Successfully reported this slideshow.
Your SlideShare is downloading. ×

Acls update-160228152124

Ad
Ad
Ad
Ad
Ad
Ad
Ad
Ad
Ad
Ad
Ad
Loading in …3
×

Check these out next

1 of 17 Ad
Advertisement

More Related Content

Slideshows for you (20)

Similar to Acls update-160228152124 (20)

Advertisement

Recently uploaded (20)

Acls update-160228152124

  1. 1. ADVANCED CARDIAC LIFE SUPPORT(ACLS) – Dr. Sushma Saroa Dr. S K Bansal Dr. Vani Bhageria Cantonment General Hospital
  2. 2. Advanced cardiac life support or advanced cardiovascular life support (ACLS) refers to a set of clinical interventions for the urgent treatment of cardiac arrest, stroke and other life-threatening medical emergencies, as well as the knowledge and skills to deploy those interventions.
  3. 3. The ACLS guidelines were first published in 1974 by the American Heart Association and were updated in every five years and publishes as set of recommendations and educational materials.
  4. 4. IMPORTANCE OF BLS IN ACLS •BLS Basic life support makes up the core foundation of ACLS •Bystandard chest compression . •The widespread availability of AED •Early Defibrillation
  5. 5. Only qualified health care providers can provide ACLS, as it requires the ability  To manage the person's airway,  To initiate IV access,  To read and interpret ECG  To understand emergency pharmacology
  6. 6.  Airway  Breathing  Circulation  Differential diagnosis
  7. 7. Head tilt Chin lift Jaw thurst AIRWAY
  8. 8.  Initially provide rescue breaths using an ambu bag and a mask at full flow of oxygen  Continuously assess airway patency while giving breaths .  If ventilation is not adequate consider an advanced airway device.(ETT, LMA, laryngeal tube )
  9. 9. Clinical Method  Look for vapor condensation .  Look for equal bilateral chest rise  Confirm equal bilateral breath sounds with auscultation Confirmation devices  Wave form capnography (gold standard)  Exhaled CO2 detectors  Esophageal detector devices
  10. 10.  Obtain IV/IO access  Monitor ECG , BP, pulse oximeter ,EtCO2 monitor  Obtain a 12 lead ECG if possible,Identify the heart rthym. and shock if rthym is shockable VF/VT  Give epinephrine IV/IO every 3-5 minutes with 20 ml of saline push.  Give amiodarone 300 mg for refactory (VF/VT)  If rthym is unshockable continue with CPR for 2 minutes and give Epinephrine every 3- 5 minutes treat reversible causes.
  11. 11. Shockable Rthyms VT/ VF Ventricular Tachycardia Ventricular Fibrillation
  12. 12. Unshockable Rthyms Asystole / PEA Asystole Pulseless Electrical Activity
  13. 13. Differential Diagnosis THE H’S H’s T’SAND T’s  Hypoxia  Hypovolemia  Hydrogen ion(acidosis)  Hypo-/hyperkalemia  Hypothermia Toxins Tamponade (cardiac) Tension pneumothorax Thrombosis, pulmonary Thrombosis, coronary
  14. 14. ACTION IN TIME CAN SAVE A LIFE!!! THANK YOU

×