Dr. Azim Anwar
Phase B Resident,
Cardiology,
BSMMU
CHAIRPERSON:
Prof. Jahanara Arzu
UNIT CHIEF, Blue – 2 UNIT,
CARDIOLOGY, BSMMU
BLS & ACLS
01
Bradycardia Mx
02
Q & A
03
Sudden Collapse
Sudden Collapse
Tap on the Shoulder
Check Breathing (<10 Sec)
Pulse (<10 Sec)
Shout for Help
Sudden Collapse
Tap on the Shoulder
Check Breathing (<10 Sec)
Pulse (<10 Sec)
Shout for Help
Breathing & Pulse
PRESENT
Sudden Collapse
Tap on the Shoulder
Check Breathing (<10 Sec)
Pulse (<10 Sec)
Shout for Help
Breathing Present
Pulse Absent
Sudden Collapse
Tap on the Shoulder
Check Breathing (<10 Sec)
Pulse (<10 Sec)
Shout for Help
Breathing Present
Pulse Absent
Start CPR &
Assess rhythm
Sudden Collapse
Tap on the Shoulder
Check Breathing (<10 Sec)
Pulse (<10 Sec)
Shout for Help
Breathing Absent
Pulse Present
Sudden Collapse
Tap on the Shoulder
Check Breathing (<10 Sec)
Pulse (<10 Sec)
Shout for Help
Breathing Absent
Pulse Present
Artificial Breathing,
Every 5 Seconds
Check Pulse
Every 2 mins
Sudden Collapse
Tap on the Shoulder
Check Breathing (<10 Sec)
Pulse (<10 Sec)
Shout for Help
Breathing Absent
Pulse Absent
Sudden Collapse
Tap on the Shoulder
Check Breathing (<10 Sec)
Pulse (<10 Sec)
Shout for Help
BLS & ACLS
Breathing Absent
Pulse Absent
Sudden Collapse
Tap on the Shoulder
Check Breathing (<10 Sec)
Pulse (<10 Sec)
Shout for Help
Breathing & Pulse
PRESENT
Breathing Absent
Pulse Present
Artificial Breathing,
Every 5 Seconds
Check Pulse
Every 2 mins
Breathing Present
Pulse Absent
Start CPR &
Assess rhythm
Breathing Absent
Pulse Absent
BLS
& ACLS
Contents Here
01
Contents Here
02
Contents Here
03
ECG
Condition – Stable
No Chest Pain
Fever - Subsided
Inj. Dopa
(200mg/5ml)
2 amp+ 40 ml
N/S > 400mg/50 ml
N/S
Over 5 Hours >
10ml / Hour
Inj. Epi (1mg/ml)+
49 ml N/S >
1000ugm/50ml
> 30 ml/ hour
ANY Questions ?
Why Atropine ineffective in CHB ?
Why Max Dose of Atropine 3mg ?
Why Atropine given at 3-5 min interval ?
 AF with Brady, Can use atropine ?
 Precordial thump ?
”
24. ACLS Protocol.pptx
24. ACLS Protocol.pptx
24. ACLS Protocol.pptx
24. ACLS Protocol.pptx
24. ACLS Protocol.pptx

24. ACLS Protocol.pptx

  • 1.
    Dr. Azim Anwar PhaseB Resident, Cardiology, BSMMU CHAIRPERSON: Prof. Jahanara Arzu UNIT CHIEF, Blue – 2 UNIT, CARDIOLOGY, BSMMU
  • 2.
  • 3.
  • 4.
    Sudden Collapse Tap onthe Shoulder Check Breathing (<10 Sec) Pulse (<10 Sec) Shout for Help
  • 5.
    Sudden Collapse Tap onthe Shoulder Check Breathing (<10 Sec) Pulse (<10 Sec) Shout for Help Breathing & Pulse PRESENT
  • 6.
    Sudden Collapse Tap onthe Shoulder Check Breathing (<10 Sec) Pulse (<10 Sec) Shout for Help Breathing Present Pulse Absent
  • 7.
    Sudden Collapse Tap onthe Shoulder Check Breathing (<10 Sec) Pulse (<10 Sec) Shout for Help Breathing Present Pulse Absent Start CPR & Assess rhythm
  • 8.
    Sudden Collapse Tap onthe Shoulder Check Breathing (<10 Sec) Pulse (<10 Sec) Shout for Help Breathing Absent Pulse Present
  • 9.
    Sudden Collapse Tap onthe Shoulder Check Breathing (<10 Sec) Pulse (<10 Sec) Shout for Help Breathing Absent Pulse Present Artificial Breathing, Every 5 Seconds Check Pulse Every 2 mins
  • 10.
    Sudden Collapse Tap onthe Shoulder Check Breathing (<10 Sec) Pulse (<10 Sec) Shout for Help Breathing Absent Pulse Absent
  • 11.
    Sudden Collapse Tap onthe Shoulder Check Breathing (<10 Sec) Pulse (<10 Sec) Shout for Help BLS & ACLS Breathing Absent Pulse Absent
  • 12.
    Sudden Collapse Tap onthe Shoulder Check Breathing (<10 Sec) Pulse (<10 Sec) Shout for Help Breathing & Pulse PRESENT Breathing Absent Pulse Present Artificial Breathing, Every 5 Seconds Check Pulse Every 2 mins Breathing Present Pulse Absent Start CPR & Assess rhythm Breathing Absent Pulse Absent BLS & ACLS
  • 13.
  • 21.
    Condition – Stable NoChest Pain Fever - Subsided Inj. Dopa (200mg/5ml) 2 amp+ 40 ml N/S > 400mg/50 ml N/S Over 5 Hours > 10ml / Hour Inj. Epi (1mg/ml)+ 49 ml N/S > 1000ugm/50ml > 30 ml/ hour
  • 24.
  • 25.
    Why Atropine ineffectivein CHB ? Why Max Dose of Atropine 3mg ? Why Atropine given at 3-5 min interval ?  AF with Brady, Can use atropine ?  Precordial thump ? ”