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Santiago Long

Advanced Cardiovascular Life Support (ACLS) - P...


Advanced cardiac life support, advanced cardiovascular life support (ACLS) refers to a set of clinical guidelines for the urgent and emergent treatment of life-threatening cardiovascular conditions that will cause or have caused cardiac arrest, using advanced medical procedures, medications, and techniques. ACLS expands on Basic Life Support (BLS) by adding recommendations on additional medication and advanced procedure use to the CPR guidelines that are fundamental and efficacious in BLS. ACLS is practiced by advanced medical providers including physicians, some nurses and paramedics;[1] these providers are usually required to hold certifications in ACLS care.




Advanced Cardiovascular Life Support (ACLS) - P...



While "ACLS" is almost always semantically interchangeable with the term "Advanced Life Support" (ALS), when used distinctly, ACLS tends to refer to the immediate cardiac care, while ALS tends to refer to more specialized resuscitation care such as ECMO and PCI. In the EMS community, "ALS" may refer to the advanced care provided by paramedics while "BLS" may refer to the fundamental care provided by EMTs and EMRs; without these terms referring to cardiovascular-specific care.


Advanced cardiac life support refers to a set of guidelines used by medical providers to treat life-threatening cardiovascular conditions. These life-threatening conditions range from dangerous arrhythmias to cardiac arrest. ACLS algorithms frequently address at least five different aspects of peri-cardiac arrest care: Airway management, ventilation, CPR compressions (continued from BLS), defibrillation, and medications. Due to the seriousness of the diseases treated, the paucity of data known about most ACLS patients, and the need for multiple, rapid, simultaneous treatments, ACLS is executed as a standardized, algorithmic set of treatments. Successful ACLS treatment starts with diagnosis of the correct EKG rhythm causing the arrest. Common cardiac arrest rhythms covered by ACLS guidelines include: ventricular tachycardia, ventricular fibrillation, Pulseless Electrical Activity, and asystole. Dangerous, non-arrest rhythms typically covered includes: narrow- and wide-complex tachycardias, torsades de pointe, atrial fibrillation/flutter with rapid ventricular response, and bradycardia.[2]


Introduction: There is no agreement on how the hands are positioned in cardiopulmonary resuscitation (CPR). In this study, the effects of two methods of positioning the hands during basic and advanced cardiovascular life support on the chest compression depth are compared. Methods: In this observational simulation, the samples included 62 nursing students and emergency medicine students trained in CPR. Each student performed two interventions in both basic and advanced situations on manikins and two positions of dominant hand on non-dominant hand, and vice versa, within four weeks. At each compression, the chest compression depth was numerically expressed in centimeter. Each student was assessed individually and without feedback. Results: The highest mean chest compression depth was related to Basic Cardiovascular Life Support (BCLS) and the position of the dominant hand on non-dominant hand (5.50 0.6) and (P = 0.04). There was no statistically significant difference in the basic and advanced regression variables in men and women except in the case of Advanced Cardiovascular Life Support (ACLS) with dominant hand on non-dominant hand (P = 0.018). There was no significant difference in mean chest compression during basic and advanced cardiovascular life support in left- and right-handed individuals (P = 0.09). Conclusion: When the dominant hand is on the non-dominant hand, more pressure with greater depth is applied.


By building on your Basic Life Support (BLS) knowledge, our scientifically equivalent and educationally superior training emphasizes providing high-quality patient care by integrating rhythm interpretation, electrical interventions, and pharmacologic knowledge with critical thinking, problem-solving, and in-person psychomotor skills practice to achieve the best possible patient outcomes. Throughout the Red Cross ALS course, you'll learn advanced life support assessment, as well as how to best manage respiratory emergencies, and Advanced Cardiac Life Support (ACLS) protocols for acute arrhythmias, cardiac arrest (including post-cardiac arrest care), acute coronary syndromes and acute stroke within or outside of a medical facility setting.


Cardiopulmonary resuscitation (CPR) is one of the most important and urgent intervention to prevent death or postpone it in a patient with cardiac arrest 4. The teaching and reinforcing of ACLS is an important part of the intensive care nurse role. Critical care Nurses are often the first health care professionals to identify a patient with cardiopulmonary arrest in the different critical care setting and therefore should possess adequate competency to provide effective resuscitation 5. ACLS performance improves when all nurses are certified and practicing the advanced training courses. Various levels of CPR include: Basic life support measures which are conducted for opening the airway and oxygenation and maintaining blood circulation at the primary level, advanced cardiovascular life support (ACLS), including the sequence for resuscitation, medications, electrical therapy, and monitoring, the emphasis on high-quality CPR and its critical role in resuscitative efforts for purpose of maintaining blood circulation and oxygenation at the advanced level and long-term resuscitation measures that are done for brain or cerebral resuscitation and improvement of the brain tissue and stabilization of the patient 6, 7.


The ability to respond quickly and effectively to a cardiac arrest situation rests on the nurses being competent in the emergency life-saving procedure of cardiopulmonary resuscitation 8. The survival rate after cardiac arrest depends on the quality of CPR, alarm response time, advanced airway measures and time to defibrillation. All healthcare professionals should be able to perform CPR with competence 5, 9.


Nurses working in different areas reportedly demonstrated varying levels of CPR competence, and these skills deteriorated over time. Critical care nurses performing ACLS in accident and emergency units, intensive care units, coronary care unites, nursery care unite in real-life situations with advanced airway measures on a daily basis retained these skills but need updating knowledge and skills .


The study aimed to evaluate the nurses' knowledge and performance toward advanced cardiovascular life support (ACLS) and to find out the association between the knowledge scores of the nurses and their selected demographic variables of age, gender, and level of education, years of experience, and a structured training programme, as well as regular updates in (ACLS).


A Quasi-Experimental study design with pre, intervention/posttest were utilized to assess the effect of implementing advanced cardiovascular life support (ACLS) guidelines 2016 on nurse's knowledge and performance.


The advanced cardiovascular life support (ACLS) is an essential skill for all healthcare professionals, especially critical care nurses. It can be a lifesaver when applied by a competent and skilled person. The advanced CPR procedure is a coordinated integration of chest compression-induced circulation, rescue advanced airway and breathing management whereby priorities are determined by evidence from literature, practice, required professional and good training nurses 13.


(1) All licensed active status dentists, dental hygienists, and denturists shall possess a current cardiopulmonary resuscitation (CPR), advanced cardiac life support (ACLS), or pediatric advanced life support (PALS) card.


Advanced cardiac life support or (ACLS) refers to a set of clinical interventions for the urgent treatment of cardiac arrest and other life threatening medical emergencies, as well as the knowledge and skills to deploy those interventions.[1] Extensive medical knowledge and rigorous hands-on training and practice are required to master ACLS. Only qualified health care providers (e.g. physicians, paramedics, nurses, respiratory therapists and other specially trained health care providers) can provide ACLS, as it requires the ability to manage the patient's airway, initiate IV access, read and interpret electrocardiograms, and understand emergency pharmacology.


ACLS for Experienced Providers goes beyond the core ACLS training by offering critical thinking opportunities for those advanced, experienced, healthcare professionals who use ACLS on a regular basis. The goal of ACLS EP is to improve outcomes in complex cardiovascular, respiratory and other (e.g., metabolic, toxicologic) emergencies by expanding on core ACLS guidelines and encouraging critical thinking and decision-making strategies. Through cooperative learning and active participation in case-based scenarios, learners enhance their skills in the differential diagnosis and treatment of prearrest, arrest and postarrest patients.


UCHealth offers their employees a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical, dental and vision coverage; retirement plans; paid time off; employer-paid life and disability insurance with additional buy-up coverage options; tuition and continuing education reimbursement; and a full suite of voluntary benefits such as identity theft protection and pet insurance. Our employees and their family members have full access to our Employee Assistance Program, which includes up to 5 free counseling visits and work/life solutions, such as one free legal consultation. In addition, other emotional counseling support is available depending upon their need.


PEARS helps healthcare providers develop the knowledge and skills needed for emergency evaluation and treatment of seriously ill infants and children. PEARS teaches providers how to recognize respiratory distress, shock and cardiac arrest, and provide appropriate lifesaving interventions within the initial minutes of response until the child is transferred to an advanced life support provider. The goal of PEARS is to improve the quality of care provided to seriously ill or injured infants and children, resulting in improved outcomes. 041b061a72


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