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Bls and acls megacode --hui
This document provides an overview of basic life support (BLS) and advanced cardiac life support (ACLS). The goals of BLS are to provide early CPR, early defibrillation, and support oxygenation and circulation until more advanced ACLS interventions can be initiated. BLS components follow the DR ABC approach of assessing danger, responsiveness, shouting for help, opening the airway, checking breathing, and performing chest compressions. ACLS is conducted after BLS and involves more advanced airway management techniques and drug administration to treat cardiac issues while minimizing interruptions in chest compressions. The document reviews cardiac drugs, defibrillator use, high quality CPR techniques, and cases commonly addressed in ACLS.
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Bls and acls megacode --hui
- 1. BLS AND ACLSMEGACODE
- 2. Overview • BLS • ACLS •DRUGS • Cases
- 3. Goals of BLS •Main players are early CPR + early defibrillation • support or restore effective oxygenation ventilation, and circulation until ROSC or until ALS interventions can be initiated. • NO advanced airway techniques • NO drug administration
- 4. Components of BLS DR’SABCD • D- danger • R – responsiveness • S – shout • A – airway • B – breathing • C – circulation • D – defibrillation • 1…2….3…….4……. • check responsiveness activate emergency response circulation defibrillation
- 5. DANGER • Is thescene dangerous? • Are there blood spills, sharps, electric wires? • Wear PPE (gloves, apron, mask) RESPONSE • Is the patient responsive? • Tap shoulders and Say ‘Hello! • Hello! Are you OK?’
- 6. SHOUT • Emergency! Emergency! •Call ambulance 999 or bring emergency • trolley & defibrillator if available AIRWAY & BREATHING LOOK …… LISTEN…… FEEL
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- 9. ACLS • Conducted afterthe BLS Primary Survey when more advanced management techniques are needed. • Must minimize interruptions of chest compression
- 10. HIGH QUALITY ofCPR • Hard and fast • Rate at least 100 / min • Depth >5cm • Complete chest recoil • Minimal interruption • 400 – 600mls / breath - 1/3 press • Chest rise must synchronize 30:2 until definite airway secured
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- 13. 5H’s & 5T’s •Hypovolaemia • Hypoxia • Hydrogen ion • Hyper / hypo – kalaemia • Hypothermia • Tablets • Tamponade • Tension pneumothorax • Thrombosis –ACS • Thrombosis – pulmonary embolism
- 14. DEFIBRILLATOR 1. Attach electrodesto patient’s chest and turn on 2. Analyse the rhythm ?shockable 3. Apply coupling agent or pads to patient’s chest 4. Select energy level – 200Joule 5. Apply paddles to chest 6. Charge the paddles 7. The “Clear” chant 8. Check monitor again 9. Discharge shock and return paddles to machine
- 15. DRUGS • ADENOSINE • AMIODARONE •DOPAMINE • ADRENALINE • ATROPINE
- 16. Adenosine • Preparation 1 Ampoule= 2mls = 6mg 1mls = 3mg bolus , no need mix • Dosage 1st = 6mg 2nd = 12mg • Instruction 20cc NS flush fast after given bolus
- 17. AMIODARONE • Preparation 1 Ampoule= 3mls = 150mg 1mls = 50mg 2 Ampoules = 300mg + 100cc D5% , run 1 hour Dosage 1st 300mg over 1 hour 2nd 150mg over 1 hour
- 18. ADRENALINE • Preparation 1 Ampoule= 1mls = 1mg = /1000 Dosage every 3-5 mins during resuscitation
- 19. ATROPINE • Preparation 1Ampoule =1mls=1mg Dosage 0.5mg IV every 3-5mins
- 20. DOPAMINE • Preparation 1Ampoule =5mls = 200mg 5mls + 45mls = 50mls 50cc syringe 50cc = 200mg 1cc / hour = 4mg = 4000mcg 4000mcg / 60 min = 66.6mcg / min Dosag 5-20mcg / kg / min
- 21. CASES • BRADYSRHYTHMIAS • TACHYARRHYTHMIAS •CARDIAC ARREST