ACLS Essentials

Please purchase the course before starting the lesson.
  • In any arrest situation, immediate recognition and intervention with proper CPR is crucial.
  • When approaching the scene and the patient, mentally prepare yourself for resuscitation.
  • Do not injure yourself—ensure the safety of the scene.
  • Focus on early CPR and quick defibrillation in BLS.
  • Oropharyngeal airways shouldn’t be used with conscious patients.
  • Pull the jaw into the mask rather than the other way around (the mask onto the face), as the latter can possibly close the airway.
  • ET tube absorption rate is unreliable, so IV or IO are the preferred methods of drug delivery.
  • Amiodarone doses vary for VF and VT with a pulse.
  • After delivering a shock, resume chest compressions right away; minimize interruptions.
  • After return of spontaneous circulation, use therapeutic hypothermia.
  • Familiarize yourself with specific cardiac rhythms, such as asystole, Torsades de Pointes, VT, VF, atrial fibrillation/flutter, SVT, and sinus tachycardia.
  • Asystole must be confirmed twice, in two separate leads.
  • Deliver a shock to treat both VF and pulseless VT.
  • The H’s and the T’s are the causes of PEA.
  • A valuable tool of resuscitation is capnography. Try to improve the quality of CPR if PETCO2 is greater than 10.
  • Patients with inferior myocardial infarction must be administered with nitroglycerin with caution, but avoid this if systolic blood pressure (SBP) is less than 90 to 100, or if within the last 24 hours, erectile dysfunction medication has been taken.
  • Signs of stroke can include confusion, vomiting, and nausea.
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