The chain of survival taught in BLS and ACLS classes highlight the key interventions that have been demonstrated to improve patient outcomes.The first few links in the chain (recognition &amp; calling for help) are the same in the cardiac emergency and stroke chain of survival.Discussion of similarities in the chains and why they make a difference.Review the 2020 STEMI benchmark for first medical contact to PCI and stroke benchmark for door to tPA.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

The chain of survival taught in BLS and ACLS classes highlight the key interventions that have been demonstrated to improve patient outcomes.The first few links in the chain (recognition &amp; calling for help) are the same in the cardiac emergency and stroke chain of survival.Discussion of similarities in the chains and why they make a difference.Review the 2020 STEMI benchmark for first medical contact to PCI and stroke benchmark for door to tPA.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Review of the Cardiac & Stroke Chain of Survival

Along with sodium, calcium, &amp; magnesium; potassium is one of the ions necessary for cardiac contraction.A low potassium (hypokalemia) or high potassium (hyperkalemia) should be considered while reviewing the H &amp; T reversible causes of cardiac arrest.Two things that may aid us in identifying hypo or hyperkalemia include the patient's medical history and changes to the T wave on the ECG.Review of conditions and medications that may result in potassium imbalance.A serum potassium less than 3 or greater than 6 should be treated.Emergency treatment of hypokalemia and hyperkalemia.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class! 

Along with sodium, calcium, &amp; magnesium; potassium is one of the ions necessary for cardiac contraction.A low potassium (hypokalemia) or high potassium (hyperkalemia) should be considered while reviewing the H &amp; T reversible causes of cardiac arrest.Two things that may aid us in identifying hypo or hyperkalemia include the patient's medical history and changes to the T wave on the ECG.Review of conditions and medications that may result in potassium imbalance.A serum potassium less than 3 or greater than 6 should be treated.Emergency treatment of hypokalemia and hyperkalemia.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Hypokalemia & Hyperkalemia as a H & T Reversible Cause

For patients having a stroke, the longer to reperfusion the more dead cells.Similar to heart attack, the 2020 ACLS guidelines has established some timed goals based on outcome-based studies.Unlike the ACLS cardiac goals which start at point of first medical contact, stroke goals begin when the patient reaches the hospital.For patients with suspected stroke, EMS may bypass a close hospital to get their patient to a certified stroke center within 30 minutes.Review the timed goals for:Door to assessment;Door to CT; andDoor to tPA administration (door-to-needle).Patients with suspected large vessel occlusion (LVO) should be transported to a facility that can perform endovascular therapy (EVT) within 24 hours of symptom onset.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

For patients having a stroke, the longer to reperfusion the more dead cells.Similar to heart attack, the 2020 ACLS guidelines has established some timed goals based on outcome-based studies.Unlike the ACLS cardiac goals which start at point of first medical contact, stroke goals begin when the patient reaches the hospital.For patients with suspected stroke, EMS may bypass a close hospital to get their patient to a certified stroke center within 30 minutes.Review the timed goals for:<ul><li>Door to assessment;</li><li>Door to CT; and</li><li>Door to tPA administration (door-to-needle).</li></ul>Patients with suspected large vessel occlusion (LVO) should be transported to a facility that can perform endovascular therapy (EVT) within 24 hours of symptom onset.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Timed Goals for Assessment & Treatment of Stroke Patients

Adenosine is indicated for the treatment of stable, narrow-complex supraventricular tachycardia refractory to vagal maneuvers.Review the actions of Adenosine on the SA and AV node of the heart.Contraindications and precautions for use of Adenosine,Adenosine dosing and administration.Adenosine's use in identifying A-Fib or flutter with RVR.Adenosine may be considered for patients with monomorphic wide-complex tachycardias.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Adenosine is indicated for the treatment of stable, narrow-complex supraventricular tachycardia refractory to vagal maneuvers.Review the actions of Adenosine on the SA and AV node of the heart.Contraindications and precautions for use of Adenosine,Adenosine dosing and administration.Adenosine's use in identifying A-Fib or flutter with RVR.Adenosine may be considered for patients with monomorphic wide-complex tachycardias.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Adenosine Review

When there is a slowing or disruption through the normal electrical pathways through the heart, we say the patient has a block.Basic rules for ECG interpretation using the rate, regularity, and relationship of P to QRS complexes.ECG characteristics of second degree type I or Wenchebach.Signs and symptoms that indicate an unstable bradycardic patient.Characteristics of second degree type II.Treatment of unstable bradycardic patients with a second degree heart block using Atropine.Patients refractory to Atropine should have TCP.  If there's a delay in TCP, a Dopamine or Epinephrine drip may be started until TCP is available.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

When there is a slowing or disruption through the normal electrical pathways through the heart, we say the patient has a block.Basic rules for ECG interpretation using the rate, regularity, and relationship of P to QRS complexes.ECG characteristics of second degree type I or Wenchebach.Signs and symptoms that indicate an unstable bradycardic patient.Characteristics of second degree type II.Treatment of unstable bradycardic patients with a second degree heart block using Atropine.Patients refractory to Atropine should have TCP. If there's a delay in TCP, a Dopamine or Epinephrine drip may be started until TCP is available.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Identification and Treatment of Second Degree Heart Blocks

Like any of our ACLS interventions, we must assess if it's appropriate and safe.  We don't just give a medication because it's part of an algorithm, and oxygen is no different.Oxygen is one of the interventions we should consider giving to patients in the Acute Coronary Syndrome (ACS) algorithm.  We should administer O2 if the patient's SaO2 is below 90%.100% oxygen should be administered to patients in cardiac arrest by using a BVM with a reservoir and oxygen at 10-15 L/min.Patients that experience return of spontaneous circulation (ROSC) should have their O2 sat maintained at 92-98%.Some conditions may cause a pulse oximeter to give inaccurate readings.  The pulse shown on the pulse ox should match that on the ECG or palpated.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class! 

Like any of our ACLS interventions, we must assess if it's appropriate and safe. We don't just give a medication because it's part of an algorithm, and oxygen is no different.Oxygen is one of the interventions we should consider giving to patients in the Acute Coronary Syndrome (ACS) algorithm. We should administer O2 if the patient's SaO2 is below 90%.100% oxygen should be administered to patients in cardiac arrest by using a BVM with a reservoir and oxygen at 10-15 L/min.Patients that experience return of spontaneous circulation (ROSC) should have their O2 sat maintained at 92-98%.Some conditions may cause a pulse oximeter to give inaccurate readings. The pulse shown on the pulse ox should match that on the ECG or palpated.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Oxygen Administration and Monitoring with Pulse Oximetry

In ACLS, end tidal waveform capnography is used in the cardiac arrest and post-arrest algorithms.ETCO2 can be monitored using a BVM only or attached to the universal adapter of an advanced airway.During an arrest, waveform capnography is used to measure the quality of CPR.  A waveform of at least 10 mm Hg indicates good CPR.  A sudden jump in ETCO2 could indicate ROSC.Capnography is used to confirm ET tube placement.  If an ET tube is in the esophagus, we wont see a waveform when ventilating.Post cardiac arrest, an ETCO2 of 35-45 mm Hg is one of the goals of patient management along with blood pressure and oxygen saturation.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class! 

In ACLS, end tidal waveform capnography is used in the cardiac arrest and post-arrest algorithms.ETCO2 can be monitored using a BVM only or attached to the universal adapter of an advanced airway.During an arrest, waveform capnography is used to measure the quality of CPR. A waveform of at least 10 mm Hg indicates good CPR. A sudden jump in ETCO2 could indicate ROSC.Capnography is used to confirm ET tube placement. If an ET tube is in the esophagus, we wont see a waveform when ventilating.Post cardiac arrest, an ETCO2 of 35-45 mm Hg is one of the goals of patient management along with blood pressure and oxygen saturation.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

The Use of Waveform Capnography in ACLS

Along with early defibrillation, high quality CPR is one of the two factors that have been shown to improve survival to discharge outcomes.Role of the CPR coach on a code team.Use of real time feedback devices to measure the rate, depth, and chest recoil during CPR compressions.Use of waveform capnography to monitor end tidal CO2.Checking for a femoral or carotid pulse during compressions.Tips to maintaining a chest compression fraction of at least 80%.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class! 

Along with early defibrillation, high quality CPR is one of the two factors that have been shown to improve survival to discharge outcomes.Role of the CPR coach on a code team.Use of real time feedback devices to measure the rate, depth, and chest recoil during CPR compressions.Use of waveform capnography to monitor end tidal CO2.Checking for a femoral or carotid pulse during compressions.Tips to maintaining a chest compression fraction of at least 80%.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Objective Measures of CPR Quality

The dose for atropine and dopamine used to treat unstable bradycardia was changed in the 2020 ACLS guidelines.Signs and symptoms indicating a bradycardic patient is unstable.Atropine's new dose in 1.0 mg given rapid IV push.  This may be repeated every 5 minutes to a maximum total of 3 mg. Atropine's use for bradycardic patients with a second degree type II or third degree heart block.Dopamine may be used for symptomatic bradycardia refractory to atropine.The starting dose for dopamine was increased from 2 to 5 mcg/kg/min in the 2020 ACLS guidelines.Use caution when using atropine or dopamine in patients with myocardial ischemia as their use increases the workload on the heart.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class! 

The dose for atropine and dopamine used to treat unstable bradycardia was changed in the 2020 ACLS guidelines.Signs and symptoms indicating a bradycardic patient is unstable.Atropine's new dose in 1.0 mg given rapid IV push. This may be repeated every 5 minutes to a maximum total of 3 mg. Atropine's use for bradycardic patients with a second degree type II or third degree heart block.Dopamine may be used for symptomatic bradycardia refractory to atropine.The starting dose for dopamine was increased from 2 to 5 mcg/kg/min in the 2020 ACLS guidelines.Use caution when using atropine or dopamine in patients with myocardial ischemia as their use increases the workload on the heart.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

2020 Updates to Atropine & Dopamine for Unstable Bradycardia

The oropharyngeal airway is a basic airway device designed to help hold the tongue away from the back o0f the throat in unresponsive patients without a gag reflex.Other names for the oropharyngeal airway include OPA or simply oral airway.Indications and contraindication for use of the OPA.Sizing of the oral airway is important to ensure that it will hold the tongue while preventing complications.Common complications if an oral airway that's too small or too large is inserted.Until an advanced airway is placed, we continue to deliver 30 compressions to 2 breaths when using an OPA/oral airway.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

The oropharyngeal airway is a basic airway device designed to help hold the tongue away from the back o0f the throat in unresponsive patients without a gag reflex.Other names for the oropharyngeal airway include OPA or simply oral airway.Indications and contraindication for use of the OPA.Sizing of the oral airway is important to ensure that it will hold the tongue while preventing complications.Common complications if an oral airway that's too small or too large is inserted.Until an advanced airway is placed, we continue to deliver 30 compressions to 2 breaths when using an OPA/oral airway.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Use of the Oropharyngeal Airway (OPA)

Like a daily audio flash card.  This podcast is intended to aid any medical professional preparing for an Advanced Cardiovascular Life Support (ACLS) class.  Each one-to-nine minute Flash Briefing-style episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high-performing team to deliver quality care.Listening to a tip-of-the-day for 14-30 days prior to a class will help cement core concepts that have been shown to improve outcomes in patients suffering a heart attack, cardiac arrest, or stroke.   In addition to core concepts and ACLS algorithms, specific information needed to pass the written exam and megacode following the 2020 guidelines is presented.  Healthcare providers that are already ACLS certified may find listening a helpful reminder.Disclaimer:  This podcast is a supplement to your course's approved text book and videos - not a replacement.  The information presented is for educational purposes only and is not medical advice.   Medical professionals should follow their local laws, agency protocols, and act only within their scope of practice.

Hypoxia is one of the easiest Hs in our H &amp; T reversible causes of cardiac arrest to identify and treat.Patients that are found to be hypoxic as indicated by an accurate pulse ox less than 90% should be administered oxygen to prevent an arrest.Use of pulse oximeter and blood gasses to monitor blood oxygen levels.Correcting hypoxia once a patient has coded.Use of end tidal waveform capnography to measure effective CPR.The danger of over ventilating a patient in cardiac arrest.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Hypoxia is one of the easiest Hs in our H &amp; T reversible causes of cardiac arrest to identify and treat.Patients that are found to be hypoxic as indicated by an accurate pulse ox less than 90% should be administered oxygen to prevent an arrest.Use of pulse oximeter and blood gasses to monitor blood oxygen levels.Correcting hypoxia once a patient has coded.Use of end tidal waveform capnography to measure effective CPR.The danger of over ventilating a patient in cardiac arrest.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Hypoxia as a Reversible Cause of Cardiac Arrest

Generally speaking, a rate of 150 or more differentiates SVT from sinus tachycardia.Most patients with a heart rate less than 150 will not require intervention.The treatment provided for patients in SVT depaends if they are stable or unstable.The same criteria for determining if a patient is unstable is used for tachycardia and bradycardia so commit these to memory.The treatment for unstable SVT is delivery of a synchronized shock/cardioversion.What to consider regarding sedation prior to cardioversion and other safety concerns.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class! 

Generally speaking, a rate of 150 or more differentiates SVT from sinus tachycardia.Most patients with a heart rate less than 150 will not require intervention.The treatment provided for patients in SVT depaends if they are stable or unstable.The same criteria for determining if a patient is unstable is used for tachycardia and bradycardia so commit these to memory.The treatment for unstable SVT is delivery of a synchronized shock/cardioversion.What to consider regarding sedation prior to cardioversion and other safety concerns.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Sinus Tachycardia vs SVT

1 mg of 1:10,000 epinephrine rapid IV push is the first medication we give to patients in cardiac arrest.When we give the first dose of epi depends on the patient's ECG rhythm.Epi administration for patients in non-shockable rhythms PEA and asystole.Epinephrine administration for patients in shockable rhythms V-Fib and pulseless V-Tach.Frequency of epinephrine administration, alternative routes, and maximum dose during CPR.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class! 

1 mg of 1:10,000 epinephrine rapid IV push is the first medication we give to patients in cardiac arrest.When we give the first dose of epi depends on the patient's ECG rhythm.Epi administration for patients in non-shockable rhythms PEA and asystole.Epinephrine administration for patients in shockable rhythms V-Fib and pulseless V-Tach.Frequency of epinephrine administration, alternative routes, and maximum dose during CPR.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

When To Give The First Dode of Epinephrine During Cardiac Arrest

Patients that fail one of the FAST stroke assessments have a 72% of having a stroke.We should assume a stroke unless our assessment identifies another condition that could be causing the symptoms.Three common conditions that present like a stroke and are easy to assess for include:blood sugar problems (hypo/hyperglycemia);hypoxia; andseizures.Assessment of patients with stroke-like symptoms should include checking an O2 saturation and blood sugar using a pulse oximeter and glucometer. Other conditions can also mimic a stroke and require advanced testing.EMS providers should consider transporting patients with stroke symptoms to a stroke center following their local protocols. Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Patients that fail one of the FAST stroke assessments have a 72% of having a stroke.We should assume a stroke unless our assessment identifies another condition that could be causing the symptoms.Three common conditions that present like a stroke and are easy to assess for include:<ul><li>blood sugar problems (hypo/hyperglycemia);</li><li>hypoxia; and</li><li>seizures.</li></ul>Assessment of patients with stroke-like symptoms should include checking an O2 saturation and blood sugar using a pulse oximeter and glucometer. Other conditions can also mimic a stroke and require advanced testing.EMS providers should consider transporting patients with stroke symptoms to a stroke center following their local protocols. Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Review of Medical Conditions That Mimic a Stroke

Establishing a large-bore IV is near the top of every ACLS algorithm.  But, what should we do if an IV can't be started?As an alternative to an IV, medications may be administered via intraosseous (IO) or endotracheal tube (ETT) route.Advantages and placement of IO for fluids and medication administration when an IV cannot be established.The use of endotracheal tube as an alternative when IV and IO access has not yet been established.Using NAVEL to remember the ACLS medications that can be administered down the ET tube.Disadvantages of ETT as a route for medication administration.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

Establishing a large-bore IV is near the top of every ACLS algorithm. But, what should we do if an IV can't be started?As an alternative to an IV, medications may be administered via intraosseous (IO) or endotracheal tube (ETT) route.Advantages and placement of IO for fluids and medication administration when an IV cannot be established.The use of endotracheal tube as an alternative when IV and IO access has not yet been established.Using NAVEL to remember the ACLS medications that can be administered down the ET tube.Disadvantages of ETT as a route for medication administration.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Administration of ACLS Medications Via IO & ETT Route

When you review the chain of survival for a cardiac emergency or a stroke outside of the healthcare setting you will notice some similarities.  At the start is preparedness &amp; recognition of the emergency, followed by activation of EMS, delivery of Advanced Life Support, and transporting to the most appropriate facility.  In a heart attack or stroke, time is heart or brain cells.What are ALS ambulances and what care do paramedics provide in the field.What the research says about EMS bypassing a close hospital in favor of a one with 24/7 CT, PCI, &amp; EVT capabilities.For a more detailed discussion on EMS destination protocols, check out the pod resource page for a link to two EMS On Air podcast episodes that explore patient outcomes in the rural vs urban setting.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

When you review the chain of survival for a cardiac emergency or a stroke outside of the healthcare setting you will notice some similarities.  At the start is preparedness &amp; recognition of the emergency, followed by activation of EMS, delivery of Advanced Life Support, and transporting to the most appropriate facility.  In a heart attack or stroke, time is heart or brain cells.What are ALS ambulances and what care do paramedics provide in the field.What the research says about EMS bypassing a close hospital in favor of a one with 24/7 CT, PCI, &amp; EVT capabilities.For a more detailed discussion on EMS destination protocols, check out the pod resource page for a link to two EMS On Air podcast episodes that explore patient outcomes in the rural vs urban setting.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Why We Use EMS Destination Protocols for Stroke & STEMI

The most common rhythm a patient is in during the first few minutes of cardiac arrest is V-Fib.Performing good CPR and delivering a shock as soon as possible to patients with a shockable rhythm gives us the best chance to convert a patient to a perfusing rhythm.The use of an AED can significantly decrease the time to deliver a shock when a monitor/defibrillator isn't available and can be used by rescuers with minimal training.Review BLS steps for patients found unconscious.Tips for safely using an AED.Tip for purchasing an AED - keep interchangeability in mind.Contraindications for use of an AED.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class! 

The most common rhythm a patient is in during the first few minutes of cardiac arrest is V-Fib.Performing good CPR and delivering a shock as soon as possible to patients with a shockable rhythm gives us the best chance to convert a patient to a perfusing rhythm.The use of an AED can significantly decrease the time to deliver a shock when a monitor/defibrillator isn't available and can be used by rescuers with minimal training.Review BLS steps for patients found unconscious.Tips for safely using an AED.Tip for purchasing an AED - keep interchangeability in mind.Contraindications for use of an AED.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Review of AED Use for Sudden Cardiac Arrest

For patients without a pulse and V-Fib or V-Tach on the ECG, we will perform high quality CPR with minimal interruptions and go down the left side of ACLS's Adult Cardiac Arrest algorithm.If the patient shows pulseless electrical activity (PEA) or asystole on the ECG, we will go down the right side of the algorithm.Key points of the PEA/Asystole algorithm include:uninterrupted, high-quality CPR;establishing IV access;administration of epinephrine;consideration &amp; treatment of reversible causes Hs &amp; Ts; and placement of an advanced airway.For patients in asystole, when we should discuss calling the code.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

For patients without a pulse and V-Fib or V-Tach on the ECG, we will perform high quality CPR with minimal interruptions and go down the left side of ACLS's Adult Cardiac Arrest algorithm.If the patient shows pulseless electrical activity (PEA) or asystole on the ECG, we will go down the right side of the algorithm.Key points of the PEA/Asystole algorithm include:<ul><li>uninterrupted, high-quality CPR;</li><li>establishing IV access;</li><li>administration of epinephrine;</li><li>consideration &amp; treatment of reversible causes Hs &amp; Ts; and </li><li>placement of an advanced airway.</li></ul>For patients in asystole, when we should discuss calling the code.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Review of PEA & Asystole Side of the Adult Cardiac Arrest Algorithm

The American Heart Association CPR guidelines call for fast &amp; deep compressions to be delivered at a rate of 100-120 per minute.Some AED or monitor/defibrillators have a built-in metronome.  For others, doing compressions along with a song is helpful.To be effective, the song must have a constant tempo of 100-120 BPM and no long pauses.The American Heart Association (AHA) has a CPR playlist on Spotify:  https://open.spotify.com/playlist/2mU2FNAhSOtQwW0hBgQMaKExample songs and pros &amp; cons of using songs during a code are discussed.Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

The American Heart Association CPR guidelines call for fast &amp; deep compressions to be delivered at a rate of 100-120 per minute.Some AED or monitor/defibrillators have a built-in metronome. For others, doing compressions along with a song is helpful.To be effective, the song must have a constant tempo of 100-120 BPM and no long pauses.The American Heart Association (AHA) has a CPR playlist on Spotify: <a href="https://open.spotify.com/playlist/2mU2FNAhSOtQwW0hBgQMaK" rel="noopener noreferrer nofollow" target="_blank">https://open.spotify.com/playlist/2mU2FNAhSOtQwW0hBgQMaK</a>Example songs and pros &amp; cons of using songs during a code are discussed.Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Using Songs to Aid Us In Providing Good CPR

There is a plethora of reasons to obtain at least a brief medical history.The patient’s history will help us identify things that may be causing (or contributing) to their current condition as well as guide our decisions so we provide the safest care possible.Knowing the patient's history allows care providers to make informed decisions.Knowing the events that led to an event can assist in identifying H &amp; T reversible causes. A patient's current medications and allergies is needed to safely administer ACLS medications.  SAMPLE PQRST is one memory aid to help us obtain a thorough medical history.  Connect with me:Website:  https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGood luck with your ACLS class!

There is a plethora of reasons to obtain at least a brief medical history.The patient’s history will help us identify things that may be causing (or contributing) to their current condition as well as guide our decisions so we provide the safest care possible.Knowing the patient's history allows care providers to make informed decisions.Knowing the events that led to an event can assist in identifying H &amp; T reversible causes. A patient's current medications and allergies is needed to safely administer ACLS medications. SAMPLE PQRST is one memory aid to help us obtain a thorough medical history. Connect with me:Website:  <a href="https://passacls.com" rel="noopener noreferrer nofollow" target="_blank">https://passacls.com</a><a href="https://twitter.com/PassACLS" rel="noopener noreferrer nofollow" target="_blank">@PassACLS</a> on Twitter<a href="https://www.linkedin.com/company/pass-acls-podcast/" rel="noopener noreferrer nofollow" target="_blank">@Pass-ACLS-Podcast</a> on LinkedIn Good luck with your ACLS class!

Importance of Obtaining a Medical History

Like a daily audio flash card. This podcast is intended to aid any medical professional preparing for an Advanced Cardiovascular Life Support (ACLS) class. Each one-to-nine minute Flash Briefing-style episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high-performing team to deliver quality care. Listening to a tip-of-the-day for 14-30 days prior to a class will help cement core concepts that have been shown to improve outcomes in patients suffering a heart attack, cardiac arrest, or stroke. In addition to core concepts and ACLS algorithms, specific information needed to pass the written exam and megacode following the 2020 guidelines is presented. Healthcare providers that are already ACLS certified may find listening a helpful reminder. Disclaimer: This podcast is a supplement to your course's approved text book and videos - not a replacement. The information presented is for educational purposes only and is not medical advice. Medical professionals should follow their local laws, agency protocols, and act only within their scope of practice.

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