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    sufyan atstsauri
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    algotirma acls

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    algotirma acls

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF or read online from Scribd
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    10 views8 pages

    ACLS 2015 Algorithm

    Uploaded by

    sufyan atstsauri
    algotirma acls

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF or read online from Scribd
    Flag for inappropriate content
    of 8
    Adult Cardiac Arrest Algorithm— 2015 Update Advanced Cardiovascular Life Support Start CPR * Give oxygan + Attach monitor/detirilator Asystole/PEA CPR 2 min + Ivj0 access + Epinephrine every 3-5 min * Consider advanced airway, capnearephy * Consider advanced airnay, ‘capnography “Rhythm shockable?, Rhythm shockable? CPR 2 min + Theat reversible causes shockable? * Ino signs of return of spontaneous circulation (ROSO), go 10 10 oF 11 + IFROSC, go 19 Post-Cardiac Arrest Care | american Heart Association. life is why Second ane momeauee doors | + Monopod 3804) So isos hypeaiomia Associations 2015 Update life is why ie kee ed Adult Cardiac Arrest American Circular Algorithm— @ aa Start CPR * Give oxygen * Attach monitor/defibrillator Return of Spontaneous 2 minutes Circulation (ROSC) Drug Therapy IVIO access \ephrine every 3-5 minutes \darone for refractory VF/pVT Se ‘Drug Therapy Peet io) ‘+ Push hard at east 2inene (5 om) ana fast (100-120/mn and allow complete 7 merryptione in compressions, tate compressor avery? minutes, or Sooner # fat gue + Ino advanced airway, 302 compression vention rato. + uanttatve wavetorm eapnography “vPro, <¥0 mm Hg. atoms fo * Epinephrine WO dose! + Amiodarone VIO dose: Fst dose 200 mg bobs. Sseana ose’ 150/m9 *+ Pusan ocd pressure (ypicary 240 mm 9) + Spontaneous arterial pressure waves th itraartonal monoring + Endotacheal intubation o supraglttie avanced away + Hypovoienia + Waveform capnograpty or capnometry to cant an mentor ET tube placement ciastofc)prosure |” brasth every 6 seconde (10 brat pttoimprove CPA | with continuous \yaregen ion acidosis) 0 myporkalaia + Hypotornia 1 Tension pneumothorax Ee + Biphasle: Manvlacturer recommendation (6a, intial dose of 120-200 J), iF unknowe, use maxumum avalabe Secon and subsoquent ses shovid be equvaont, ae higher doses ay be oneidered + Monophs le: 3604 t | Adult Bradycardia FE american With a Pulse Algorithm oO KsSoclation. life is why- (erie kee ie eed Identity and treat underlying cause ‘Maintain patent airway; assist breathing as necessary bradyarrhythmia causing: + Hypotension? * Acutely altered mental status? Signs of shock? ‘Ischemic chest discomtort? * Acute hear allure? Atropine If atropine ineffective: * Transcutanous pacing SS ‘Atropine IV dose: First dose: 0.5 mg bolus. Repeat every 9-8 minutes. ‘Maxtenum: 3 mg, Dopamine IV infusion: Usual infusion rate is 2:20 mog/kg per minute, “Titrate to patient response; taper slowly. Epinephrine IV infusion: 2-10 meg per minute infusion. Titrate to patient response. eengag wees 6 Heemarntimatin HomnnaUe Adult Tachycardia american With a Pulse Algorithm | life is why ek ee id ‘Assess appropriateness for clinical condition a pc a a! Identity and treat underiying cause ‘+ Maintain patent airway; assist breathing as necessary a ; ‘Synchronized cardioversion: Initial recommended doses: ‘+ Narrow regular: 50-100 J + Narrow irregular: 120-200 J biphasic oF 200 J monophasic + Wide regular: 100 J + Wide regular: deibritation ose (not synchronized) ‘Adenosine IV dose: First dose: 6 mg rapid IV push; follow with NS flush, ‘Second dose: 12 mg if required Antiarrhythmic Infusions tor ‘Stable Wide-ORS Tachycardia Procainamide IV dose: 20-50 mg/min unt artythmia suppressed, hypotension ‘ensues, QRS duration increases 50%, or maximum dose 17 mg/kg given. Maintenance infusion: 1-4 mg/min. Avoxd it prolonged GT or CHE ‘Amiodarone IV dose: First dose: 150 mg over 10, minutes. Repeat as needed it VT recurs. Follow by maintenance infusion ff 1 mg/min for frst 6 hours. Sotalol IV dose: +100 mg (1.5 mg/kg) over 5 minutes, Avoid if prolonged QT. Persistent tachyarrhythmia causing: (©2016 American Heat Assocation Acute Coronary American Syndromes Algorithm— eat 2015 Update life is why renee kr EMS assessment and care and hospital preparation + Monitor suppor ABCs. Be prapared to provide CPA and ae Adiiniste asptin and conser ox 7 Concurrent ED assessment (<10 minutes) | Immediate ED general Weatment + Check wial signs; evaluate oxygen saturation | + IO, sat

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