ACLS Megacode
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- Опубліковано 28 вер 2024
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ACLS Megacode:
Initial Assessment:
- Check for responsiveness, breathing, and pulse.
- If unresponsive, call for help and initiate CPR.
- Attach defibrillator pads and monitor.
CPR:
- Perform chest compressions at a rate of 100-120/min, allowing full chest recoil.
- Provide rescue breaths at a ratio of 30:2.
- Continue CPR until ROSC is achieved or until medical help arrives.
Defibrillation:
- If VF/VT is present, deliver a defibrillation shock of 360 joules biphasic or 360 joules monophasic.
- If unsuccessful, increase the energy level to 400 joules biphasic or 400 joules monophasic and repeat.
- Continue defibrillation attempts until ROSC is achieved or until medical help arrives.
Emergency Medications:
- Epinephrine: 1 mg IV/IO every 3-5 minutes.
- Vasopressin: 40 units IV/IO every 3-5 minutes (if refractory to epinephrine).
- Amiodarone: 300 mg IV/IO over 20 minutes (if refractory to defibrillation).
- Lidocaine: 1 mg/kg IV/IO (if refractory to defibrillation).
- Sodium bicarbonate: 1 mEq/kg IV/IO (if metabolic acidosis).
- Calcium chloride: 10 mg/kg IV/IO (if hyperkalemia or calcium channel blocker overdose).
Advanced Airway Management:
- Intubate the patient if CPR is ineffective or if the patient is unable to maintain a patent airway.
- Consider cricothyrotomy if intubation is unsuccessful.
Post-ROSC Care:
- Monitor vital signs closely.
- Provide supportive care, including oxygen therapy, fluid resuscitation, and antibiotics.
- Address any underlying medical conditions that may have contributed to the arrest.
Cool!! Love this kind of teaching content. Thanks. ❤❤👍
Please share.
Per the ACLS guidelines ,the patient needs to be defibrillated x 2 if they're in Vfib/ pulseless v-tach BEFORE the first dose of epinephrine 1mg is given
Agree. Thanks for your feedback.
Thank you! I was like WTF is this guy doing?
@@susanchristineknisely3546 😂🎉 please share with your friends and colleagues. 😊
Vt
thanks
TDP
Torsade de pointes is a distinctive form of polymorphic ventricular tachycardia (VT) characterized by a gradual change in the amplitude and twisting of the QRS complexes around the isoelectric line. Given the chaotic appearance of the ECG in this case, ventricular fibrillation is more likely.
not clear at scene 6...wht aryhtmia?
The patient has just been defibrillated at scene 5 due to ventricular fibrillation, a deadly arrhythmia, so, amiodarone infusion should be given.
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Have to watch this video several times, because I am renewing my ACLS certification exam very soon. Thanks! 😁😁
Best of luck! You can do it!
Nice quick video guide also for review.
Please create more basic scenario plus some possible complicated situation .
Thank U.
I will try my best. Thanks.
Please share with your colleagues.
😍🥰 Thank you
Please share.
Svt😊
thanks