Megacode Algorithm

  What is an ACLS Megacode Megacode scenarios combine the knowledge and protocols of multiple ACLS algorithms and could include any of the following: Acute Coronary Syndrome Acute Stroke Cardiac Arrest Pulseless Ventricular Fibrillation or Ventricular Tachycardia Asystole or Pulseless Electrical Activity (PEA) Bradycardia Tachycardia, both stable and unstable To be a successful ACLS provider, you must […]

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Tachycardia Algorithm

  What is Tachycardia A heart rate in adults that is greater than 100 beats per minute is technically defined as tachycardia. Many things can cause tachycardia—fever, shock, medications, stress, metabolic dysfunction, hypoxemia, etc. Perfusion problems may develop when the heart beats too fast and the ventricles are not able to fully fill with blood. […]

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Bradycardia Algorithm

  What is Bradycardia Absolute bradycardia is defined as a pulse rate less than 60 bpm. During the patient assessment, it should be determined whether bradycardia-induced life-threatening signs and symptoms are present. Signs and Symptoms of Bradycardia Bradycardia can present itself in several different cardiac rhythms, including sinus bradycardia and varying degrees of atrioventricular heart […]

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Asystole Algorithm

  What is Asystole Asystole is sometimes referred to as a “flat line” on the monitor.  It represents the absence of both electrical and mechanical activity of the heart. If the patient does not have a pulse and asystole is confirmed in one lead, the ACLS team should check another lead and the monitor’s amplitude […]

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Pulseless Electrical Activity (PEA) Algorithm

  What is PEA PEA is the abbreviation for a type of cardiac arrest known as pulseless electrical activity. PEA is an organized rhythm without a pulse where the electrical activity of the heart may appear normal, but the heart muscle is not responding. Signs and Symptoms of PEA With PEA, the heart muscle is […]

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Pulseless Arrest Algorithm

  What is Pulseless Arrest Ventricular fibrillation (v-fib) and pulseless ventricular tachycardia (v-tach or VT) are lethal dysrhythmias that do not produce a pulse. Ventricular fibrillation is the most common initial dysrhythmia in cardiac arrest and will regress to asystole if not treated right away. Pulseless Arrest Treatment The treatment for ventricular fibrillation is rapid […]

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Stroke Algorithm

  What is a Stroke The word stroke refers to an acute neurologic impairment following interruption of blood supply to a specific area of tissue in the brain. Two major types of stroke are: Ischemic stroke Accounts for almost 87% of all strokes Usually caused by an embolism, which occludes an artery, affecting the subsequent […]

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Acute Coronary Syndrome (ACS) Algorithm

  What is Acute Coronary Syndrome An initial 12-lead ECG is used as part of the identification process for all acute coronary syndrome (ACS) cases. The three ECG categories for acute coronary syndrome include: ST segment elevation, suggesting an active acute myocardial infarction (AMI) ST segment depression, suggesting ischemia Non-diagnostic/normal ECG   STEMI (ST elevation […]

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Adult CPR Algorithm

To perform CPR, rescuers should: Ensure the scene is safe, put on gloves, and prepare to rescue. A rescue mask with a one-way valve should be used if available Call out to the victim to check responsiveness If the victim doesn’t respond, place a hand on the forehead and tap on the collarbone while asking […]

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Respiratory Arrest Algorithm

  What is Respiratory Arrest Respiratory arrest cases occur when a patient has a pulse but is not breathing normally. A reliable sign of inadequate breaths is when breathing attempts do not produce a visible chest rise and fall. Agonal respirations are often mistaken for breathing. Since no air goes in and there is no […]

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