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SUPPORT.(ACLS)
OBJECTIVES.
1.
2.
3.
4.
5.
6.
7.
ACLS SURVEY
ASSESS
AIRWAY
-is the airway
patent?
-is an advanced
airway indicated?
-is proper
placement of
airway device
confirmed?
-is tube secured
and placement
reconfirmed
frequently?
ACTION AS APPROPRIATE
- MAINTAIN AIRWAY PATENCY IN
UNCONCIOUS PATIENTS by use
the
head tilt-chin lift, oropharyngeal
airway
(OPA), or nasopharyngeal airway
(NPA)
- USE ADVANCED AIRWAY
MANAGEMENT IF NEEDED (e.g,
laryngeal mask airway, laryngeal
tube, esopharyngeal-tracheal
tube, endotracheal tube (ET tube)
- If use advanced airway devices:
- CONFIRM PROPER INTEGRATION
OF CPR AND VENTILATION.
- CONFIRM PROPER PLACEMENT OF
ADVANCED AIRWAY DEVICES.
- SECURE THE DEVICE TO PREVENT
DISLODGE.
-
CONT.
BREATHING
-are
ventilation
and
oxygenation
adequate?
-are
quantitative
waveform
capnography
and
oxyhemoglobi
n saturation
monitored?
CIRCULATION
-are chest
compression
effective?
-what is the
CONT.
-is
defibrillator
or
cardioversio
n indicated?
-has iv/io
access been
established?
-is ROSC
present?
-Is the
patient with
a pulse
unstable?
-are
medication
needed for
rhytym or
bp?
- Does the
CONT,
DIFFERENTIA
L DIAGNOSIS.
-why did this
patient
develop
symptoms or
arrest?
ACLS CASES
BLS SURVEY.
ASESS
Check
responsivenes
s
Activate the
emergency
response
system/get
AED.
CIRCULATION
CONT,
-switch provider about every 2 minutes to
avoid fatigue
-Avoid excessive ventilation
- If there is a pulse, start rescue breathing at 1
breath every 5 to 6 seconds (10 to 12 breaths
per minute).check pulse about every 2 minute.
DEFIBRILLATO
R
ALGORITHM.