This document discusses Advanced Cardiac Life Support (ACLS). It begins by defining ACLS as a set of interventions for urgently treating cardiac arrest, stroke, and other emergencies, as well as the skills and knowledge to perform those interventions. The ACLS guidelines were first published in 1974 by the American Heart Association and are updated every five years. Basic life support forms the core foundation of ACLS, including chest compressions and use of automated external defibrillators. Only qualified healthcare providers can provide ACLS, as it requires skills like airway management, IV access, ECG interpretation, and emergency pharmacology. The document then outlines the ABCs of ACLS and protocols for ventilation, circulation, shockable and
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. 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. 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. 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
10. 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 )
11. 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
12. 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.