Advanced Cardiac Resuscitation Guidelines By
Muhammad Bayat
Advanced Cardiac Resuscitation Guidelines By
Muhammad Bayat
BLS- HAZARDS
Hazards- Make sure the scene is safe for you to help. Make sure you have universal precautions: gloves, Face Mask, and Apron
BLS- HELLO + HELP
Determine if the patient is conscious by tapping and shouting "Are you OK?" If no response have someone call for the crash cart
BLS- Airway
Position the patient on their back. Open the airway with a head-tilt chin-lift or jaw-thrust maneuver.
Suction the airway and clear out any foreign bodies
Insert an appropriate sized Guedel airway
BLS - Breathing
LOOK-LISTEN-&-FEELING for breaths
CHECK REATHING FOR 5-10 SECONDS.
If they isn’t breathing VENTILATE TWICE -Rescue Breathing
BLS- Circulation Check
Check for a pulse by palpating(feeling) the carotid artery. CHECK THE PULSE FOR 10 SECONDS.
BLS- Circulation
If there is no pulse BEGIN CHEST COMPRESSIONS at a rate of 15 COMPRESSIONS to 2 BREATHS for both one and two man CPR
BLS - CPR
Advanced Life Support
Recommended Minimum Equipment for the Management of Adult Cardiopulmonary Arrest
AIRWAY EQUIPMENT
Self inflating resuscitation bag with oxygen reservoir and tubing -BVM
Laryngoscopes x 2 - normal and long blades
Spare laryngoscope bulbs and batteries
ALS AIRWAY EQUIPMENT
1" ribbon gauze/tape
Scissors
Syringe - 20 mls
Oxygen cylinders x 2 (if no wall oxygen)
KY Jelly
ALS - Equipment
CIRCULATION EQUIPMENT
Intravenous cannulae 18 gauge x 3, 14 gauge x 3
Hypodermic needles 21 gauge x 10
Syringes 2 mls x 6, 5 mls x 6, 10 mls x 6, 20 mls x 6
Intravenous giving sets
IV Infusion Fluid- MRL
Heart rhythms associated with cardiac arrest
can be divided into two groups:
1.) ventricular fibrillation / pulseless
ventricular tachycardia (VF/VT)
2.)Other rhythms. Asystole and pulseless
electrical activity (PEA).
ALS -Rhythm
Why the Differentiation?
The management of these two groups of arrhythmias is different
Defibrillation in those patients with VF/VT
Drugs used in the other rhythms
ALS- Rhythm Recognition
Similarities
CPR , Airway management and Ventilation, venous access, the administration of epinephrine (adrenaline) and the identification and correction of contributing factors, are common to both groups.
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