Advance Cardiac Life Support: Short, Sweet and to the Point
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About this ebook
You will be able to, quickly improve your assessment skills to identify and treat life threatening emergencies in an efficient and timely matter.
This guide will navigate you from basic life support to advance care and the return of spontaneous circulation.
It includes the skills to care the adult who is experiencing respiratory, cardiac, shock and/or neurological emergencies.
Early recognition and treatment of the signs and symptoms of acute coronary syndrome and stroke are key to improving patient outcome
Helen Carter RN
Helen Carter RN, ADN Bachelor of Science in Natural Health AHA/ARC ACLS/BLS/PALS Instructor Trauma Nursing Core Course and Emergency Nursing Pediatric Course Instructor. Beginning her journey in the late Sixties, Helen worked part time as a nurse’s aide while in high school. After high school as many young women did at that time she married and had three beautiful children. As the situation changed, so did Helen. She returned to Diman Regional School of Practical Nursing, completing and graduating from the then two year program. While working as an LPN. Helen felt the more she learned the more she didn’t know. She was transforming, reaching out to a college councilor she founded herself enrolled in the nursing program at Bristol community college. After graduation, Helen worked the next 20 years in critical care (CVICU) at Charlton Memorial Hospital (South coast Hospital) Still changing as life changed she took a travel nurse position at Arizona Heart Hospital, Mayo clinic and her last assignment at Banner Health where she accepted a full time position in the training center. A new and different experience, opened the doors to a whole new learning curve Helen believes that the best way to learn something is to teach it. Learning and teaching for the next 10 years, blessed to, have so many great mentors. Too busy to look at the clock time was racing by. She and Dennis (her life mate) where getting old. Family was on the east coast and they were on the west. Travel across country grew more pricey and difficult especially for Dennis. Retirement age in reach. when the opportunity came up to retire a few months early with severant pay She asked why not? I can always teach part time. As though thrown into a whirl wind, she retired sold the house in Arizona packed up and moved to Florida. We could be closer to family without dealing with the cold and snow. Dennis had friends in Florida. A win, win situation so we though. We were met with one challenge after the other. Needing to get back to teaching if for nothing more than her own sanity. She quickly got in touch with a local training center, tears streamed her face as they said yes they could use her help. She was back in the flow of learning and teaching feeling blessed once again. Then came the report of the corona virus all classes would be placed at hold. It was time to shelter at home. Thanks to the support and encouragement of my friends. I wrote ….A guide, short, sweet and to the point to help students prepare for class.
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Advance Cardiac Life Support - Helen Carter RN
Copyright © 2020 Helen Carter.
All rights reserved. No part of this book may be used or reproduced by any means, graphic, electronic, or mechanical,
including photocopying, recording, taping or by any information storage retrieval system without the written
permission of the author except in the case of brief quotations embodied in critical articles and reviews.
This book is a work of non-fiction. Unless otherwise noted, the author and the publisher make
no explicit guarantees as to the accuracy of the information contained in this book and in
some cases, names of people and places have been altered to protect their privacy.
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Because of the dynamic nature of the Internet, any web addresses or links contained in this book may have changed
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not necessarily reflect the views of the publisher, and the publisher hereby disclaims any responsibility for them.
The author of this book does not dispense medical advice or prescribe the use of any technique as a form of
treatment for physical, emotional, or medical problems without the advice of a physician, either directly or
indirectly. The intent of the author is only to offer information of a general nature to help you in your quest
for emotional and spiritual well-being. In the event you use any of the information in this book for yourself,
which is your constitutional right, the author and the publisher assume no responsibility for your actions.
Any people depicted in stock imagery provided by Getty Images are models,
and such images are being used for illustrative purposes only.
Certain stock imagery © Getty Images.
ISBN: 978-1-9822-4851-2 (sc)
ISBN: 978-1-9822-4852-9 (e)
Library of Congress Control Number: 2020911282
Balboa Press rev. date: 10/29/2020
Contents
Special Thanks
Overview; the Science
• High Quality Compressions, the Key to Success!
• Extracorporeal CPR
• Ventilations
Early Recognition and Treatment
• Access, Recognize and Care
• Assessment Findings
Systematic Approach
• Rapid Assessment
• Initial Assessment Appearance, Breathing, Color
• Conscious/Unconscious - VOMIT
Primary Assessment
• Airway, Breathing, Circulation, Disability, Exposure
Secondary Assessment
• SAMPLE
• H and T’s
• Head To Toe Exam, Labs And Diagnostic Testing Are Included In the Secondary Assessment
High Quality BLS
• Maintains Adequate Blood Supply To Brain and Vital Organs
Recovery Position
• Adult Recovery Positioning
• BLS for Children and Infants
• Child
Infant under the Age of One
• AED Use in Infant and Children
• Choking - Obtain Consent If Patient Is Alert)
• Adult/Child (Responding)
• Infant (Responding)
• Wheel Chair Bound
Unresponsive choking (all ages)
• All Ages
• CPR Continues Until:
• Measurements of High quality CPR
• Team lead should assess for
• Maternal Cardiac Arrest:
Opioid Overdose
• Respiratory Depression The Hallmark
• Airway Management/Respiratory Arrest
Respitory Distress, Failure, Arrest
Airway Management Is a Fundamental Lifesaving Skill
• Recue Breathing Is Breaths without Compressions
• Advance Airway
• Confirmation of ET Tube
Laryngeal Mask Airway
• ET Suctioning
• Capnography vs. Oximetry
• PETCO – Partial Pressure of Carbon Dioxide at the End of Expiration.
Five Steps to Interpret a Waveform
Normal Capnogram
Hyperventilation
• Waveform Graphs
Hypoventilation
• SaO2 Level
Capnography Waveform
• Exhalation
Team Dynamics Elements of Team Dynamics and Communication
• Communication
• Roles
• What to Communicate
• How to Communicate
• Debriefing
Management of Arrhythmias
• Secondary Arrhythmias
• Algorithm’s : Stable vs Unstable
• Stable or Unstable
EKGS
• 3 Lead EKG
• 5 Lead EKG
• 12 Lead EKG