The goal of Advanced Cardiovascular Life Support (ACLS) is to achieve the best possible outcome for individuals who are experiencing a life-threatening event. ACLS is a series of evidence-based responses simple enough to be committed to memory and recalled under moments of stress.

These ACLS protocols have been developed through research, patient case studies, clinical studies, and the opinions of experts in the field. The gold standard in the United States and other countries is the course curriculum published by the International Liaison Committee on Resuscitation (ILCOR).

Previously, the ILCOR published periodic updates to their Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) guidelines on a five-year cycle, with the most recent update published in 2020. Moving forward, the ILCOR will no longer wait five years between updates; instead, it will maintain the most up-to-date recommendations online at ECCguidelines.heart.org.

Healthcare providers are recommended to supplement the materials presented in this handbook with the guidelines published by the ILCOR and refer to the most current interventions and rationales throughout their study of ACLS. While ACLS providers should always be mindful of timeliness, it is important to provide the intervention that most appropriately fits the needs of the individual. Proper utilization of ACLS requires a rapid and accurate assessment of the individual’s condition. This not only applies to the provider’s initial assessment of an individual in distress but also to the reassessment throughout the course of treatment with ACLS.

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Timestamps:
0:00 Intro
3:17 ACLS Table of Contents
7:27 Chapter 1 INTRODUCTION TO ACLS
10:48 Chapter 2 THE INITIAL ASSESSMENT
11:36 Chapter 3 BASIC LIFE SUPPORT
12:32 INITIATING THE CHAIN OF SURVIVAL
13:14 2020 CPR GUIDELINE CHANGES
15:08 BLS FOR ADULTS
15:48 ONE-RESCUER BLS/CPR FOR ADULTS
17:31 CPR STEPS FOR ADULTS
19:16 TWO-RESCUER BLS/CPR FOR ADULTS
21:19 ADULT MOUTH-TO-MASK VENTILATION
22:18 ADULT BAG-MASK VENTILATION IN TWO-RESCUER CPR
23:24 BLS FOR CHILDREN/INFANTS
24:00 ONE-RESCUER BLS/CPR FOR CHILDREN (AGE 1 TO PUBERTY)
25:57 CPR STEPS FOR CHILDREN
27:27 ONE-RESCUER BLS/CPR FOR INFANT (NEWBORN TO AGE 12 MONTHS)
29:28 CPR STEPS FOR INFANTS
31:01 CHILD/INFANT MOUTH-TO-MASK VENTILATION
32:01 CHILD/INFANT BAG-VALVE-MASK VENTILATION IN TWO-RESCUER CPR
32:55 SELF-ASSESSMENT FOR BLS
35:12 ANSWERS
36:13 Chapter 4 ADVANCED CARDIAC LIFE SUPPORT
36:15 NORMAL HEART ANATOMY AND PHYSIOLOGY
39:50 ACLS RHYTHMS AND INTERPRETATION
46:52 THE ACLS SURVEY (A-B-C-D)
49:15 AIRWAY MANAGEMENT
52:24 SUCTIONING
53:51 BASIC AIRWAY TECHNIQUE INSERTING AN OPA
54:39 INSERTING AN NPA
55:21 TIPS ON SUCTIONING
56:28 ADVANCED AIRWAY ADJUNCTS ENDOTRACHEAL TUBE
57:07 LARYNGEAL MASK AIRWAY
57:35 LARYNGEAL TUBE
57:53 ESOPHAGEAL-TRACHEAL TUBE
58:37 ROUTES OF ACCESS
59:05 INTRAVENOUS ROUTE
59:52 INTRAOSSEOUS ROUTE
1:00:46 PHARMACOLOGICAL TOOLS
1:08:55 SELF-ASSESSMENT FOR ACLS
1:10:19 ANSWERS
1:11:03 CHAPTER 5 PRINCIPLES OF EARLY DEFIBRILLATION
1:13:11 KEYS TO USING AN AUTOMATED EXTERNAL DEFIBRILLATOR
1:14:21 AED KEY POINTS
1:15:00 CRITERIA TO APPLY AED
1:15:20 BASIC AED OPERATION
1:17:10 CHAPTER 6 SYSTEMS OF CARE
1:18:04 CARDIOPULMONARY RESUSCITATION
1:19:14 INITIATING THE CHAIN OF SURVIVAL
1:19:49 POST-CARDIAC ARREST CARE
1:20:51 TARGETED TEMPERATURE MANAGEMENT
1:21:12 OPTIMIZATION OF HEMODYNAMICS AND VENTILATION
1:21:57 PERCUTANEOUS CORONARY INTERVENTION
1:22:23 NEUROLOGICAL CARE
1:22:45 ACUTE CORONARY SYNDROME
1:23:14 GOALS OF ACS TREATMENT
1:24:22 ACUTE STROKE
1:24:56 GOALS OF ACUTE ISCHEMIC STROKE CARE
1:25:53 The 8 D’s of Stroke Care
1:26:34 THE RESUSCITATION TEAM
1:28:49 EDUCATION, IMPLEMENTATION, TEAMS
1:30:44 SELF-ASSESSMENT FOR SYSTEMS OF CARE
1:31:46 ANSWERS
1:32:20 CHAPTER 7 ACLS CASES RESPIRATORY ARREST
1:34:30 PULSELESS VENTRICULAR TACHYCARDIA AND VENTRICULAR FIBRILLATION
1:37:03 PULSELESS ELECTRICAL ACTIVITY AND ASYSTOLE
1:38:16 STANDARD DOSE EPINEPHRINE IS VASOPRESSOR OF CHOICE
1:39:13 ADULT CARDIAC ARREST
1:42:20 POST-CARDIAC ARREST CARE
1:46:44 SYMPTOMATIC BRADYCARDIA
1:48:38 TACHYCARDIA
1:52:22 ACUTE CORONARY SYNDROME
1:53:31 ACUTE STROKE
1:57:45 SELF-ASSESSMENT FOR ACLS CASES
2:02:08 ANSWERS
2:05:00 CHAPTER 8 ACLS ESSENTIALS
2:07:09 CHAPTER 9 ADDITIONAL TOOLS MEDICODE
2:08:24 CERTALERT+
2:09:23 CHAPTER 10 ACLS REVIEW QUESTIONS
2:14:12 ANSWERS and OUTRO

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