Interviews with mathematics education researchers about recent studies. Hosted by Samuel Otten, University of Missouri. www.mathedpodcast.com Produced by Fibre Studios
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I'm Paul from PassACLS.com and I'm here to help you pass ACLS. Like an audio flash card, this podcast is intended to aid any medical professional preparing for an Advanced Cardiovascular Life Support (ACLS) class. Each three-to-nine minute episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high performing team to deliver safe, quality patient care. Listening to a tip a day for a few weeks prior to your ACLS class will help cement the 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, BLS checks, and megacode following the 2020 guidelines is presented. Healthcare providers that are already ACLS certified, but rarely participate in codes, 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, is intended for medical professionals, and is not medical advice. Medical professionals should follow their local laws, agency protocols, and act only within their scope of practice.
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I'm Paul from PassACLS.com and I'm here to help you pass ACLS. Like an audio flash card, this podcast is intended to aid any medical professional preparing for an Advanced Cardiovascular Life Support (ACLS) class. Each three-to-nine minute episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high performing team to deliver safe, quality patient care. Listening to a tip a day for a few weeks prior to your ACLS class will help cement the 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, BLS checks, and megacode following the 2020 guidelines is presented. Healthcare providers that are already ACLS certified, but rarely participate in codes, 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, is intended for medical professionals, and is not medical advice. Medical professionals should follow their local laws, agency protocols, and act only within their scope of practice.
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Pass ACLS Tip of the Day
Epinephrine and Dopamine are adrenergic agonist used in several ACLS algorithms. The use of epinephrine for severe anaphylaxis and unstable bradycardia. Review epinephrine’s effects on blood vessels and bronchioles. Why epinephrine is helpful for patients with anaphylaxis. Using an epi drip for unstable bradycardia. Epinephrine administration during cardiac arrest. Starting an epinephrine or Dopamine drip for patients that have ROSC. Review the effects of Dopamine based on mcg/kg/min dosing. Monitoring the patient and titrating epi or Dopamine drips to prevent harm. For more information on ACLS medications, check out the pod resource page at passacls.com. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
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. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
1 Hypothermia: A H&T Reversible Cause of Cardiac Arrest 4:11
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Play Later Play Later Lists Like LikedHypothermic 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. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
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. 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. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
1 Post-Arrest Care & Targeted Temperature Management (TTM) 5:16
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Play Later Play Later Lists Like LikedThe 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. Indications for starting TTM. Monitoring the patient’s core temperature. Patients can undergo EEG, CT, MRI, & PCI while receiving TTM. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
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. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
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 underlying 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. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
1 Tablets & Toxins as a H&T Reversible Cause of Cardiac Arrest 4:37
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Play Later Play Later Lists Like LikedAs an ACLS provider you do not need to be familiar with all of the different signs of various types of poisoning. You should be able to obtain a history and know to order toxicology. The majority of toxins don’t have a specific antidote. There are a few toxins for which we have emergency interventions and ACLS providers should be familiar with. Reviewing the patient's medical history for indicators that may lead us to suspect a tablet/toxin cause of cardiac arrest. Administration of Narcan for suspected narcotics overdose following the Opioid Associated Emergency algorithm. Other common ACLS Tablet Toxin scenarios with possible treatments. Medications commonly used to treat specific toxins that are regularly stocked on crash carts or carried in EMS med bags. ACLS providers that suspect a specific toxin should consult with their Pharmacy or call Poison Control for treatment directions. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn Poison Myths and Misconceptions on The Pharmacists Voice podcast: https://www.thepharmacistsvoice.com/podcast/poison-myths-and-misconceptions-discussion-part-1-of-5-with-angel-bivens-rph-and-wendy-stephan-phd/…
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Pass ACLS Tip of the Day
The ACLS algorithms are designed to make it easier to remember the key interventions we should deliver, and the order in which they should be delivered, to provide the best evidence-based care possible. Generally speaking, if there’s a change in a patient’s condition, we should ensure we’re using the correct algorithm. Three key points to remember when using ACLS algorithms: 1. If a patient’s condition changes, we should do an assessment and use the algorithm that matches the patient’s current state . 2. If an action was already done, we don’t need to repeat it. 3. We only do actions that are clinically appropriate and within our scope of practice. Walk through of an example mega code scenario with explanations of when and why we change to a different ACLS algorithm. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
Beta blocking medications attach to Beta receptors to inhibit or “block” the effects of epinephrine (adrenaline) and norepinephrine in the body. The primary locations of Beta I, II, and III receptors. Effects of epinephrine & norepinephrine’s stimulation of beta receptors on the heart. Beta blockers effects on the heart. When we should consider the use of beta blockers in the Acute Coronary Syndrome (ACS)and Tachycardia algorithms. Contraindications to the use of beta blocker medications. More detailed information about beta blocker’s mechanism of action and specific instances for their use can be found on the Pod Resource page at PassACLS.com. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
This episode we review the use of advanced airways in the adult cardiac arrest algorithm. When we should consider insertion of an advanced airway for patients in a shockable vs non-shockable rhythm. In addition to an endotracheal tube (ETT), other ACLS advanced airways include the Laryngeal Mask Airway (LMA) and the Laryngeal Tube airway. The advantages of using an advanced airway over basic airway maneuvers. Use of end tidal CO2 waveform capnography to confirm placement and assess the adequacy of CPR. Identification and management of a misplaced ET tube. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient’s vital organs and decreasing cerebral damage. Post-arrest goals for O2 saturation, ETCO2, and BP/MAP. Indications for use of an antiarrhythmic after ROSC. Determining which antiarrhythmic to use post cardiac arrest. Administration of Amiodarone or Lidocaine to control ventricular ectopy after ROSC. The use of Amiodarone post arrest if no antiarrhythmics were administered prior to obtaining ROSC. Links to other medical podcasts that cover antiarrhythmics and other ACLS-related topics are on the Pod Resource page at PassACLS.com. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
1 Hydrogen Ions as a H&T Reversible Cause of Cardiac Arrest 4:51
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Play Later Play Later Lists Like LikedHydrogen ions is on one of the Hs in ACLS's H&T reversible causes of cardiac arrest. When considering hydrogen ions as a cause, what we’re looking at is the patient’s pH, or acid/base balance, and conditions that affect it. The body's normal pH. Using patient history, ABGs, & labs to determine acidosis or alkalosis. Common conditions/causes that may lead us to suspect acidosis. Common conditions/causes that may lead us to suspect alkalosis. Correcting acidosis by changing the rate of ventilations. The indications, dose, and considerations for use of Sodium Bicarbonate. Treatment of alkalosis depends on the type (metabolic or respiratory) and is aimed at correcting the underlying cause. Other podcasts that cover acid/base balance and conditions that cause acidosis or alkalosis can be found on the Pod Resource Page at PassACLS.com. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
1 Code Flow Using the Adult Cardiac Arrest Algorithm 8:32
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Play Later Play Later Lists Like LikedBeing the team leader during a cardiac arrest is challenging. Using an algorithm helps by standardizing & prioritizing our interventions using an If/Then methodology. Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest. If the patient is in a non-shockable rhythm on the ECG such as PEA or asystole, we will go down the right side of the Adult Cardiac Arrest Algorithm. If the patient is in a shockable rhythm on the ECG such as V-Fib or V-Tach, we will go down the left side of the Adult Cardiac Arrest Algorithm. An example of a code's flow for shockable rhythms when an antiarrhythmic such as Amiodarone or Lidocaine is administered. We will follow the algorithm until the patient has ROSC or we call the code. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn Other Pass ACLS episodes mentioned Objective Measures of Good CPR https://passacls.com/bls/objective-measures-of-good-cpr…
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Pass ACLS Tip of the Day
For patients exhibiting symptoms consistent with myocardial ischemia, Aspirin is the first medications we should consider along with morphine, oxygen, and nitroglycerine; if indicated & safe. Aspirin's mechanism of action & benefits for Acute Coronary Syndrome (ACS) patients. Contraindications and considerations for aspirin’s use. The dose and route of administration of aspirin for ACS patients. The use of aspirin in the ACLS Stroke algorithm. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
To pass ACLS, you will need to be able to identify common rhythms on a monitor during your mega code and ECG strips on your written exam. If you don't normally monitor patients as part of your job, I suggest two things: 1. Find a system for ECG interpretation that works well for you; and 2. Practice reading ECGs every day for a few weeks before your class. Review of normal ECG morphology of P wave, QRS complex, and T wave in lead II. Characteristics of first degree heart block. Characteristics of third degree (complete) AV block. Treatment of unstable patients in third degree block following the ACLS Bradycardia algorithm. Special considerations for use of Atropine when patients are in a third degree heart block. The use of TCP, Dopamine, & Epinephrine drip for unstable bradycardic patients refractory to Atropine. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
In the Adult Cardiac Arrest algorithm, we should administer an antiarrhythmic medication to patients in V-Fib or pulseless ventricular tachycardia approximately two minutes after the first dose of epinephrine. The two first-line ACLS antiarrhythmics that are generally used are Amiodarone and Lidocaine. Review of Lidocaine dosing and administration to patients in persistent V-Fib or pulseless V-Tach. Review of Amiodarone dosing and administration to patients in persistent V-Fib or pulseless V-Tach. Use of antiarrhythmic infusions post-cardiac arrest to suppress ventricular ectopy. Amiodarone use & dosing for stable patients in V-Tach with a pulse. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
The tongue is the most common airway obstruction in an unconscious patient. For patients with a decreased level of consciousness that can't control their airway, yet have an intact gag reflex, the nasopharyngeal airway (NPA) should be used as an alternative to the oropharyngeal airway (OPA). Examples of when a NPA should be considered. Contraindications and considerations for nasal airway insertion. Measuring a nasal airway for appropriate length and diameter. Insertion of a nasopharyngeal airway into the right vs left nostril. Patients with a NPA in place can receive supplemental O2, be ventilated with a BVM, have ETCO2 monitored, and have their upper airway suctioned as needed. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
1 Tamponade: An H&T Reversible Cause of Cardiac Arrest 5:19
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Play Later Play Later Lists Like LikedWhen blood, or other fluids, accumulate in the sac around the heart it’s called a cardiac tamponade or pericardial tamponade. The effects of tamponade on the electrical system and chambers of the heart. Cardiac tamponade can be acute or chronic and caused by traumatic, iatrogenic, or pathological etiologies. Common traumatic events, medical procedures, and diseases that can result in a pericardial tamponade. Signs & symptoms of cardiac tamponade. Treatment of cardiac tamponade with pericardiocentesis. For additional information on cardiac tamponade, check out the Pod Resources page at PassACLS.com. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
1 The Team Leader Role and Use of Quick Reference Cards 5:09
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Play Later Play Later Lists Like LikedTwo things have changed in recent years to aid students that don't use ACLS in their daily practice. 1. The role of the team leader; and 2. The ability to use your quick reference cards. The team leader is responsible for assigning tasks and overall direction of the team but can & should ask team members for help. Using closed-loop communication to ensure the clarity of orders and speaking up if there’s any doubt about an order or action. Use of your course’s approved text book and quick reference cards during the megacode and written exam. Tips to help you pass the ACLS written exam. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
Two factors to cardiac arrest survivability that have been clearly shown to make the biggest difference is continuous, high-quality CPR and early defibrillation. The most common dysrhythmia present during the first few minutes of cardiac arrest is ventricular fibrillation. The chance of successful defibrillation decreases every minute that passes. How our chance of successfully defibrillating a patient into a perfusing rhythm significantly changes when good CPR is delivered vs when it isn't. Why bystander CPR is important for out-of-hospital cardiac arrest (OHCA) outcomes. The role of the CPR coach. Five tips to aid us in limiting CPR interruptions to less than 10 seconds so we can maintain a chest compression fraction (CCF) of at least 80%. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
Quantitative waveform capnography is used in ACLS to objectively assess good CPR; confirm placement of an endotracheal tube; identify return of spontaneous circulation; and during post-cardiac arrest care. We can use waveform capnography with, and without, an advanced airway in place. Monitoring end tidal CO2 during rescue breathing. Use of capnography to objectively measure good CPR. Capnography is a preferred method of confirming endotracheal tube (ETT) placement over x-ray during a code. During CPR, a sudden increase in ETCO2 may indicate ROSC. Quantitative waveform capnography use in the post-cardiac arrest algorithm. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers. Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine. Carotid sinus massage. Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
1 Defibrillation & Synchronized Cardioversion Energy Settings 5:25
5:25 Play Later Play Later Lists Like Liked5:25
Play Later Play Later Lists Like LikedRemembering all the different energy setting needed for synchronized cardioversion and defibrillation used to be confusing for a lot of people. Defibrillators can be broken down into three basic categories: 1. Automated External Defibrillator (AED); 2. Biphasic defibrillators; and 3. Monophasic defibrillators. Use of an AED to rapidly deliver a shock. Advantages & use of Biphasic defibrillators. For monophasic defibrillators, use 360J to defibrillate V-Fib or pulseless V-Tach. AEDs must not be used on patients with a pulse. Cardioversion of patients in unstable SVT or V-Tach with a pulse using biphasic vs monophasic monitor/defibrillators. Team safety when performing synchronized cardioversion. Energy needed to cardiovert unstable patients with a narrow vs wide complex tachycardia. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
1 Identification and Treatment of Unstable Bradycardia 5:36
5:36 Play Later Play Later Lists Like Liked5:36
Play Later Play Later Lists Like LikedPatients with a heart rate less than 60 are bradycardic. Some people can have a resting heart rate in the 40s without any compromise. For others, a heart rate of 50 or less could signify the need for immediate intervention and warrants additional assessment. Signs & symptoms that indicate a bradycardic patient is unstable. Monitoring oxygen saturation with pulse oximetry and indications for administration of oxygen. Calcium channel blockers and beta blocker medication as treatable causes of bradycardia. The indications and dosage of Atropine. Precautions for Atropine use in patients with second or third degree AV blocks. The use of transcutaneous pacing (TCP) for unstable bradycardic patients refractory to Atropine. The use and dosing of Dopamine and Epinephrine drips. For additional information about causes and treatment of bradycardia, check out the pod resources page at PassACLS.com. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
1 Post-Arrest Care & Targeted Temperature Management (TTM) 5:05
5:05 Play Later Play Later Lists Like Liked5:05
Play Later Play Later Lists Like LikedThe 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. Recently published studies on TTM and ACLS’s current standard. Monitoring the patient’s core temperature during TTM. Patients can undergo EEG, CT, MRI, & PCI while receiving TTM. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
1 The Chain of Survival for Cardiac & Stroke Emergencies 4:55
4:55 Play Later Play Later Lists Like Liked4:55
Play Later Play Later Lists Like LikedThe chain of survival for ACLS is the same as was learned in your BLS class. The beginning steps of the Cardiac Emergency and Stroke chain of survival. ACLS's timed goals for first medical contact to PCI for STEMI and door-to-needle for ischemic stroke. Characteristics of areas that have significantly better stroke and out-of-hospital cardiac arrest outcomes. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
1 Hypokalemia & Hyperkalemia as an H&T Reversible Cause 4:42
4:42 Play Later Play Later Lists Like Liked4:42
Play Later Play Later Lists Like LikedHeart muscle contraction and repolarization is dependent on Sodium, Calcium, Magnesium, and Potassium ions crossing cellular membranes. When a patient’s potassium levels get too low or too high, hypokalemia or hyperkalemia results respectively. Two things that may lead us to suspect hypo or hyperkalemia. Medical conditions & medications that can cause potassium imbalance. ECG changes seen in hypo and hyperkalemia. Critical lab values that would indicate a need for treatment. Emergent, ACLS interventions for hypokalemia and hyperkalemia. Additional information on causes of hypo and hyperkalemia can be found on Ninja Nerd podcast. Check out the pod resources page at passacls.com. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
When treating patients having an MI or stroke, more minutes equals more dead cells. Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI – to reestablish perfusion to the ischemic tissues. The first four steps in the Stroke Chain of Survival. Time criteria for the administration of tPA (or a similar fibrinolytic medication) or EVT of LVO strokes. Stroke benchmarks for door to: assessment; completing a non-contrast CT; and administration of fibrinolytic medication such as tPA (door-to-needle). EMS interaction with stroke teams and destination protocols to reduce time to definitive care. The difference for timed goals for the identification & treatment of AMI vs Stroke. Additional information about timed goals for stroke and how EMS affects outcomes, can be found on the PassACLS.com pod resources page. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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Pass ACLS Tip of the Day
Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers. Symptoms indicating a stable vs unstable patient. Common causes of tachycardia. Cardiac effects of Adenosine. Indications for use in the ACLS Tachycardia algorithm. Considerations and contraindications. Adenosine as a diagnostic for patients in A-Fib or A-Flutter with RVR. Dosing and administration. Other podcasts that cover common ACLS antiarrhythmics in more detail and another covering Brugata Criteria used to differentiate V-Tach from SVT with an aberrancy, can be found on the Pod Resources page at passacls.com. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…
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