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Even good CPR is far less efficient at circulating blood than a functioning heart.The indicators of high-quality CPR that were identified at the 2012 AHA CPR Quality Summit in order of importance include:Chest compression fraction (CCF);Chest compression rate;Chest compression depth;Allowing for full recoil; andAdequate ventilations.Using real-time feedback devices and ETCO2 to assess CPR quality.Three tips to limit pauses in CPR compressions to 10 seconds or less.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
When faced with the challenge of reviving a patient in cardiac arrest, paramedics rely on an arsenal of tools, techniques, and medications. Among these are two stalwarts of advanced cardiac life support (ACLS): amiodarone and lidocaine. Although both drugs have long been included in protocols as viable options for shockable cardiac arrests, a new study published in Resuscitation sheds fresh light on their effectiveness, offering compelling insights into why lidocaine might deserve a closer look. The research, led by Tanner Smida, MD/PhD candidate at West Virginia University, employed a meticulous approach known as “target trial emulation.” This method is designed to minimize bias in observational studies, aligning results more closely with what randomized controlled trials would reveal. The study analyzed data spanning five years, from 2018 to 2023, drawing on over 23,000 cardiac arrest cases treated by EMS professionals in real-world settings.
Epinephrine and Dopamine are adrenergic agonist used in several ACLS algorithms.The use of epinephrine for severe anaphylaxis and unstable bradycardia.Review epinephrine's effects on blood vessels and bronchioles.Why epinephrine is helpful for patients with anaphylaxis.Using an epi drip for unstable bradycardia.Epinephrine administration during cardiac arrest.Starting an epinephrine or Dopamine drip for patients that have ROSC.Review the effects of Dopamine based on mcg/kg/min dosing.Monitoring the patient and titrating epi or Dopamine drips to prevent harm.For more information on ACLS medications, check out the pod resource page at passacls.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Providing rescue breathing to apneic patients with a palpable pulse.Normal end tidal CO2 for patients with a pulse.Identification of cardiac arrest and our immediate actions.Providing artificial ventilations during CPR without an advanced airway vs with an advanced airway in place.Using quantitative waveform capnography to confirm placement of an advanced airway, assess the quality of CPR, and identify ROSC.The effects of hyperventilating patients in cardiac arrest. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Hypothermic patients aren't dead until they are warm and dead.When a patient's core body temperature drops below 96.8 F (36 C), they are hypothermic. As the body's temperature drops below 36 C, hypothermia may further be classified as moderate or severe:Moderate if the patient's body core temp is between 30-34 C; andSevere if it's below 30 C.Modifying the ACLS Adult Cardiac Arrest algorithm for patients with severe hypothermia.Following the ACLS algorithm for patients with a body core temperature above 30 C.Methods for rewarming patients with moderate vs severe hypothermia.Continuation of CPR and ACLS efforts until the patient's body core temp is above 36 C.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Calcium is one of the ions that move across the cellular membrane during cardiac contraction and relaxation.The primary use of calcium channel blockers in ACLS is for the treatment of stable, narrow complex tachycardias refractory to Adenosine and to lower the blood pressure of ischemic stroke patients with severe hypertension.Use of calcium channel blockers for SVT refractory to Adenosine and A-Fib or A-Flutter with RVR.Contraindications of calcium channel blockers.Nicardipine use during the treatment of ischemic strokes.For more information on ACLS medications, tachycardia, or stroke check out the pod resource page at passacls.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Chapters 00:00 Introduction to Tendons and Personal Background 03:01 Understanding ACL Injuries and Rehabilitation 05:56 Graft Types: Autograft vs Allograft 08:56 Early Rehabilitation Strategies for ACL Surgery 11:53 Managing Swelling and Pain Post-Surgery 14:58 Progressing Rehabilitation: From Extension to Strength 17:59 Considerations for Graft Selection 21:01 Challenges with Quad Tendon Grafts 23:52 Hamstring and Patellar Grafts: Pros and Cons 32:06 Understanding Anterior Knee Pain and Rehabilitation 34:40 Strength Training in ACL Recovery 37:49 Introducing Plyometrics in Rehabilitation 39:28 Progressing Plyometrics and Deceleration Training 44:06 The Role of Physical Therapists in ACL Rehab 47:30 Knee Strategy vs. Hip Strategy in Rehabilitation 52:07 Re-injury Rates and Return to Sport Statistics 53:40 Education Gaps in Physical Therapy Schools 57:43 Improving ACL Rehabilitation Practices 01:01:17 Collaboration Between Therapists and Strength Coaches Takeaways Derek Garza is a licensed physical therapist with a background in athletics. He emphasizes the importance of education in ACL rehabilitation. The type of graft used in ACL surgery significantly affects recovery. Early intervention in rehabilitation can lead to better outcomes. Managing swelling is crucial for effective recovery post-surgery. Different graft types have unique healing timelines and considerations. Patient education is key to understanding the rehabilitation process. The strength of the graft can vary significantly based on the type used. Rehabilitation strategies should be tailored to the individual athlete. Understanding the risks and timelines of recovery can help prevent re-injury. The quality of physical therapy coaching is crucial for recovery. Limb symmetry index should be at least 90% for strength. Plyometrics should be introduced gradually in rehabilitation. Deceleration training is essential for athletes returning to sport. Many physical therapists lack knowledge in plyometric training. Re-injury rates for ACL injuries are alarmingly high. Education on plyometrics is lacking in physical therapy schools. Collaboration between therapists and strength coaches is vital. Athletes often shy away from loading their knees post-injury. Understanding knee and hip strategies can improve rehabilitation outcomes. Derek on Instagram: https://www.instagram.com/dr.derekpt/ Derek's Linktree: https://linktr.ee/drderekgarza?fbclid=PAZXh0bgNhZW0CMTEAAafGwPFbijuM4jTC0YjCcgMH2cY3-masDnDR00SYM7QCAyHfVaMUxWiB4ij1GQ_aem_Yj9twOyX7Rp7Un4fBhKFGg Notes: https://jackedathlete.com/podcast-148-acls-and-quad-patellar-hamstring-tendon-grafts-with-derek-garza/
The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved.Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.Indications for starting TTM.Monitoring the patient's core temperature.Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn Chapters0:00 Identifying ROSC0:59 Additional ACLS Resources (https://passacls.com)1:05 Save on prescription meds (https://safemeds.vip)1:21 Post Arrest Assessment & Goals3:04 Indications & Initiation of TTM4:02 Two TTM Tips4:50 Share Pass ACLS on LinkedIn
Nitroglycerine is vasodilator that affects peripheral blood vessels and coronary arteries.Because of its widespread dilation effects on blood vessels, nitro can quickly lower a patient's blood pressure, sometimes to the point of making a patient hypotensive.Assessment of vital signs prior to administering nitro is necessary to ensure patient safety.Indications for use of nitroglycerine. Nitroglycerine's contraindications & considerations for use.Effects of nitro on patients taking PDE inhibitors.Administration of nitroglycerine to patients with ischemic chest pain.Considerations for patients that took their home nitroglycerine.Monitoring patient's pain and vital signs after nitro administration.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
In atrial fibrillation (A-Fib) and atrial flutter (A-Flutter) the electrical impulse for cardiac contraction is in the atria but isn't the normal pacemaker of the heart, the SA node. The ECG characteristics of A-Fib and A-Flutter. Recognition and treatment of unstable patients in A-Fib/Flutter with rapid ventricular response (RVR).Suggested energy settings for synchronized cardioversion of unstable patients with a narrow complex tachycardia. Team safety when cardioverting an unstable patient in A-FIB/Flutter.Adenosine's role for stable SVT patients with underlying atrial rhythms.Treatment of stable patients in A-Fib/Flutter with RVR. For other medical podcasts that cover narrow complex tachycardias, visit the pod resource page at passacls.com. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
As an ACLS provider you do not need to be familiar with all of the different signs of various types of poisoning. You should be able to obtain a history and know to order toxicology.The majority of toxins don't have a specific antidote. There are a few toxins for which we have emergency interventions and ACLS providers should be familiar with.Reviewing the patient's medical history for indicators that may lead us to suspect a tablet/toxin cause of cardiac arrest. Administration of Narcan for suspected narcotics overdose following the Opioid Associated Emergency algorithm. Other common ACLS Tablet Toxin scenarios with possible treatments.Medications commonly used to treat specific toxins that are regularly stocked on crash carts or carried in EMS med bags.ACLS providers that suspect a specific toxin should consult with their Pharmacy or call Poison Control for treatment directions.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn Poison Myths and Misconceptions on "The Pharmacists Voice" podcast:https://www.thepharmacistsvoice.com/podcast/poison-myths-and-misconceptions-discussion-part-1-of-5-with-angel-bivens-rph-and-wendy-stephan-phd/The Pharmacist's Voice ® Podcasthttps://www.thepharmacistsvoice.com/podcast/AHA Journals: updated guidance for resuscitation of patients with cardiac arrest, respiratory arrest, and refractory shock due to poisoninghttps://www.ahajournals.org/doi/10.1161/CIR.0000000000001161
It's become an annual tradition, but what better way to review the draft and chat all things Titans (and a little non-Titans) with Mike Herndon, who joined Greg & Adam on the pod this week.Spoiler: Mike is much more adept at pronouncing players' names than Adam, but it's not a high bar.
In this podcast episode we want to introduce you to our BCEN friend, Harriet Hawkins Harriet Hawkins is a nurse whose remarkable career in healthcare spans over five decades. Harriet began her journey in psychiatry in 1969 before moving into adult critical care and emergency medicine. In 1982, she joined Children's Memorial Hospital in Chicago—now Lurie Children's Hospital—where she worked in the NICU and played a key role in launching the Neonatal Pediatric Critical Care Transport Team in 1985. Harriet also founded the hospital's resuscitation program in 2001, expanding education in life-saving certifications such as ACLS, BLS, PALS, NRP, and more. Beyond her clinical work, Harriet is deeply committed to community outreach and philanthropic service. She has been volunteering at her local homeless shelter since 1996, running a weekly clinic, and has participated in 28 humanitarian mission trips across nine countries. She remains actively involved with the Emergency Nurses Association at both the state and national levels. From pediatric pearls to powerful life lessons, Harriet brings a depth of wisdom shaped by her rich nursing journey. Her passion for life and learning shines through every moment, making this conversation as inspiring as it is informative. Trust us you'll be hoping for a part two before it's even over! This episode is called, "The secret is to adjust your sails." BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at https://bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io
The ACLS algorithms are designed to make it easier to remember the key interventions we should deliver, and the order in which they should be delivered, to provide the best evidence-based care possible.Generally speaking, if there's a change in a patient's condition, we should ensure we're using the correct algorithm.Three key points to remember when using ACLS algorithms:1. If a patient's condition changes, we should do an assessment and use the algorithm that matches the patient's current state.2. If an action was already done, we don't need to repeat it.3. We only do actions that are clinically appropriate and within our scope of practice.Walk through of an example mega code scenario with explanations of when and why we change to a different ACLS algorithm. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Mantención de Habilidades de ACLS - Sebastian TurnerEn esta semana tenemos un episodio de lujo!. Conversamos con Sebastian Turner, Enfermero e Investigador. Recientemente ha publicado una investigación en la Revista Médica de Chile. El articulo habla en relación a las habilidades de ACLS de profesionales de la salud. Una investigación que contrasta la Autoeficacia con el Desempeño de las habilidades de ACLS. Acompáñanos en este episodio a poder descubrir cuales son las estrategias que debemos desarrollar para mantener y mejorar nuestras habilidades de ACLS. Lo que salva la vida del pacientes es lo que HACEMOS y NO lo que SABEMOS. Te dejo el articulo para que lo puedas revisar. Que lo disfrutes.David Larrondo FonsecaLinks Articulo: https://www.revistamedicadechile.cl/index.php/rmedica/article/view/11064
Beta blocking medications attach to Beta receptors to inhibit or “block” the effects of epinephrine (adrenaline)and norepinephrine in the body.The primary locations of Beta I, II, and III receptors.Effects of epinephrine & norepinephrine's stimulation of beta receptors on the heart.Beta blockers effects on the heart.When we should consider the use of beta blockers in the Acute Coronary Syndrome (ACS)and Tachycardia algorithms.Contraindications to the use of beta blocker medications.More detailed information about beta blocker's mechanism of action and specific instances for their use can be found on the Pod Resource page at PassACLS.com. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
This episode we are reviewing the use of advanced airways in the adult cardiac arrest algorithm.When we should consider insertion of an advanced airway for patients in a shockable vs non-shockable rhythm.In addition to an endotracheal tube (ETT), other ACLS advanced airways include the Laryngeal Mask Airway (LMA) and the Laryngeal Tube airway.The advantages of using an advanced airway over basic airway maneuvers.Use of end tidal CO2 waveform capnography to confirm placement and assess the adequacy of CPR. Identification and management of a misplaced ET tube.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient's vital organs and decreasing cerebral damage.Post-arrest goals for O2 saturation, ETCO2, and BP/MAP.Indications for use of an antiarrhythmic after ROSC.Determining which antiarrhythmic to use post cardiac arrest. Administration of Amiodarone or Lidocaine to control ventricular ectopy after ROSC.The use of Amiodarone post arrest if no antiarrhythmics were administered prior to obtaining ROSC.Links to other medical podcasts that cover antiarrhythmics and other ACLS-related topics are on the Pod Resource page at PassACLS.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn Discover medical podcasts with CE at https://conveymed.io
Hydrogen ions is on one of the Hs in ACLS's H&T reversible causes of cardiac arrest. When considering hydrogen ions as a cause, what we're looking at is the patient's pH, or acid/base balance, and conditions that affect it.The body's normal pH.Using patient history, ABGs, & labs to determine acidosis or alkalosis.Common conditions/causes that may lead us to suspect acidosis.Common conditions/causes that may lead us to suspect alkalosis. Correcting acidosis by changing the rate of ventilations.The indications, dose, and considerations for use of Sodium Bicarbonate.Treatment of alkalosis depends on the type (metabolic or respiratory) and is aimed at correcting the underlying cause.Other podcasts that cover acid/base balance and conditions that cause acidosis or alkalosis can be found on the Pod Resource Page at PassACLS.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Being the team leader during a cardiac arrest is challenging. Using an algorithm helps by standardizing & prioritizing our interventions using an If/Then methodology. Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest.If the patient is in a non-shockable rhythm on the ECG such as PEA or asystole, we will go down the right side of the Adult Cardiac Arrest Algorithm.If the patient is in a shockable rhythm on the ECG such as V-Fib or V-Tach, we will go down the left side of the Adult Cardiac Arrest Algorithm. An example of a code's flow for shockable rhythms when an antiarrhythmic such as Amiodarone or Lidocaine is administered. We will follow the algorithm until the patient has ROSC or we call the code.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
For patients exhibiting symptoms consistent with myocardial ischemia, Aspirin is the first medications we should consider along with morphine, oxygen, and nitroglycerine; if indicated & safe. Aspirin's mechanism of action & benefits for Acute Coronary Syndrome (ACS) patients.Contraindications and considerations for aspirin's use.The dose and route of administration of aspirin for ACS patients.The use of aspirin in the ACLS Stroke algorithm.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
To pass ACLS, you will need to be able to identify common rhythms on a monitor during your mega code and ECG strips on your written exam.If you don't normally monitor patients as part of your job, I suggest two things:1. Find a system for ECG interpretation that works well for you; and2. Practice reading ECGs every day for a few weeks before your class.Review of normal ECG morphology of P wave, QRS complex, and T wave in lead II.Characteristics of first degree heart block.Characteristics of third degree (complete) AV block.Treatment of unstable patients in third degree block following the ACLS Bradycardia algorithm. Special considerations for use of Atropine when patients are in a third degree heart block.The use of TCP, Dopamine, & Epinephrine drip for unstable bradycardic patients refractory to Atropine.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
In the Adult Cardiac Arrest algorithm, we should administer an antiarrhythmic medication to patients in V-Fib or pulseless ventricular tachycardia approximately two minutes after the first dose of epinephrine.The two first-line ACLS antiarrhythmics that are generally used are Amiodarone and Lidocaine.Review of Lidocaine dosing and administration to patients in persistent V-Fib or pulseless V-Tach.Review of Amiodarone dosing and administration to patients in persistent V-Fib or pulseless V-Tach.Use of antiarrhythmic infusions post-cardiac arrest to suppress ventricular ectopy. Amiodarone use & dosing for stable patients in V-Tach with a pulse.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
The tongue is the most common airway obstruction in an unconscious patient.For patients with a decreased level of consciousness that can't control their airway, yet have an intact gag reflex, the nasopharyngeal airway (NPA) should be used as an alternative to the oropharyngeal airway (OPA).Examples of when a NPA should be considered.Contraindications and considerations for nasal airway insertion.Measuring a nasal airway for appropriate length and diameter.Insertion of a nasopharyngeal airway into the right vs left nostril.Patients with a NPA in place can receive supplemental O2, be ventilated with a BVM, have ETCO2 monitored, and have their upper airway suctioned as needed. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
When blood, or other fluids, accumulate in the sac around the heart it's called a cardiac tamponade or pericardial tamponade.The effects of tamponade on the electrical system and chambers of the heart.Cardiac tamponade can be acute or chronic and caused by traumatic, iatrogenic, or pathological etiologies.Common traumatic events, medical procedures, and diseases that can result in a pericardial tamponade.Signs & symptoms of cardiac tamponade.Treatment of cardiac tamponade with pericardiocentesis. For additional information on cardiac tamponade, check out the Pod Resources page at PassACLS.com. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
“We deliver Zero Trust out of the box—it's built in, not bolted on.” — Suresh Katukam, Chief Product Officer, Nile While the cybersecurity conversation continues to focus on Zero Trust and Secure Service Edge (SSE), Nile is calling out what many have missed: the campus network. In a world where cloud-based remote work has advanced rapidly, on-premises security—especially across corporate and hybrid environments—has lagged behind. In a Technology Reseller News podcast recorded just after Enterprise Connect, Suresh Katukam outlined why even the most well-resourced companies struggle to achieve Zero Trust in their campus networks—and how Nile's “out-of-the-box” approach changes the game. Campus Zero Trust: The Missing Link “The same users who are secure at home become vulnerable in the office,” said Katukam. “That's because campus networks were built on implicit trust—just plugging into an Ethernet port gives you access. That's broken by design.” While cloud Zero Trust has made strides, most enterprise campuses still rely on legacy NAC solutions, VLANs, ACLs, and other outdated, complex layers of bolt-on security. Nile flips that model—offering Zero Trust campus security as a native feature of the network itself. What “Out of the Box” Really Means Nile's solution is pre-configured for Zero Trust from day one. Every user and device is authenticated and authorized continuously, not just at login. Micro-segmentation, behavioral analytics, and continuous risk scoring mean that even compromised credentials won't lead to lateral movement or ransomware spread. “We call it a segment of one,” said Katukam. “You can't see other users on the network. You can't move laterally. Ransomware can't propagate.” Administrators have full control through a simplified interface that supports policy toggling, real-time response, and behavioral-based reauthentication—without layering in extra management tools. Security-Driven Network as a Service Nile isn't just a security company—it's a networking company that rethinks how networks are built and managed. Delivered as a service, Nile offers high-performance, low-latency connectivity with embedded Zero Trust principles. “Even large enterprises with robust security teams are choosing Nile—because the security is integrated into the network itself,” Katukam explained. For example, one financial services customer consolidated three segmented networks (IT, OT, and guest) into a single secure fabric using Nile. Another prevented a physical intrusion from turning into a breach, thanks to the system's strict device authentication and visibility controls. Universal Zero Trust: Bridging Campus and Cloud Nile's model doesn't stop at the office door. The company advocates for Universal Zero Trust, connecting campus-level protections with cloud-based SSE providers. “Whether a user is on-site or remote, whether it's an IT or OT device, they should be protected the same way,” said Katukam. “That's Universal Zero Trust—unifying cloud and campus with seamless security.” Learn More To explore how Nile is reimagining networking and delivering built-in Zero Trust, visit NileSecure.com or reach out to Suresh directly at Suresh@NileSecure.com #Nile #ZeroTrust #CampusSecurity #UniversalZeroTrust #OutOfTheBoxSecurity #NetworkSecurity #EnterpriseConnect2025 #SecureNetworking #NaaS #BehavioralAnalytics #Microsegmentation #Cybersecurity
Two things have changed in recent years to aid students that don't use ACLS in their daily practice.1. The role of the team leader; and2. The ability to use your quick reference cards.The team leader is responsible for assigning tasks and overall direction of the team but can & should ask team members for help.Using closed-loop communication to ensure the clarity of orders and speaking up if there's any doubt about an order or action.Use of your course's approved text book and quick reference cards during the megacode and written exam.Tips to help you pass the ACLS written exam.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Two factors to cardiac arrest survivability that have been clearly shown to make the biggest difference is continuous, high-quality CPR and early defibrillation.The most common dysrhythmia present during the first few minutes of cardiac arrest.The chance of successful defibrillation decreases every minute that passes.How our chance of successfully defibrillating a patient into a perfusing rhythm significantly changes when good CPR is delivered vs when it isn't.Why bystander CPR is important for out-of-hospital cardiac arrest (OHCA) outcomes. The role of the CPR coach.Five tips to aid us in limiting CPR interruptions to less than 10 seconds so we can maintain a chest compression fraction (CCF) of at least 80%.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Quantitative waveform capnography is used in ACLS to objectively assess good CPR;confirm placement of an endotracheal tube; identify return of spontaneous circulation; and during post-cardiac arrest care.We can use waveform capnography with, and without, an advanced airway in place.Monitoring end tidal CO2 during rescue breathing.Use of capnography to objectively measure good CPR.Capnography is a preferred method of confirming endotracheal tube (ETT) placement over x-ray during a code.During CPR, a sudden increase in ETCO2 may indicate ROSC.Quantitative waveform capnography use in the post-cardiac arrest algorithm.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT.Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients.Commonly used vagal techniques.A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers.Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine. Carotid sinus massage.Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Remembering all the different energy setting needed for synchronized cardioversion and defibrillation used to be confusing for a lot of people.Defibrillators can be broken down into three basic categories:1. Automated External Defibrillator (AED);2. Biphasic defibrillators; and3. Monophasic defibrillators.Use of an AED to rapidly deliver a shock.Advantages & use of Biphasic defibrillators.For monophasic defibrillators, use 360J to defibrillate V-Fib or pulseless V-Tach.AEDs must not be used on patients with a pulse.Cardioversion of patients in unstable SVT or V-Tach with a pulse using biphasic vs monophasic monitor/defibrillators.Team safety when performing synchronized cardioversion.Energy needed to cardiovert unstable patients with a narrow vs wide complex tachycardia. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Patients with a heart rate less than 60 are bradycardic. Some people can have a resting heart rate in the 40s without any compromise. For others, a heart rate of 50 or less could signify the need for immediate intervention and warrants additional assessment.Signs & symptoms that indicate a bradycardic patient is unstable. Monitoring oxygen saturation with pulse oximetry and indications for administration of oxygen. Calcium channel blockers and beta blocker medication as treatable causes of bradycardia.The indications and dosage of Atropine.Precautions for Atropine use in patients with second or third degree AV blocks.The use of transcutaneous pacing (TCP) for unstable bradycardic patients refractory to Atropine.The use and dosing of Dopamine and Epinephrine drips.For additional information about causes and treatment of bradycardia, check out the pod resources page at PassACLS.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved.Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.The patient's GCS/LOC should be evaluated to determine if targeted temperature management (TTM) is indicated.Patients that cannot obey simple commands should receive TTM for at least 24 hours.Recently published studies on TTM and ACLS's current standard.Monitoring the patient's core temperature during TTM.Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn No statistical diff (TTM2 summary): https://www.ahajournals.org/doi/10.1161/JAHA.122.026539
The chain of survival for ACLS is the same as was learned in your BLS class.The beginning steps of the Cardiac Emergency and Stroke chain of survival.ACLS's timed goals for first medical contact to PCI for STEMI and door-to-needle for ischemic stroke. Characteristics of areas that have significantly better stroke and out-of-hospital cardiac arrest outcomes.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Heart muscle contraction and repolarization is dependent on Sodium, Calcium, Magnesium, and Potassium ions crossing cellular membranes. When a patient's potassium levels get too low or too high, hypokalemia or hyperkalemia results respectively. Two things that may lead us to suspect hypo or hyperkalemia. Medical conditions & medications that can cause potassium imbalance. ECG changes seen in hypo and hyperkalemia. Critical lab values that would indicate a need for treatment. Emergent, ACLS interventions for hypokalemia and hyperkalemia. Additional information on causes of hypo and hyperkalemia can be found on Ninja Nerd podcast. Check out the pod resources page at passacls.com.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
When treating patients having an MI or stroke, more minutes equals more dead cells. Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI – to reestablish perfusion to the ischemic tissues. The first four steps in the Stroke Chain of Survival. Time criteria for the administration of tPA (or a similar fibrinolytic medication) or EVT of LVO strokes. Stroke benchmarks for door to: assessment;completing a non-contrast CT; andadministration of fibrinolytic medication such as tPA (door-to-needle).EMS interaction with stroke teams and destination protocols to reduce time to definitive care. The difference for timed goals for the identification & treatment of AMI vs Stroke. Additional information about timed goals for stroke and how EMS affects outcomes, can be found on the PassACLS.com pod resources page.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
In this episode of the PFC Podcast, Dennis and Doug dive deep into Advanced Cardiac Life Support (ACLS) focusing on Pulseless Ventricular Tachycardia (VTAC) and Ventricular Fibrillation (V-Fib). They discuss the challenges of performing CPR in military settings, the roles and responsibilities during resuscitation, and the importance of understanding H's and T's in improving patient outcomes. The conversation also covers post-resuscitation care, the difficult decision of when to call it, and the role of telemedicine in ACLS. The episode emphasizes the need for teamwork, effective communication, and the importance of being prepared for unexpected situations in emergency care.TakeawaysContinuous high-quality CPR is crucial for survivability.In military settings, situational awareness is key for effective CPR.One knowledgeable person can lead a resuscitation effort.BLS is the foundation for any good ACLS.Timekeeping during CPR is essential for effective management.H's and T's are critical in identifying reversible causes during resuscitation.Post-resuscitation care is vital to prevent relapse.Telemedicine can provide valuable support during ACLS.Witnessed cardiac arrests have better outcomes than unwitnessed ones.Effective communication with the team is essential during resuscitation efforts.Chapters00:00 Introduction to ACLS and VTAC02:58 Challenges of CPR in Military Settings06:02 Roles and Responsibilities in ACLS09:01 Understanding H's and T's in Resuscitation12:08 Post-Resuscitation Care and Considerations17:54 Deciding When to Call It24:11 The Role of Telemedicine in ACLS30:00 Conclusion and Final ThoughtsThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers. Symptoms indicating a stable vs unstable patient. Common causes of tachycardia. Cardiac effects of Adenosine. Indications for use in the ACLS Tachycardia algorithm.Considerations and contraindications. Adenosine as a diagnostic for patients in A-Fib or A-Flutter with RVR.Dosing and administration.Other podcasts that cover common ACLS antiarrhythmics in more detail and another covering Brugata Criteria used to differentiate V-Tach from SVT with an aberrancy, can be found on the Pod Resources page at passacls.com.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInOther Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506*Commissions may be earned from the above links.Good luck with your ACLS class!
In this episode, we delve into a simulated emergency scenario to refresh and reinforce Advanced Cardiac Life Support (ACLS) skills. The setting involves Mr. Williams, a 63-year-old with multiple comorbidities, who presents to the ER with heart palpitations that escalate into a much more severe condition. The episode covers the progression of his condition and escalation of care that includes things like synchronized cardioversion, defibrillation and medications. If you are nervous about your ACLS certification, want to refresh your memory, or simply want to understand what's happening during a code, you definitely want to hit play on this episode! ___________________ Full Transcript - Read the article and view references Tips for your first code blue - Not sure you'll survive your first code? Boost your confidence with these tips! Review pacemakers - Get a concise but effective overview of pacemakers in this episode. FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Study Sesh - Change the way you study with this private podcast that includes dynamic audio formats that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh! Med Surg Solution - Are you looking for a more effective way to learn Med Surg? Enroll in Med Surg Solution and get lessons on 57 key topics and out-of-this-world study guides.
To pass the written ACLS exam and mega code, students need to be able to identify basic ECG dysrhythmias, including the two types of second-degree heart block. One method of ECG rhythm identification is to ask a series of questions such as: What's the rate (150);Is the rhythm regular or irregular;What's the shape, width, and frequency of P waves and QRS complexes; and What's the P-R interval and is it constant?ECG characteristics of a second-degree Mobitz type I (Wenckebach). Identification of unstable bradycardia and its treatment with Atropine. ECG characteristics of a second-degree Mobitz type II. Possible effect of using Atropine on patients with a second-degree type II AV block. Treatment of unstable bradycardic patients refractory to Atropine using TCP, Dopamine, or Epinephrine drip. Starting dose and titration of Dopamine and Epinephrine drips.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInOther Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506*Commissions may be earned from the above links.Good luck with your ACLS class!The Curious Clinicians: History of Doctor Wenckebach & Mobitz at https://curiousclinicians.com/2022/07/06/episode-52-way-back-wenckebach/
When treating patients with Acute Coronary Syndrome (ACS), MONA is an acronym sometimes used to help us remember the initial interventions. The O in MONA is Oxygen. When we should administer oxygen to ACS patients. When O2 administration is unnecessary based on an accurate pulse ox. Monitoring patient's oxygen saturation (SaO2) using a pulse oximeter. Review two common ACLS pre-arrest mega code scenarios.Oxygen administration during CPR and post cardiac arrest. You can find additional medical podcasts that cover ACLS-related topics, on the Pod Resources page at PassACLS.comCheck out ConveyMed.io for more free online medical education (FOAMed) opportunities.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInOther Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506*Commissions may be earned from the above links.Good luck with your ACLS class!
Along with early defibrillation, high quality CPR with minimal interruptions is one of the two factors that has been shown to improve cardiac arrest outcomes. How do we know if high quality, effective CPR is being performed?Objective measures of high-quality CPR include:Compression rate;Compression depth & recoil;ETCO2; and Chest Compression Fraction (CCF).The role of the CPR Coach on the code team. The advantages and use of real-time feedback devices to monitor the rate, depth, and chest recoil of CPR compressions.The use of end tidal waveform capnography. (ETCO2)A no-tech way to monitor effective CPR if no compression feedback device or ETCO2 capnography isn't available.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInOther Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506*Commissions may be earned from the above links.Good luck with your ACLS class!
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When we should use the bradycardia algorithm. The signs & symptoms of unstable bradycardia. Atropine's bradycardic dose and maximum. The use of atropine when a patient is in a second degree type II or third degree heart block.ECG changes that indicate subsequent doses of atropine are likely to be ineffective. The starting dose of Dopamine. The use of Dopamine for bradycardia as an interim until TCP vs hypotension.The use of Atropine and Dopamine in patients with myocardial ischemia. Podcasts with additional (advanced-provider level) information about bradycardia, Atropine, & Dopamine can be found on the Pass ACLS Pod Resources page.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInOther Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506*Commissions may be earned from the above links.Good luck with your ACLS class!
The tongue is the most common airway obstruction in an unconscious patient. Insertion an oropharyngeal airway helps keep the patient's tongue from falling to the back of the pharynx, causing an airway obstruction. The oropharyngeal airway is sometimes called an OPA or simply an oral airway. Indications for using an oral airway. Contraindication for an oral airway and an alternative airway that can be used for patients with an intact gag reflex. Measuring an OPA and possible complications from inserting one that's too small or too large.Two techniques to properly insert an OPA. The use of an oral airway during CPR. The use of an OPA as a bite block after a patient has an advanced airway placed.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInOther Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506*Commissions may be earned from the above links.Good luck with your ACLS class!
On this episode of NOONLauren, a registered nurse and personal trainer, shares her journey from critical care nursing to becoming a clinical instructor and business owner. She opens up about the challenges of bedside nursing, the importance of patient advocacy, and how her fitness background helps her navigate the demands of healthcare.Join us as we discuss the realities of nursing, the struggles of building a business, and the need for better education in the medical field.Today's Sponsor is: Lifesavers CPRAs healthcare providers, we know that when things go bad, they go bad fast. Staying sharp on your resuscitation skills isn't just a requirement—it's a responsibility.At Lifesavers CPR, Jennie offers ACLS, PALS, BLS, and Heartsaver CPR, all courses designed for real-world emergencies. She even has a unique class designated to teach ages 11-13 about life skills, including resume building, work ethics for babysitting and what to do for a choking child. As an ER nurse with many years of experience, she brings a practical, no-nonsense training that goes beyond the textbook.Need a renewal? Need a certification? Let's get it done. Email Lifesaversnm@gmail.com to schedule your class today. Lifesavers CPR2103 Golf Course Rd SE Rio Rancho 505-274-4277Lifesaversnm@gmail.comLauren's IG: https://www.instagram.com/laurenignacio_?igsh=bTZjZGNxajR3ZGQ0Podcast: https://open.spotify.com/show/1vAokfqG5aifoRBKk9MAUh?si=T8DipSBCQzWfOeiBW3h-VwFB Page: https://m.facebook.com/groups/nineoneonenonsense/?ref=shareInstagram: https://www.instagram.com/911nonsense/X: https://twitter.com/911NonsenseBonfire Merch: https://www.bonfire.com/store/nine-one-one-nonsense/?utm_source=copy_link&utm_medium=store_page_share&utm_campaign=nine-one-one-nonsense&utm_content=defaultContent Warning: This episode contains discussions about death, including graphic and potentially triggering details. Listener discretion is advised. The episode also covers sensitive topics and may not be suitable for all audiences. If you or someone you know is struggling with suicidal thoughts or mental health issues, please seek help immediately. You can contact the Suicide & Crisis Lifeline by dialing 988 from anywhere in the U.S.
Hypoxia is a state of low oxygen levels in the blood. Determining hypoxia using a pulse oximeter or arterial blood gasses (ABGs). A goal of ACLS is to recognize signs of hypoxia and provide timely treatment to prevent an arrest. Examples of some things that might lead us to think of hypoxia as a cause of cardiac arrest. Why we should not rely on pulse ox to give accurate readings during CPR. Delivering ventilations with near 100% oxygen concentration using a BVM attached to supplemental O2 and a reservoir.Using end tidal waveform capnography to assess the quality of CPR. Changes to ventilation rates, tidal volume, and O2 concentration affects a patient's oxygen, carbon dioxide, and pH. The danger of excessive ventilation of a patient in cardiac arrest.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInOther Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506*Commissions may be earned from the above links.Good luck with your ACLS class!
ECG characteristics of supraventricular tachycardia (SVT) vs. sinus tachycardia. Signs & symptoms that indicate a patient is unstable. Delivery of a synchronized shock for the treatment of unstable SVT using a biphasic vs monophasic defibrillator. Consideration for team safety while performing synchronized cardioversion. Actions to take immediately if an unstable patient we've cardioverted goes into a pulseless rhythm. Management of stable patients in SVT. For more FOAMed on narrow complex tachycardias, check out the pod resource page at passacls.com.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInOther Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506*Commissions may be earned from the above links.Good luck with your ACLS class!
When working to resuscitate a patient in sudden cardiac arrest, Epinephrine is the first IV medication we administer. When we give the first dose of epinephrine depends on whether the patient is in a shockable or non-shockable rhythm. When to give the first dose of epinephrine and its frequency for patients in asystole or PEA following the right side of the Adult Cardiac Arrest algorithm. When to give the first dose of epi and its frequency for patients in V-Fib or pulseless V-Tach following the left side of the Adult Cardiac Arrest algorithm.Example chronology of events for a scenario where a patient is found unresponsive with only gasping/agonal breathing. Administration of epi via the IO or endotracheal route in the absence of an IV. The maximum cumulative dose of epinephrine that can be administered to patients in cardiac arrest.When do we stop administering epinephrine.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInOther Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506*Commissions may be earned from the above links.Good luck with your ACLS class!
If a person suddenly develops symptoms such as weakness, slurred or garbled speech, loss of balance, or a massive & severe headache; it's possible they could be having a stroke.The Cincinnati Prehospital Stroke Scale. There are several conditions that can mimic a stroke. Identification & Treatment of hypoglycemia or hyperglycemia. Identification & Treatment of hypoxia using a pulse oximeter. Some seizures, electrolyte imbalance, sepsis, brain tumors, and Bell's Palsy can also mimic a stroke. Prehospital providers should transport suspected stroke patients to a stroke center following their local protocols. Hospital providers should active their stroke team to ensure rapid assessment and treatment.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInOther Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506*Commissions may be earned from the above links.Good luck with your ACLS class!