Pass ACLS Tip of the Day Paul Taylor

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.
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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; and Severe 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.
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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.
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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.
Monitoring the patient’s core temperature during TTM.
Why we should cool unresponsive post-arrest patients.
Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.
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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.
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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 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.
Connect with me:
Website:  https://passacls.com
@PassACLS on X (formally known as Twitter)
@Pass-ACLS-Podcast on LinkedIn

Give back - buy Paul a bubble tea here

Good luck with your ACLS class!