV) node fails to trigger an action potential.

pulseless electrical activity and asystole

Remember that an action potential describes the depolarization of a cell in response to a stimulus. In this case, the SA node begins the depolarization process, triggering the depolarization of the right atrium. As the pulse moves downward, the right ventricle contracts pulsing blood back up through the pulmonary artery and to the lungs. When asystole occurs, the blockage of an action potential results in a loss of rhythm and heartbeat. With that in mind, primary systole may result from a unique type of bradycardia, bradyarrhythmia.

It may result from multiple forms of trauma, says EMedicine.Medicscape.com. For example, these conditions may contribute to asystole:

Retrobulbar block
Eye trauma
Maxillofacial surgery
Hypersensitive carotid sinus syndrome
Glossopharyngeal neuralgia

Each of these conditions involves damage to the nerves surrounding the neck, face, and head.

Secondary asystole occurs when factors outside of the nerve system and the heart’s electrical conduction system fail. This results in a failure to generate any depolarization of cardiac tissue. In other words, the heart’s electrical system still functions, but it does not have the power to generate an action potential. The most common pathway to this form of asystole is hypoxia with metabolic acidosis.

Both types of asystole may also occur untreated ventricular fibrillation and before attempts to defibrillate.

What does that mean? Consider the reason asystole is an unshockable rhythm.

Why Is Asystole Unshockable

Health professionals dealing with someone in cardiac arrest tend to view medications and electrical stimulation (defibrillation) as the best ways to encourage return of spontaneous circulation (ROSC).

That is where the crux of ACLS lies. It provides a path for health professionals to encourage ROSC. It is that simple. If the heart’s electrical system cannot be moved into a rhythm capable of defibrillation or if it fails to achieve ROSC, the person dies.

What Exactly Is Pulseless Electrical Activity

Pulseless electrical activity, or more commonly referred to as PEA, can seem like a pre-emptive factor to asystole. Given that all cases resulting in cardiac arrest that do not achieve ROSC will eventually result in asystole, PEA can appear like nothing more than a warning sign. However, arrhythmia is much more complex.

PEA occurs when a major bodily problem leads to the inability of cardiac muscle to generate enough force to move blood through the chambers after depolarization. In other words, depolarization does occur, but for some reason, it is not strong enough to generate an actual heartbeat.

What Are the Causes of PEA

PEA is usually the result of a “profound cardiovascular problem,” says Medscape. For instance, hypovolemia, flow-restricting emboli, hypoxia, and metabolic conditions may lead to PEA. The full list of potential causes of PEA include all reversible causes of arrest, the H’s and T’s, which include and are listed online here:

Hypoxia, which occurs following suffocation or failure of the lungs to properly oxygenate the blood.
Hydrogen ion buildup, also known as acidosis, which may result from problems of the endocrine system or even non-medically supervised dietary changes.
Hypo/hyperkalemia, which describes the buildup or decline in available potassium within the body, resulting in an imbalance of cellular tissues and problems generating or sustaining an action potential.
Hypoglycemia, occurring from a rapid decline in blood serum glucose levels.
Hypothermia, resulting from prolonged exposure to the elements, particularly the extreme cold.
Tension pneumothorax, describing the changes within the pressure of the chest cavity, resulting in an equalization between exterior pressure and the inside of the chest wall, which makes it impossible to inhale.
Tamponade of the heart, which may result from a tear of the coronary vessels, resulting from an obstruction or even an infection causing the protective covering of the heart, the pericardium, to fill with fluid.
Toxins that lead to added strain on the body and may lead to the aforementioned causes of arrest, and toxins may also include severe allergen responses, such as anaphylactic shock.
Thrombosis of the coronary vessels, preventing the perfusion of blood into cardiac tissues.
Thrombosis of the pulmonary vessels, leading to a lack of adequate oxygenation of blood.
Trauma, which may lead to any aforementioned cause of arrest.

Any H or T factor may lead to PEA. However, they have a few commonalities.

For instance, any condition may lead to decreased contractility of the heart. If the blood volume is insufficient, due to hemorrhage, any contraction will still not carry enough blood flow to support reoxygenation and provide nutrients through the coronary vessels. Meanwhile, depletion of ATP reserves, the energy-compound of cellular tissues, could lead to a failure of the heart to release after contract. Remember that ATP serves the as the release mechanism when it binds to sarcomeres after an action potential occurs within the muscle. Regardless, the most common reversible causes of PEA include hypovolemia, pump failure, and obstruction to circulation, such as choking or even trauma.

The Unique Case for PEA and Bradycardia in Pediatric Care

compression, asystole, pea According to NCBI.NLM.NIH.GOV, the guidelines for Pediatric Advanced Life Support, which are also available online here, have a unique view of when to diagnosis PEA in children. Unlike adults, which enter bradycardia when the pulse drops below 60 beats per minute (BPM), the threshold is slightly different for children. Health professionals should carefully monitor any child in distress for signs of decompensation and the onset of bradycardia. Since younger children have faster heart rates, the threshold for bradycardia is significantly higher than the 60 BPM threshold for adults.

In fact, the ILCOR recommends the initiation of chest compressions and treating the rhythm as PEA once it declines below 60 BPM in children. This ensures adequate perfusion of tissues and promotes ROSC.

When Can a Shock Be Initiated

Both PEA and asystole remain non shockable rhythms. With that in mind, treating the causes of arrest should lead to a period where the rhythm enters a shockable state. Most importantly, continuation of the ACLS algorithm and working through its steps will include reassessment of possible causes of arrest and differential diagnoses. Thus, health professionals should maintain vigilance over when the rhythm converts from PEA or asystole to a shockable rhythm, such as ventricular or atrial fibrillation.

If a pulse is found, proven not be residual from chest compressions, review the electrocardiogram (EKG) reading.

For reference, both the EKG for ventricular fibrillation will have a squiggly appearance, and no discernable P-Wave, QRS complex, or T-Wave exists, but activity remains. The image below shows some differences among the waveforms:

When electrical activity moves beyond the level of fibrillation and appears to not represent any particular rhythm, it may be described as PEA. Most importantly, it is possible for any arrhythmia to become PEA when it does not generate a pulse and provide adequate perfusion. In these cases, it still carries the PEA diagnosis, but the cause of arrest is directly interfering with either the EKG’s accuracy or the cause of arrest, such as trauma, is beginning to inhibit the ability of the body to maintain a regular rhythm.

As soon as the body returns to a shockable rhythm, administer the shock, and proceed with the ACLS algorithm immediately. Time lost is brain lost, and the chances of positive outcomes dwindle. All health professionals need to learn to recognize and understand both PEA and asystole as unshockable and requiring immediate intervention. Furthermore, epinephrine in high-dose administration and traditional vasopressor use has been changed in recent years. Despite the changes, individual health facilities may follow additional protocols that supersede any recommendation by the ILCOR or other governing body. So, all providers should check with their respective employers or facilities to understand and know the appropriate ACLS protocol for those facilities.

What Is the Official Recommendation for Vasopressors During ACLS

When either PEA or asystole occurs, the ILCOR updated guidelines recommend against the use of atropine during ACLS. Atropine, which does have some evidentiary support for its use, was found to offer no therapeutic benefit to patients. Thus, the ILCOR removed it from the ACLS algorithm in its entirety. Meanwhile, standard dose epinephrine remains the vasopressor of choice for ACLS. With that in mind, an alternative vasopressor, such as vasopressin, may be used to supplement or replace epinephrine at the provider’s discretion.

This recommendation does require health professionals that do not meet the level of health provider, i.e. nurses, should defer judgement to the appropriate facility protocol or ordering physician, physician’s assistant, or nurse practitioner.

There does exist another instance in which high-dose epinephrine may be acceptable in the course of treatment of cardiac arrest. It involves administration to those suffering from anaphylactic shock. Since this shock is an immune system response to a given allergen, such as an insect sting or consumption of certain foods, high-dose epinephrine remains a strong measure to drive the cause of arrest for such instances—obstruction of the airway due to allergen response—into retreat. Thus, this is the one instance where high-dose epinephrine may be used in conjunction with the remainder of the ACLS algorithm to improve survival chances and positive outcomes.

Know the Difference Between PEA and Asystole

Lacking a pulse is different from asystole, despite the parallels between the connotation of both terms. Asystole is the flatline reading where all electrical activity within the heart ceases. PEA, on the other hand, may include randomized, fibrillation-like activity, but it does not rise to the level of actual fibrillation. Recognizing the difference between the two on an EKG and understanding how to treat a person in either rhythm is critical to maximizing chances of ROSC.

Have you ever been in a health facility where someone did not know how to determine between PEA and asystole, or have you ever considered a child’s care when his pulse drops below 60? If so, share your experiences and how you worked to help save lives today. Also, remember to enroll in a life-saving skills course, such as the one available here, to learn more about how to distinguish between asystole, PEA, and other life-threatening arrhythmias.

About Greta

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

Keep reading

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What Does Basic Life Support (BLS) Stand For?

Learn More About CPR Certification

ACLS vs. ALS

How Hands Only CPR Increases Survival

by Greta Kviklyte

Life Saver, AMC

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

posted on Dec 19, 2019, at 10:50 pm

Cardiac arrest prevalence remains a serious concern for health professionals and the public. According to the most recent American Heart Association (AHA) update, 366,807 people in the U.S. lost their lives due to cardiac arrest. Most importantly, most cardiac arrests occur outside of the hospital. Arrests most often occur in public settings (39.5%), residences (27.5%) and nursing homes (18.2%). Obviously, health professionals recommend conventional cardiopulmonary resuscitation (CPR) steps, as seen in the course here, at all times, but the risk of mortality increases when people fear making mistakes when administering CPR. To increase survival, hands only CPR is an acceptable alternative to witnessed, unexplained collapse or arrest.

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The Difference Between Traditional CPR and Hands Only CPR

The difference between traditional CPR and hands only CPR is simple. Hands only CPR is a compression-only approach to helping a person survive a cardiovascular event. The AHA recommends pushing fast and hard in the center of the chest. This approach is applicable to all adults, but it does have a few important exclusions. Health professionals do not recommend the use of hands only CPR for infants, children and drowning victims. For these instances, conventional CPR is the Gold Standard.

Hands Only CPR training may vary slightly in the recommendations for approaching a victim. Those that do not suffer arrest in one of the above-listed events will benefit most from conventional resuscitation. However, for all cases where the victim is an adult and involved a witnessed collapse, the use of hands only CPR is an acceptable, viable solution.

At the same time, it is important to note that just because a person is a drowning victim or under the age of 18, those without CPR training and unable to contact EMS should initiate chest compressions. While this goes against the current recommendations, any CPR is better than no CPR. In fact, additional studies have proven an increased rate of survival for hands only CPR compared to those that did not receive help until EMS arrives.

Why People Value Hands Only CPR

The effects of hands only CPR go beyond survival to the hospital. Even when someone suffers an out-of-hospital (OOH) cardiac arrest, their risk of survival drops dramatically. Those that receive CPR (46%) may survive, but the overwhelming majority, 75%, do not survive to discharge or suffer additional poor outcomes, including permanent brain injury, paralysis and more.

In addition, hands only CPR possesses a record of accomplishment that goes beyond conventional CPR for untrained individuals. In terms of survival, notes NCBI.NLM.NIH.GOV, those that received hands only CPR appear to have a higher chance of survival than those that received conventional CPR. In a group of 1,842 studied individuals, 33 more people survived past hospital discharge in the hands only group than the convention group.

Hands only CPR should never replace conventional CPR when a trained individual knows how to perform traditional CPR. These studies focus on untrained, bystander-initiated hands only CPR, not inclusive of past CPR training. As a result, anyone with experience and training has a duty to ensure the proper use of chest compressions and rescue breaths to increase survival chances.

Among bystander-initiated responses, those without appropriate CPR training often underperformed rescue breaths, rendering the use of such breaths meaningless. The distinction means even those that attempted to perform rescue breaths were unsuccessful and effectively interrupting chest compressions without purpose.

Populations Served by Hands Only CPR Training

Anyone without formal CPR training will benefit from hands only CPR education. Due to its simplicity, anyone capable of recognizing a person’s collapse and physically able to push down in the center of the chest can perform hands only CPR. In fact, the use of hands only CPR has garnered attention around the globe, and researchers in Sweden have studied it in relation to other forms of CPR outside of the hospital setting. In OOH arrests, as few as 40% of victims do not receive CPR. Approximately 39% received conventional CPR, and 20% received compressions only. In the time period of 2000 to 2005, 2006 through 2010, and 2011 through 2017, during which Sweden began to roll out the use and recommendation of hands only CPR to the masses, arrest survival rates grew significantly, says ScienceDaily.com.

Throughout all focus periods, standard CPR rates continued to climb. Between the first and second phases, standard CPR rates in OOH arrests grew 9.4%. However, the biggest jump included the use of hands only CPR throughout all phases, moving an astonishing 28.2% over the 17-year period for any bystander-initiated CPR. At the end of the third period, hands only CPR rates had grown more than 25% as well.

The study further found that recipients of hands only CPR had a 200% increase in survival chances beyond 30 days. Researchers do note; however, that any form of CPR—even when incorrectly performing rescue breaths—is more effective than simply waiting for EMS to arrive.

The Science Behind Hands Only Resuscitation

The science behind hands only CPR goes back to the pre-arrest oxygen levels within the body. A person may enter arrest for a variety of reasons, ranging from hypothermia to tachycardia. A lack of oxygen remains the biggest threat when someone enters cardiac arrest, and since oxygen is in the lungs, why not take advantage of it?

The use of hands only approaches effectively “buys some time until someone comes to get the heart started again, says Dr. Clifton Callaway, vice chair of emergency medicine at the University of Pittsburgh Medical Center via Reuters. Oxygen remains in the lungs when a person collapses, and the principles of diffusion of oxygen across the membranes in the lungs continue. The compressions replace the physical mechanism of the heart—pumping blood through the body and to the organs.

An additional advantage exists within hands only approaches. Eliminating the need to reposition the head, check for signs of respiration, and feel for a pulse means people can begin life-saving measures faster—a critical concern for 911 operators walking someone through the steps to respond. Also, hands only CPR is an effective way to perform life-saving measures when fear of bloodborne pathogens, as seen here, is an issue.

Common Questions About Hands Only Resuscitation

Those interested in learning more about hands only CPR and its use may have some questions, including:

How Long Does Hands Only CPR Really Work

Hands only CPR is not a long-term solution to arrest. It requires responders contact EMS or other trained health professionals as soon as possible. As an interim solution, bystanders must never rely solely on hands only CPR to restore a person’s circulation for periods beyond the typical EMS response time. If anyone in the vicinity comes forward with training and knowledge of how to perform conventional CPR, switch to the inclusion of rescue breaths and appropriate responses. Unfortunately, no study exists to determine the exact length of time a person may maintain circulation and oxygenation of tissues with hands only resuscitation. However, that fact must not dissuade bystanders from providing hands only CPR.

Do the Principles of Hands Only CPR Work for Choking Victims

Hands only CPR is advised for when people collapse without explanation. If someone collapses while eating, choking is the most likely cause. This is where hands only CPR and choking intervention begin to mirror one another. If a person chokes and loses consciousness, the advised steps include attempting rescue breaths. If the breaths do not go in, guidelines advise for the initiation of chest compressions. The compressions serve a dual purpose, forcing enough air through the trachea to dislodge an object and maintain circulation. Without appropriate oxygenation, a person will enter cardiac arrest, so still, hands only CPR may be necessary additional trained EMS personnel arrive.

Does EMS Still Need to Be Contacted When a Person Regains Consciousness

Any incidence of cardiac or respiratory arrest warrants a visit from EMS. Even if the person regains consciousness and does not wish to see a health professional, always contact EMS. This is the best course of action, and if the cause of arrest is left unchecked, it may recur.

What About Special Circumstances, E.G., Obesity or Pregnancy

The use of hands only CPR for special circumstances, such as obese individuals or pregnant women, remains the same. In both cases, the person performing compressions should move the placement of the hands further up to the middle of the chest. This allows for sufficient chest recoil and avoid risking injury to either an unborn child or pushing unnecessarily into fatty tissue.

Does a Person Still Need to Check for a Pulse in the Steps to Hands Only CPR

Not really, but this is a point of debate in hands only approaches. By definition, hands only CPR is used when a person collapses without reason, and it involves avoiding all delays. So, it is reasonable to not check for a pulse when responding. More importantly, taking extra time to feel for a pulse adds to the delay and could lead to poor outcomes.

How Do I Know How to Push Fast Enough

Pushing fast enough is another concern. The easiest way to ensure compression rates of 100 to 120 beats per minute is to think of a few songs with similar rhythms. For example, reports Today, these songs have a beat that works well with the advised compression rate:

Stayin’ Alive by the Bee Gees
Dancing Queen by ABBA
Hard to Handle by the Black Crowes
Sweet Home Alabama by Lynyrd Skynyrd
I Will Survive by Gloria Gaynor
Crazy in Love by Beyoncé and Jay Z
Just Dance by Lady Gaga
Hips Don’t Lie by Shakira

Of course, any song with similar steps or rhythm will work, so those concerned about compression rates should consider reviewing the beats of their favorite songs to find one that’s easy to remember.

Gain the Power to Save Lives With the Most Basic Form of Care—Hands Only CPR

Saving lives is a major undertaking, and bystanders have a responsibility to act when someone suffers cardiac or respiratory arrest. While society grew comfortable with the idea of some trained individuals, the need for more intervention became clear. Today, the use of hands only resuscitation is a viable option and saves lives, especially when compared to not receiving CPR at all.

Have you ever had to perform hands only CPR? If so, share your thoughts and this article to social media now. Also, if you’d like to further your skills, consider enrolling in an online, conventional CPR course, such as the one available here.

About Greta

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

Keep reading

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How the Opioid Algorithm Saves Lives

by Greta Kviklyte

Life Saver, AMC

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

posted on Nov 22, 2019, at 3:59 am

The opioid epidemic represents a grave threat to society. Opioids cost the lives of more than 70,000 people in the U.S. in 2017. Around the globe, opioids continue to shatter lives. According to the World Health Organization (WHO), 34 million people used opioids in 2016, and approximately 450,000 people died. Unfortunately, the life-saving measures used to combat an opioid overdose, part of the opioid algorithm, remain out of reach for millions. Out of the thousands of people that overdose on opioids, less than 10% receive the come-back-to-life drug, naloxone. The problem is severe, and the only solution is to understand how to respond to those in need, in the throes of an overdose, and why immediate intervention, including the use of life-saving skills, as shown in the courses here, is key to survival.

We offer Online ACLS, PALS and BLS Certification and Renewal

What Opioids Caused the Epidemic

Prescription opioids, as well as black market opioids, lessen the respiratory rate and contribute to a higher mortality risk. Part of the problem derives from the perceived safety of opioids. According to the New York Times, such perception led to countless, legitimate uses for opioids. Yet, they came at a cost, and many grew dependent on the highly addictive chemicals. The writing was on the wall, but it was too late. By 2017, prescription rates for opioids dwindled, but more powerful, black market opioids, including fentanyl and heroin, replaced the traditional prescriptions. Now, those suffering with addiction amplify their risk with each pill, injection or substance.

These illicit substances pour into the U.S. from China and through Mexico. In a sense, the internet played a role in the worsening of the epidemic. In 2017, black market opioids were associated with more than 28,000 overdose cases, slightly more than half the total number of overdoses in the same year. With the risk on the rise, the courts look for a way to lessen the grip of the epidemic, and their focus shifted to the drug manufacturers. They are on the hook for multiple lawsuits, alleging their recklessness in promoting opioids as a safe solution to pain management have a legal ramification to the tune of $50 billion. Sadly, this number barely scratches the surface of the costs of the epidemic. To truly fight the problem, health care professionals, community leaders and members, politicians, educators, and corporations need to come together and understand the scope of the epidemic and how the opioid algorithm can save lives.

Opioid Overdose Risks Don’t Discriminate

overdose on opioids The risk of an opioid overdose was historically limited to those at a greater risk for receiving an opioid prescription to treat pain. In recent years, the faces of the epidemic shifted to Caucasian families, regardless of socioeconomic status, notes NPR.org. Experts disagree on why the epidemic seems to have targeted Caucasians, but it may have roots in the lack of access to care among minorities. Those without access to care may have never received an opioid prescription in the first place. Now, the NPR article was published in November 2017, and since that time, the mortality rates of the epidemic shifted closer to illicit opioids.

Anyone that takes opioids has an increased risk for becoming a victim of opioid overdose and substance use disorder.

For example, an assumption exists that higher dosages reduce pain more than lower dosages. As explained by the Centers for Disease Control and Prevention (CDC), higher dosages have never been found to be more effective than a more traditional dosage, 22-50 morphine milligram equivalents. Furthermore, the MME of each opioid prescription should reflect the needs of the patient, not just the threat of pain. In other words, prescribers need to focus more on long-term benefits versus short-term paid reduction. The solution is to avoid unintentional overdose and reduce the risk of encouraging the development of a substance use disorder. As a result, the solution, including the use of the opioid algorithm, must go beyond the physician’s office and delve into the community, including law enforcement and first responders.

First Responders Look to Reduce Mortality

The manufacturer of naloxone, reports Narcan.com, Emergent has taken the initiative to empower first responders to reduce opioid mortality. Instead of a traditional injection, the company developed a Narcan nasal spray, eliminating the risk of cross-contamination or unintended harm to victims of overdose. While police officers may have the training to perform life-saving measures, they may not have nursing or medical licenses. As a result, their skills are limited, but the new push for first responder-initiated use of the opioid algorithm, will help save lives.

Law enforcement professionals and those at risk for encountering people suffering an opioid overdose can save lives by administering naloxone. Opioids suppress the respiratory, nervous, and cardiac systems. The depressive effects increase several risks, including risk of choking, suffocation, accidental injury, and more.

Both Massachusetts and North Carolina have taken the steps to dispense free overdose rescue kits, containing naloxone, to first responders throughout communities. Unfortunately, the low-cost medication can be too far out of the budget for some organizations. As a result, Emergent has now implemented a program to allow a 40% discount off per carton of the medication for purchase by all first responders, including EMS, Fire Departments and Police.

Education and Awareness Are Critical to Fighting the Epidemic

The power of opioids is clear. The addictive substances are too great to fight by simply hoping for the best, and legal consequences to those responsible for their spread are part of the solution. Unfortunately, the severity of the epidemic worsens daily, and the education and awareness become the most useful tools for preventing its continued path of destruction. Knowing the opioid algorithm will further this cause, helping everyone involved or affected by the epidemic mitigate its life-costing risks.

How to Use the Opioid Algorithm

The American Heart Association (AHA) created the opioid algorithm in 2015 within the “Special Circumstances of Resuscitation” guidelines. The revision to the guidelines followed a revelation that opioid overdose became the leading cause of unintentional death within the 35- to 60-year-old age group. The new statistic meant opioids were costing more lives than motor vehicle collisions, so the AHA intervened.

The recommendations were updated to advise the use of naloxone and opioid overdose response education in any case involving suspected opioid overdose. The list of applicable populations affected by the revised guidelines was expansive. It was based on training for First Aid, as well as Basic Life Support (BLS) outside of the health industry. In other words, any professional with training in BLS or First Aid, as discussed in a past blog here, should know how to respond when someone presents with an opioid overdose.

In addition, the AHA recognized the value of advanced training for health professionals. This is where the opioid algorithm gets slightly more complicated, moving through the traditional ACLS algorithm, as taught within the course here, and combines it with the opioid algorithm. An opioid overdose becomes a type of reversible cause of arrest. So, a health professional could simply apply the opioid algorithm as part of the ACLS guidelines.

For those outside of the health industry, the opioid algorithm follows a simpler pathway, including these key steps:

Assess and activate. When an opioid overdose is suspected, time is of the essence. Passersby should check for unresponsiveness and call for help. Do not leave the person alone. Someone should contact EMS, obtain an automated external defibrillator (AED) and naloxone. Of course, not all facilities will have an AED or naloxone on-site. During this step, the for both the respiration rate and circulation. Respirations are a full inhalation and exhalation, not gasping. Circulation is another topic. For adolescents that may have used opioids, the risk becomes more dangerous. Any pulse below 60 bpm warrants the initiation of CPR and chest compressions.
Begin CPR. Starting CPR means administering chest compressions at a rate of 100 per minute, which is the same rate of the chorus in the song, “Stayin’ Alive” by the Bee Gees. Administer 30 chest compressions followed by two rescue breaths. If alone, continue to perform CPR for two minutes before attempting to get help or otherwise proceeding.
Administer naloxone. Naloxone should be given as soon as possible. If multiple responders are available, one should administer the medication while the other performs CPR. Naloxone should be given as either a two-milligram intranasal spray or 0.4 milligram intramuscular injection. Obviously, those without advanced medical knowledge may not have the skills to administer the injection. If faced with uncertainty, it may be permissible to administer naloxone via injection into the buttock or thigh. Consult your facility’s specific policy. If uncertain about administering the injection, continue CPR until professional help arrives.
Assess responsiveness. If the person responds, such as moving purposely, regaining consciousness, making intentional noises, speaks, or returns to regular breathing patterns, provide stimulation. Shake the victim, and ask, “Are you okay?” Continue to check for respirations and circulation until professional help arrives. If the person stops responding, repeat the naloxone administration. Also, naloxone may be administered every four minutes while attempting to resuscitate the victim.
Continue CPR for unresponsive victims. If the person does not respond, continue CPR and administer naloxone in four-minute intervals. If the person does come to or become responsive, return to prior step of assessing and monitoring responsiveness. Even if the person does appear to have regained complete consciousness, do not leave the victim. Opioids can still cause respiratory failure at any point, especially if the opioids were ingested in pill form, as the body processes the substance.

Know the Opioid Algorithm, Boost Awareness, and Save Lives

The opioid algorithm provides a step-by-step list of instructions to address and care for someone suffering from an opioid overdose. Without immediate intervention and application of the opioid algorithm, the chances of death multiply. Those that work with at-risk populations or in public places should take the time to learn the opioid algorithm. It’s a relatively simple process, and it will save lives.

Have you ever seen or participated in the response to someone suffering from an opioid overdose? If so, share your thoughts, along with this article, to social media now. Remember the spread of information and awareness is a critical step to combating the opioid epidemic. Also, opioid addiction is a mental health disorder, so be kind. Those using opioids may truly be incapable of stopping without outside intervention. One more thing, remember to enroll in an opioid-inclusive, life-saving skills course, such as the one available here, to save even more lives.

About Greta

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

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