CPR2010 ACLS

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  • 1. A dvancedCPR 2010ADULTC ardiacL ifeS upport

2. Rule #1:Always start with BLS. 3. Push Hard, Push FastFull Chest RecoilMinimize Interruption 4. 30 : 2until intubated 5. 100% Oxygen 6. When intubated:Do not HyperventilationAmbu every 6 8 seconds 7. Rule #2:Always Pulse + EKGq 2 minutes 8. Rule #2: Pulse + EKG== CPR? SHOCK?q 2 minutes 9. VFVT(pulseless)AsystolePEA 10. Rule #3:Drug. 11. Adrenaline1 mg IV q 3-5 min 12. Amiodarone300 mg IV push 13. Atropine0.5 mg IV q 3-5 min 14. Rule #4: Advanced Airway After CPR & Shock 15. Combitube 16. Rule #5:Find the Causeand Treat it. 17. 5HypothermiaHHypovolemiaHypoxiaHyper/HypoKalemiaH+ion(acidosis)T TensionPneumothoraxCardiacTam ponadeToxinThrombosisHeartThrombosisLung 18. PULSELESS ARREST 19. Bradycardia< 60/minwithPulse> 100/min Tachycardia 20. Cause or Effect? 21. 5HypothermiaHHypovolemiaHypoxiaHyper/HypoKalemiaH+ion(acidosis)T TensionPneumothoraxCardiacTam ponadeToxinThrombosisHeartThrombosisLung 22. Poor Tissue Perfusion? Hypotension? Altered mental status? Signs of shock? Ischemic chest pain? Acute heart failure? 23. Atropine0.5 mg IV q 3-5 minmax. 3 mg 24. DopamineIV drip 2-10 mcg/kg/min 25. Adrenaline IV drip 2-10 mcg/kg/min 26. Transcutaneous Pacing 27. Poor Tissue Perfusion? Hypotension? Altered mental status? Signs of shock? Ischemic chest pain? Acute heart failure? 28. Tachyarrhythmia withPoor Tissue PerfusionSynchronized Cardioversion 29. Why Cardioversion?Prevent RonT 30. PULSELESS ARREST 31. BradycardiawithPulse 32. TachycardiawithPulse