This document provides an overview of an Advanced Cardiac Life Support (ACLS) review course and critical care transport training. It includes: 1) Objectives to review ACLS algorithms, recognize cardiac rhythms to select the appropriate treatment algorithm, and state interventions for each algorithm. 2) A review of the critical care transport process, including the steps to request, schedule, and conduct a safe transport with available resources. 3) Examples of cardiac rhythms and ACLS treatment algorithms, with questions to test recognition and appropriate interventions.

1. Critical Care Core Course Advanced Cardiac Life Support—Review&Lifeline: Critical Care Transport

2. ObjectivesACLS—ReviewReview AHA ACLS algorithms*Utilize basic cardiac rhythm recognition to choose appropriate algorithmState at least one interventions for each algorithmLifeline: TransportReview the Transport ProcessList the critical steps necessary to create a safe transport environment. Describe the Transport resources available at Johns Hopkins12/23/20092Critical Care Core Course--ACLS & Transport

3. ACLS—Review12/23/2009Critical Care Core Course--ACLS & Transport3* This review is not meant to replace formal ACLS Class

4. ACLSReview—Universal Algorithm12/23/2009Critical Care Core Course--ACLS & Transport4Key PointsAirwayBreathing CirculationEach min means10 %↑Mortalityhttp://circ.ahajournals.org/content/vol112/24_suppl/images/large/4FF2.jpeg

6. ACLSReview—Tachycardia Algorithm12/23/2009Critical Care Core Course--ACLS & Transport6Key PointsAirwayBreathing CirculationEach min means10 %↑Mortalityhttp://circ.ahajournals.org/content/vol112/24_suppl/images/large/9FF2.jpeg

9. ACLSReview— Bradycardia Algorithm12/23/2009Critical Care Core Course--ACLS & Transport9Key PointsAirwayBreathing CirculationEach min means10 %↑Mortalityhttp://circ.ahajournals.org/content/vol112/24_suppl/images/large/8FF1.jpeg

11. ACLSReview— Pulseless Algorithm12/23/2009Critical Care Core Course--ACLS & Transport11Key PointsAirwayBreathing CirculationEach min means10 %↑Mortalityhttp://circ.ahajournals.org/content/vol112/24_suppl/images/large/8FF1.jpeg

14. ACLSReview— Name This…12/23/2009Critical Care Core Course--ACLS & Transport14P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:http://www.m.auvilacom/images/BasicECG.gif

15. ACLSReview— Name This…P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:Normal Sinus Rhythmhttp://www.m.auvilacom/images/BasicECG.gif12/23/2009Critical Care Core Course--ACLS & Transport15

16. ACLSReview— Name This…12/23/2009Critical Care Core Course--ACLS & Transport16P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:http://www.rnceus.com/case/images/wencke.gif

17. ACLSReview— Name This…P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:2nd Degree AV Block Type Ihttp://www.rnceus.com/case/images/wencke.gif12/23/2009Critical Care Core Course--ACLS & Transport17

18. ACLSReview— Name This…12/23/2009Critical Care Core Course--ACLS & Transport18PR interval:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:http://www.m.auvilacom/images/BasicECG.gif

19. ACLSReview— Name This…PR interval:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:Sinus Bradycardiahttp://www.m.auvilacom/images/BasicECG.gif12/23/2009Critical Care Core Course--ACLS & Transport19

20. ACLSReview— Name This…12/23/2009Critical Care Core Course--ACLS & Transport20P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:http://whttp://www.scottishirishhealthcare.com/article_images/ventricular_tachycardia.jpgww.m.auvilacom/images/BasicECG.gif

21. ACLSReview— Name This…P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:Ventricular Tachycardiahttp://whttp://www.scottishirishhealthcare.com/article_images/ventricular_tachycardia.jpgww.m.auvilacom/images/BasicECG.gif12/23/2009Critical Care Core Course--ACLS & Transport21

22. ACLSReview— Name This…12/23/2009Critical Care Core Course--ACLS & Transport22P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:http://www.rnceus.com/case/images/Torades.gif

23. ACLSReview— Name This…P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:Torsades de Pointes http://www.rnceus.com/case/images/Torades.gif12/23/2009Critical Care Core Course--ACLS & Transport23

24. ACLSReview— Torsades de Pointes12/23/2009Critical Care Core Course--ACLS & Transport24http://www.themdsite.com/graphics/Physician_04.jpg

25. ACLSReview— Name This…12/23/2009Critical Care Core Course--ACLS & Transport25P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:

26. ACLSReview— Name This…P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:Narrow Complex Tachycardia12/23/2009Critical Care Core Course--ACLS & Transport26

27. ObjectivesACLS—Review Review AHA ACLS algorithms*Utilize basic cardiac rhythm recognition to choose appropriate algorithmState at least one interventions for each algorithmLifeline: TransportReview the Transport ProcessList the critical steps necessary to create a safe transport environment. Describe the Transport resources available at Johns Hopkins12/23/200927Critical Care Core Course--ACLS & Transport

28. Lifeline: The Transport ProcessProvider orders a test/procedure requiring a road trip.RN faxes a completed Transport Request to HOPCOMHOPCOM calls to confirm details and schedule transportTransport Team transports patient to test/procedurePatient returned & Care transferred to staff on unit of origin12/23/2009Critical Care Core Course--ACLS & Transport28

29. Lifeline: Rules of the RoadWhat can we do to safely transport this patient now with the resources at hand?How long will the patient be off of the unit?What is the plan?!?12/23/2009Critical Care Core Course--ACLS & Transport29

30. Lifeline: Transport ResourcesLifeline Transport TeamProvidersUnit StaffRespiratory TherapyTesting/Procedure Area Staff12/23/2009Critical Care Core Course--ACLS & Transport30