Critical care core course acls

10,675 views

Published on

Published in: Health & Medicine
0 Comments
19 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
10,675
On SlideShare
0
From Embeds
0
Number of Embeds
24
Actions
Shares
0
Downloads
129
Comments
0
Likes
19
Embeds 0
No embeds

No notes for slide

Critical care core course acls

  1. 1. Critical Care Core Course <br />Advanced Cardiac Life Support—Review<br />&<br />Lifeline: Critical Care Transport<br />
  2. 2. Objectives<br />ACLS—Review<br />Review AHA ACLS algorithms*<br />Utilize basic cardiac rhythm recognition to choose appropriate algorithm<br />State at least one interventions for each algorithm<br />Lifeline: Transport<br />Review the Transport Process<br />List the critical steps necessary to create a safe transport environment. <br />Describe the Transport resources available at Johns Hopkins<br />12/23/2009<br />2<br />Critical Care Core Course--ACLS & Transport<br />
  3. 3. ACLS—Review<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />3<br />* This review is not meant to replace formal ACLS Class<br />
  4. 4. ACLSReview—Universal Algorithm<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />4<br />Key Points<br />Airway<br />Breathing <br />Circulation<br />Each min means<br />10 %↑Mortality<br />http://circ.ahajournals.org/content/vol112/24_suppl/images/large/4FF2.jpeg<br />
  5. 5.
  6. 6. ACLSReview—Tachycardia Algorithm<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />6<br />Key Points<br />Airway<br />Breathing <br />Circulation<br />Each min means<br />10 %↑Mortality<br />http://circ.ahajournals.org/content/vol112/24_suppl/images/large/9FF2.jpeg<br />
  7. 7.
  8. 8.
  9. 9. ACLSReview— Bradycardia Algorithm<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />9<br />Key Points<br />Airway<br />Breathing <br />Circulation<br />Each min means<br />10 %↑Mortality<br />http://circ.ahajournals.org/content/vol112/24_suppl/images/large/8FF1.jpeg<br />
  10. 10.
  11. 11. ACLSReview— Pulseless Algorithm<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />11<br />Key Points<br />Airway<br />Breathing <br />Circulation<br />Each min means<br />10 %↑Mortality<br />http://circ.ahajournals.org/content/vol112/24_suppl/images/large/8FF1.jpeg<br />
  12. 12.
  13. 13.
  14. 14. ACLSReview— Name This…<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />14<br />P:<br />QRS:<br />T:<br />Ventricular Rate:<br />Atrial Rate: <br />Rhythm:<br />http://www.m.auvilacom/images/BasicECG.gif<br />
  15. 15. ACLSReview— Name This…<br />P:<br />QRS:<br />T:<br />Ventricular Rate:<br />Atrial Rate: <br />Rhythm:<br />Normal Sinus Rhythm<br />http://www.m.auvilacom/images/BasicECG.gif<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />15<br />
  16. 16. ACLSReview— Name This…<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />16<br />P:<br />QRS:<br />T:<br />Ventricular Rate:<br />Atrial Rate: <br />Rhythm:<br />http://www.rnceus.com/case/images/wencke.gif<br />
  17. 17. ACLSReview— Name This…<br />P:<br />QRS:<br />T:<br />Ventricular Rate:<br />Atrial Rate: <br />Rhythm:<br />2nd Degree AV Block Type I<br />http://www.rnceus.com/case/images/wencke.gif<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />17<br />
  18. 18. ACLSReview— Name This…<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />18<br />PR interval:<br />QRS:<br />T:<br />Ventricular Rate:<br />Atrial Rate: <br />Rhythm:<br />http://www.m.auvilacom/images/BasicECG.gif<br />
  19. 19. ACLSReview— Name This…<br />PR interval:<br />QRS:<br />T:<br />Ventricular Rate:<br />Atrial Rate: <br />Rhythm:<br />Sinus Bradycardia<br />http://www.m.auvilacom/images/BasicECG.gif<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />19<br />
  20. 20. ACLSReview— Name This…<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />20<br />P:<br />QRS:<br />T:<br />Ventricular Rate:<br />Atrial Rate: <br />Rhythm:<br />http://whttp://www.scottishirishhealthcare.com/article_images/ventricular_tachycardia.jpgww.m.auvilacom/images/BasicECG.gif<br />
  21. 21. ACLSReview— Name This…<br />P:<br />QRS:<br />T:<br />Ventricular Rate:<br />Atrial Rate: <br />Rhythm:<br />Ventricular Tachycardia<br />http://whttp://www.scottishirishhealthcare.com/article_images/ventricular_tachycardia.jpgww.m.auvilacom/images/BasicECG.gif<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />21<br />
  22. 22. ACLSReview— Name This…<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />22<br />P:<br />QRS:<br />T:<br />Ventricular Rate:<br />Atrial Rate: <br />Rhythm:<br />http://www.rnceus.com/case/images/Torades.gif<br />
  23. 23. ACLSReview— Name This…<br />P:<br />QRS:<br />T:<br />Ventricular Rate:<br />Atrial Rate: <br />Rhythm:<br />Torsades de Pointes <br />http://www.rnceus.com/case/images/Torades.gif<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />23<br />
  24. 24. ACLSReview— Torsades de Pointes<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />24<br />http://www.themdsite.com/graphics/Physician_04.jpg<br />
  25. 25. ACLSReview— Name This…<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />25<br />P:<br />QRS:<br />T:<br />Ventricular Rate:<br />Atrial Rate: <br />Rhythm:<br />
  26. 26. ACLSReview— Name This…<br />P:<br />QRS:<br />T:<br />Ventricular Rate:<br />Atrial Rate: <br />Rhythm:<br />Narrow Complex Tachycardia<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />26<br />
  27. 27. Objectives<br />ACLS—Review <br />Review AHA ACLS algorithms*<br />Utilize basic cardiac rhythm recognition to choose appropriate algorithm<br />State at least one interventions for each algorithm<br />Lifeline: Transport<br />Review the Transport Process<br />List the critical steps necessary to create a safe transport environment. <br />Describe the Transport resources available at Johns Hopkins<br />12/23/2009<br />27<br />Critical Care Core Course--ACLS & Transport<br />
  28. 28. Lifeline: The Transport Process<br />Provider orders a test/procedure requiring a road trip.<br />RN faxes a completed Transport Request to HOPCOM<br />HOPCOM calls to confirm details and schedule transport<br />Transport Team transports patient to test/procedure<br />Patient returned & Care transferred to staff on unit of origin<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />28<br />
  29. 29. Lifeline: Rules of the Road<br />What can we do to safely transport this patient now with the resources at hand?<br />How long will the patient be off of the unit?<br />What is the plan?!?<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />29<br />
  30. 30. Lifeline: Transport Resources<br />Lifeline Transport Team<br />Providers<br />Unit Staff<br />Respiratory Therapy<br />Testing/Procedure Area Staff<br />12/23/2009<br />Critical Care Core Course--ACLS & Transport<br />30<br />

×