ACLS (Main)
(Redirected from Cardiac Arrest)
See critical care quick reference for drug doses and equipment size by weight. This page is for adult patients. For pediatric patients, see: PALS (Main).
Background
- A series of clinical algorithms created by the AHA/ASA used in the treatment of cardiovascular/neurological emergencies.
- Involves airway management, IV access, and ECG interpretation.
ECG Analysis
- What is the atrial and ventricular rate?
- Is the rhythm regular or irregular?
- If irregular, does it follow any repeatable pattern?
- What is the axis?
- ERAD often seen in VT but not SVT
- What is the P wave amplitude, duration, morphology, and synchrony with QRS complex?
- Is the P wave positive in Lead II
- What is the QRS complex amplitude, duration, morphology?
- What is the T wave amplitude, duration, morphology?
- Is the T wave positive in Lead II
- What is the length of PR and QT intervals?
- Is there ST Elevation/Depression or Hyperacute T waves?
- If yes, does it follow any anatomical pattern or is it diffuse?
- Is there anything else abnormal about this ECG?
- Pacemaker Spikes
- Hypertrophy of atrial/ventricles
Algorithms
- Adult Pulseless Arrest
- Pulseless Ventricular Tachycardia/Ventricular Fibrillation
- Pulseless Electrical Activity/Asystole
- Cardiac Arrest In Pregnancy
- Adult Post-Cardiac Arrest Care
- Termination of Resuscitation
- ACLS: Bradycardia (with pulse)
- ACLS: Tachycardia (with pulse)
- Acute coronary syndrome
- Suspected cerebrovascular event
Treatable Conditions
Condition | Common clinical settings | Corrective actions |
Acidosis |
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Cardiac tamponade |
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Hypothermia |
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Hypovolemia, hemorrhage, anemia |
| |
Hypoxia |
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Hypomagnesemia |
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Myocardial infarction |
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Poisoning |
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Hyperkalemia |
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Hypokalemia |
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Pulmonary embolism |
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Tension pneumothorax |
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See Also
- AHA ACLS Recommendation Changes by Year
- ACLS (Treatable Conditions)
- BLS (Main)
- Critical care quick reference
- Post cardiac arrest
- PALS (Main)
External Links
- 2020 AHA Guidelines
- Numose EMed: The Pulseless Patient
- Numose EMed: ACLS Bradycardia
- Numose EMed: ACLS Narrow Complex Tachycardia
- Numose EMed: ACLS Wide Complex Tachycardia