This document provides an overview of Advanced Cardiac Life Support (ACLS). It defines ACLS as an advanced set of life support techniques beyond basic life support. ACLS is performed by medical professionals who are certified in skills like intubation, IV insertion, cardiac monitoring, defibrillation, and other advanced resuscitation methods. The document outlines when ACLS is recommended, such as for bradycardia, tachycardia, ventricular fibrillation, pulseless ventricular tachycardia, and regular narrow complex arrhythmias. It also describes the adult chain of survival and emphasizes the importance of chest compressions in ACLS.

1. ADVANCED CARDIAC LIFE
SUPPORT-- ACLS
T. USHAKIRAN
MSC N PHD RESEARCH SCHOLLER
OBG DEPARTMENT
NARAYANA COLLEGE OF NURSING

2. ACLS
• ACLS stands for Advanced Cardiovascular Life
Support. It is often mixed up with BLS, which stands
for Basic Life Support. While there are similarities
between the two, Advanced Cardiovascular Life
Support makes use of extensive and advanced
techniques of providing life support to patients.

4. ACLS
• Who can perform
• When to perform
• What is Recommended

5. Who can perform ACLS
• Basic life support (BLS) is the medical
care given to patients with life-
threatening illnesses or injuries. All
medical professionals are trained to
provide BLS.
• BLS is administered with the absence
of any medical equipment.

6. Who can ……
• In Advanced Cardiovascular Life
Support ,Performing intubation, IV
insertion, cardiac monitoring,
electrocardiogram interpretation, the
use of defibrillator and other medical
supplies and equipment is what sets
ACLS apart from BLS.

7. Who can…….
• Medical professionals who have
obtained the certification are skilled in
advanced life-saving techniques and
are licensed to do resuscitation.

9. APPROACHES:

10. When to Perform ACLS
Adult Chain of Survival are as follows:
1. Immediate recognition of cardiac arrest and
activation of the emergency response system
2. Early CPR with an emphasis on chest
compressions
3. Rapid defibrillation
4. Effective advanced life support
5. Integrated post–cardiac arrest care

12. When to……..
• Bradycardia — Bradycardia is defined
conservatively as a heart rate below
60 beats per minute
• Tachycardia — Tachycardia is defined
as a heart rate above 100 beats per
minute, but symptomatic tachycardia
generally involves rates over 150 beats
per minute,

13. When to…….
• Ventricular fibrillation and pulseless
ventricular tachycardia — Ventricular
fibrillation (VF) and pulseless
ventricular tachycardia (VT) are non-
perfusing rhythms emanating from
the ventricles, for which early rhythm
identification and defibrillation, are
the mainstays of treatment.

14. When to……
• Regular narrow complex — Sinus
tachycardia and supraventricular
tachycardia are the major causes of a
regular narrow complex arrhythmia
Sinus tachycardia is a common
response to fever, anemia, shock,
sepsis, pain, heart failure, or any other
physiologic stress.

17. Team for ACLS

21. What is recommended
• Chest Compressions are the cornerstone of resuscitation
– Rate
– Depth
– Recoil,100% O2
– Minimizing Interruptions
– ECG findings:
• Is the rhythm fast or slow?
• Are the QRS complexes wide or narrow?
• Is the rhythm regular or irregular?
– Feedback is probably helpful

22. THANK YOU