CPR2010 ACLS
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Transcript of CPR2010 ACLS
![Page 1: CPR2010 ACLS](https://reader034.fdocuments.in/reader034/viewer/2022052200/55648508d8b42a73418b48c7/html5/thumbnails/1.jpg)
CPR 2010CPR 2010
ADULTADULTA A dvanceddvanced
C C ardiacardiac L L ifeife
S S upportupport
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Rule #1:Rule #1:
Always start with BLS.Always start with BLS.
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PPush Hard, ush Hard, PPush Fastush Fast
FFull Chest ull Chest RRecoilecoil
MMinimizeinimizeInterruptionInterruption
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30 : 230 : 2until intubateduntil intubated
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100%100% Oxygen Oxygen
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When intubated:
Do not HyperventilationAmbu every 6 – 8 seconds
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Rule #2:Rule #2:
Always Always PulsePulse + + EKGEKGq q 22 minutesminutes
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Rule #2:Rule #2:
PulsePulse + + EKGEKG== ==
CPR?CPR? SHOCK?SHOCK?
q q 22 minutesminutes
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VFVFVT VT (pulseless)
AsystoleAsystolePEAPEA
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Rule #3:Rule #3:
Drug.Drug.
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Adrenaline1 mg IV q 3-5 min
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Amiodarone300 mg IV push
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Atropine0.5 mg IV q 3-5 min0.5 mg IV q 3-5 min
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Rule #4:Rule #4:
Advanced AirwayAdvanced AirwayAfter CPR & ShockAfter CPR & Shock
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CombitubeCombitube
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Rule #5:Rule #5:
Find theFind the Cause Cause TreatTreat it. it.andand
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55HHTT
H y p o t h e r m i aH y p o v o l e m i aH y p o x i aH y p e r / H y p o K a l e m i aH + i o n ( a c i d o s i s )
T e n s i o n P n e u m o t h o r a xC a r d i a c Ta m p o n a d eT o x i nT h r o m b o s i s – H e a r tT h r o m b o s i s L u n g
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PULSELESS ARRESTPULSELESS ARREST
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BradycardiaBradycardia
TachycardiaTachycardiawithwith Pulse Pulse
< 60/min< 60/min
> 100/min> 100/min
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Cause or Effect?
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55HHTT
H y p o t h e r m i aH y p o v o l e m i aH y p o x i aH y p e r / H y p o K a l e m i aH + i o n ( a c i d o s i s )
T e n s i o n P n e u m o t h o r a xC a r d i a c Ta m p o n a d eT o x i nT h r o m b o s i s – H e a r tT h r o m b o s i s L u n g
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Poor Tissue Perfusion?Poor Tissue Perfusion?
Hypotension?
Altered mental status?
Signs of shock?
Ischemic chest pain?
Acute heart failure?
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Atropine0.5 mg IV q 3-5 min0.5 mg IV q 3-5 min
max. 3 mgmax. 3 mg
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DopamineIV drip 2-10 mcg/kg/minIV drip 2-10 mcg/kg/min
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AdrenalineIV IV dripdrip 2-10 mcg/kg/min 2-10 mcg/kg/min
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Transcutaneous PacingTranscutaneous Pacing
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Poor Tissue Perfusion?Poor Tissue Perfusion?
Hypotension?
Altered mental status?
Signs of shock?
Ischemic chest pain?
Acute heart failure?
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Poor Tissue PerfusionPoor Tissue Perfusion
SynchronizedSynchronizedCardioversionCardioversion
Tachyarrhythmia withTachyarrhythmia with
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Why Cardioversion?Why Cardioversion?
Prevent “R on T”
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PULSELESS ARRESTPULSELESS ARREST
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BradycardiaBradycardia““with Pulse”with Pulse”
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TachycardiaTachycardia““with Pulse”with Pulse”