Pass ACLS Tip of the Day Paul Taylor
-
- Health & Fitness
-
Like a daily audio flash card. This podcast is intended to aid any medical professional preparing for an Advanced Cardiovascular Life Support (ACLS) class. Each one-to-nine minute Flash Briefing-style episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high-performing team to deliver quality care.
Listening to a tip-of-the-day for 14-30 days prior to a class will help cement core concepts that have been shown to improve outcomes in patients suffering a heart attack, cardiac arrest, or stroke. In addition to the chain of survival core concepts and ACLS algorithms, specific information needed to pass the written exam and megacode following the 2020 guidelines is presented.
Healthcare providers that are already ACLS certified may find listening a helpful reminder.
Disclaimer: This podcast is a supplement to your course's approved text book and videos - not a replacement. The information presented is for educational purposes only and is not medical advice. Medical professionals should follow their local laws, agency protocols, and act only within their scope of practice.
-
Prehospital Capabilities and EMS Destination Protocols for STEMI & Stroke
The chain of survival for a cardiac emergency and stroke start the same:
1. preparedness & recognition of an emergency;
2. activation of EMS;
3. delivery of Advanced Life Support; and
4. transporting to the most appropriate facility.
ALS ambulances are staffed with paramedics who have training in ACLS skills.
Why EMS "Destination Protocols" for suspected stroke and STEMI make a difference.
ACLS’s timed benchmarks for:
point of first medical contact to PCI for ST elevation MI;door to tPA for ischemic stroke; andonset of symptoms to EVT for LVO strokes.
Why EMS should bypass a close hospital to transport a STEMI or suspected stroke patient to a hospital capable of 24/7 PCI or a certified stroke center.
Check out the Pod Resource page at passacls.com for links to the "EMS On Air" podcast for links to episodes that look at EMS's role in stroke outcomes in the rural vs urban area.
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! -
Review of Automated External Defibrillator (AED)
Performing good CPR and delivering a shock as soon as possible to a patient in Ventricular Fibrillation or pulseless V-Tach are the two most critical interventions that have been shown to increase survival from sudden cardiac arrest.
Studies have demonstrated significantly better out-of-hospital cardiac arrest survival outcomes in communities with robust public CPR training and public access/first responder AEDs.
The general use of AED including: indications for use; attaching the AED pads; following verbal prompts; and safely administering a shock.
Following the Adult Cardiac Arrest algorithm while using an AED.
Contraindications to AED use.
General safety considerations to remember.
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! -
Asystole & Pulseless Electrical Activity (PEA)
For apneic patients without a carotid pulse or patients with only gasping/agonal respirations, we will follow the Adult Cardiac Arrest algorithm.
For pulseless patients that the AED doesn't advise a shock, the patient's ECG shows asystole, or a non-perfusing organized rhythm (PEA), we will follow the right side of the Adult Cardiac Arrest algorithm.
Initial steps are aimed at delivery of high-quality CPR to keep the brain and vital organs alive.
Epinephrine administration.
Placement of an advanced airway.
Considering possible reversible H & T causes of cardiac arrest including three common causes of PEA and their emergent interventions.
When we should discontinue resuscitation efforts and call the code.
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! -
Songs To Help Us Deliver Good CPR
Providing good, high-quality CPR with minimal interruptions and early defibrillation are two key interventions shown to improved cardiac arrest outcomes.
A training tool used in many CPR and ACLS classes is to use a song (or a song list) with a tempo of 100 to 120 beats per minute to help the person doing chest compressions maintain an adequate rate.
Characteristics of good songs that will help us.
Advantages & disadvantages of using a song during CPR.
Selected songs from various genres and time periods from AHA's "Don’t Drop The Beat" playlist on Spotify. (https://open.spotify.com/playlist/2mU2FNAhSOtQwW0hBgQMaK)
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! -
Obtaining a Medical History
A patient’s medical history will help us identify things that may be causing (or contributing) to their current condition as well as guide our decisions so we provide the safest evidence-based care possible.
Examples of information obtained in a medical history that will impact the treatment we provide.
There are several mnemonics and memory aids that people use to guide their history taking.
Review the SAMPLE-PQRST medical history format.
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! -
Magnesium and Procainamide Review
Although magnesium can be used in the treatment of other medical conditions such as eclampsia, asthma, & digitalis toxicity; for ACLS, magnesium is primarily used to treat Torsades de Pointes.
Identification of torsades on the ECG.
Administration of a magnesium infusion for stable patients vs slow IV push for patients in cardiac arrest.
Procainamide use for stable patients with a monomorphic wide-complex tachycardia.
Procainamide dosing and when to stop the infusion.
Tip for determining whether magnesium or Procainamide should be used when treating stable patients with V-Tach.
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!
Customer Reviews
Love the short episodes!
Pharmacist here. I like these short, informative episodes. The ones featuring drugs are most interesting to me, but my favorite episode had SONG recommendations for CPR…so you can set the pace. Unexpected and awesome! Great podcast!
Great Review of ACLS, easy to understand
These episodes are a great daily review of individual ACLS topics. Accurate to the latest guidelines, easy to understand review for people who don’t have the occasion to practice ACLS regularly. Great info for experienced providers to help remember the details or prep for recert.