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What is
ACLS ?
Objectives
Management of the first 10
minutes of witnessed, adult, VF
cardiac arrest.
The management of the 9 core
clinical cases
Acute
myocardial
infarction
Unstable
tachycardia
Stable
tachycardia
Bradycardia
Knowledge and
Skill
Airway management and endotracheal
intubation
Recognition and therapy of the major
ACLS emergency conditions
Electrical therapy
I.V. and invasive therapeutic
Lethal and non-lethal arrhythmias
ACLS cardiovascular pharmacology
Chain of Survival
Basic Steps
PRIMARY ABCD SURVEY
Airway
Breathing
Basic Steps
SECONDARY ABCD SURVEY
Airway
Breathing
Circulation
Differential
FARMAKOLOGI
Oxygen
Epinephrine
Atropine
Lidocaine
Adenosine
Verapamil
Amiodarone
Aspirin
Vasopressin
Sodium bicarbonate
Dopamine
Dobutamine
Digitalis
Morphine
Nitroglycerine
Thrombolytic
Skill Station :
AIRWAY MANAGEMENT
Team MEGACODE
SELESAI
UNIVERSAL
ALGORITHM
Not Responsive
activate EMS
call for defibrillator
(A) assess breathing
(open the airway,
look, listen, and
feel)
Breathing
place in recovery
position
Not Breathing
(B) give 2 slow
breath
(C) check pulse
No Pulse
Rescue
breathing
Oxygen
IV
Vital sign
Endotracheal
intubation
History
Physical examination
Monitor, 12 leads
Suspected
Cause
Hypotension/shock/
acute pulmonary
edema
Go to Fig 8
Acute MI
Go to Fig 9
Arrhythmia
Too Slow
Go to Fig
5
Too Fast
Go to Fig
6
Intubate
Confirm tube
placement; consider
end-tidal CO2 indicator
Confirm ventilation
Determine rhythm &
cause
VF / VT
Go to Fig
2
Electrical activity
No
Yes
Pulseless
electrical activity
(PEA)
Go to Fig 3
Asystole
Go to Fig 4
Person collapses
Possible cardiac
arrest
unresponsiveness
Assess
responsiveness
Begin
Primary ABCD Survey
(begin BLS algorithm)
Activate emergency response
system
Call for defibrillator
A assess breathing (open
airway: look, listen & feel)
Not breathing
C
D
CPR continues
Assess rhythm
VF / VT
Attempt defibrillation
(up to 3 shocks if VF/VT persists)
CPR for
1
minute
Non VF / VT
Non VF/VT
(asystole or PEA)
CPR up
to
3
minute
SELESAI