Acls-2016

Front 1

CPR

Back 1

1. Check Responsiveness
2. Activate the ERS & get AED
3. Circulation- ck pulse 10 sec, Compress the chest -100 compression's per min dept 2 inches

Switch providers every 2 mins
4. If pulse, rescue breath @ 1 breath Q 5-6 sec or (10-12 breaths per min)

5. Ck pulse Q2 mins

6. No pulse- Use AED, ck for shockable rhythm

7. Defibrillation- shock if no pulse or if shockable rhythm. Then CPR immediately following

Front 2

CPR- functional facts

Back 2

1. If observed collapse- reasonable assume sudden cardiac arrest.

Call for help, AED

2. If Hypoxia suspected the do 5 cycles of CPR or 2 minutes before activating the EMR system

3. Differential diagnosis after BLS- assess then action

Front 3

ACLS Survery

Back 3

ASSESS

Airway-

is the airway ptent

is advanced airway indicated

is proper placement of airway device confirmed

is tube secured & reconfirmed frequently

Front 4

AIRWAY ACTION

Back 4

ACTION AS APPROPRIATE
Maintain airway patency in unconscious pts
use of the head tilt-chin lift
OPA oropharyngeal airway
NPA nasaopharyngeal airway

Use advanced airway management if needed

laryngeal mask airway, laryngeal tube, esophageal- tracheal tube, endotracheal tube (ET)

Front 5

Safety Check when using advance airway

Back 5

Confirm proper integration of CPR & ventilate
Confirm proper placement of advanced airway devices by-
Physical exam
Quantitative waveform capnography
Class I recommendation for ET tube

Reasonable for supraglottic airways
Secure the device to prevent dislodgment
Monitor airway placement with continuous quantitative waveform capnography

Front 6

BREATHING

Back 6

Give Supplemental 02 when indicated
-for cardiac arrest pts, administer 100% 02
-for others, titrate 02 administration to achieve 02 sat values of greater 94% by pulse oximetry
Monitor the adequacy of ventilation and 02 by
-clinical criteria ( chest rise & cyanosis)

-Quantitative waveform capnography

-02 sat

Avoid excessive ventilation