Documente Academic
Documente Profesional
Documente Cultură
Heart
Association
ADVANCED CARDIOUASCULAR
LIFE SUPPORT
PROVIDER MANUAL
6 American
Heart
Association.
life is why"
ADVANCED CARDIOVASCULAR
LIFE SUPPORT
PROVIOEB MANUAL
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lnstructions
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ACLS Ptovider llenua, Abbreviarions
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Systems of Care
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Acul. Stloke
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The Systematic Approach
S€condn.y Ass.ssmenl
h,lr,i,,Joat, F.cb Sra.ring Cpn When You Are Nor Sure About a Put$
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vitlr d ,.lb.n. Iih Dlndr .!E id d, dds.&on- I 6- ,rot
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Ou.lity Compressions
High-Ouality CPR
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The BLS A33€i.ment
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L.tcd. rh J*., q'ih a *ard 3dubb rtur r an€dh.rrc Fir,
arr !. -x{ lro,dr t! ,rlr b . pdx. ndo.r F.Fdol b ,r
,arorf.be.Paic.ny&.tnrt .air..soBEyqficoiac),
R*arU.I.lt€qsnlyMslfuinh6.n
MUcu3bbod'!m(,dfu$frti*6ol!h.ph'
b.@€p.ey
aido,Gabls€dng,wi$pGsb]€&prcllonol
mo.ery lo Emov6 brmd e *rd ois
lhsdop66!Gwlh&lvsvsllal'm,such4
b.orukdidt6,lkNPAmay.
ddvomd]i!d6hougn€@mmmlyb!(d€d
b,sr..G@pd]ds.
tuma b.c&e o, rtu nsk ot misregM
'.ro
ft
@nl.lB'tyhugha'.ddeddeMp'd.
o
-t -t
\ a
a
I
Pneudoc lor OPA. dd l{PA!
Lk nr rdlslns Fduion! whn !.hs e d NPA: OPA
.licpftlj@eab#e]..d.qft3l'npcnl6'lsuEddidalo@
ds3,pl.oli,l.de@
tl'dllffieumv.'l.bl.,@m@GlofEr
3{ctlonlng
sktoniig is M .snr6 Mpoft nr oI maitulnng a p.ild!, .y. PBidoG $eu
'A&]6ioiollhinffi,rmlh.odpfurynx&tn3$pha,y
.P.iionrr{'nhfrr,Elghm'ng
' sd6i0 rhd4h e n pla,.my l€. !PA)roGtub&(
oldEo.@x'naFftd*]t'cl.ftMlef'
r iron.r..tlv.lJcddre ollhr@prf,ry@ p.tdE,rlnI
o
.App]ysucionbyMcudnqlhe'd
E
I
lsdi,fur'Pa'ho!]d.ordc!.d
r
,.tun t r,Pd rBtt d .Y ht tu
56 tE slffi llhrE& tmh-i3s/...errt{ l, lm i"lb@tan 6
|a (rN.ndtdt/...n
se rlE E
'd.telr@r
e.ton n ih. sllrdd \i/.brb
lnrubali..
d.rrl re I'rc inr(E @ o hu ,.o.€dE
'm'p!1'tg
l,n,Du.,c-ddrfu',.ffi.1 l.dl.. o'mffil'-
sslac*ddEs@ygnpbd.lifu.y
I sp,Gr d&rE m hdptu dui@ n.@e
'mmdi.ar6n
Acute Comnary Syndrom€s Case
Tn€ rcLs allrdd m61 hd. lh. baic knowlsds€ ro ese .id eblta par {ft *]lh
ACS Prr'."b ,, drE cas. h.E s/grr sd stmptdB ot acs, Lctudhs pastble 4 4. \4
wil u& rh. ACS Asdfim a rho eu'd. ro c lnical sid.gy
ACs @ io ol.Fry p6ln8 ldo 1 ot 3 EcC ..r-
.!ffi. a.n dh difllM rtrLqi6 ot i:rc ald m.n ctu n&.ir nE 3 EcG d
4m @ sr*.qM *dd s4odr^g d'{dE d. iiidy, sI s.sd d.rGs
3!t {Frig erFi4 aild Md'aodt qn niar EcG. Tt6. e dnined i. rErCS
,Jsdihm, bd sr€]d *in rm'BritE 6p€ii!6n .fd.oG r! r\. rs or ths dB
ii,,Ird,m. rot reE Suddal @d?r de$ $d r'@l@. Bldydhidh6 @ @ 6 ltr i:Eh.tu
Prdtd?r *1rr u'&rBr!.d ro *nEForo ts nry$m M s FlrrEd r.. inm.dE .
.idprs ar dsfibdndiM .^d .dmhisr.don or drus d .rocr,icar $(apy tor s)nBom.i.
C Unstabb argins
I
a&nifidr D|lc- ro.tn thll
D Micrc€mboli
Pl.qu. ruplur./thrombs. c
D
t{stE.aqs
SIEMI E
FGolutlon/ra.bL.nd
o
ld/r. cdnrEt srtdffi x!odnm-2o!s uprh.
i-...rb&fcouBs6fuffi
f,eiaglltf lce Tha louta Corcnrry qrdr!.tra. Atecdth
1}E A@!. c@uy Sy ru0qir6 lF'98 4 qiitc rr &d .n od ,ls
lrE
.o.d p.Ebg ,,$ ?ir9i6 rllE€0s ., lcs, tu ars
d€r. rr, . edinr
Bp.''daindEd{l+.6{iEl.lffi6b.!htrr..dd.sffi&\d
.clim. IlEg kElud. lrins orr9€n. api*l hib.ci/*rn,
.nd DdpnrE ( i..d.d. ud
o fii^g h[h Eed d rh. EcG l\ndi{.i $. El\irs pdids
12 ldd tcc (si,lp 21.
my cMpr€i' a irbanotn $-.!y dr*k*r rn noll'y th. lGrtB ED or . p6rrrid
aMl-srEu .pp.or do lstsp 3). lr M-ol-hGpibl pBid.B e unabl. ro .mCar.
llB i,'idal "rf,n
n f6 botq€ t5 p.ddr! di!!r rr f'€ hcoilal u. ED povidr *.!rd impre
. Lk anr$i.ddeisr Acs
Th. ACS C& wn iocr. M rh6 oany Ep.rtlio o, ri. SrrMr pdbd, .mph$Utis hiriil
cs ed oold rd@ rd E@tulron tE@e
nf acs [!E 20) s.vn6 s@.r srid€riE rq appY b $. dd rE€E
. ^llorh
pdi€nll bd.d d syspim d tE 12ri.d EcG H@[hc@ p€Mn€r ori.. obrr].
qr.l cadr.. h.,*.E (c(-MB. odr4 lEp.nr6) n m6r prird! rhar srbw .dd[irRr
ddronr Tm rmFdanr pdnb for sIEMr n€sd
dadnh 1}' paM nEy prqiE t'B disqirdt ,l@ 4 p.Be s igNlE ds
EMs p.!vld... stdud adminl.td drrm r in. p.t d i!: dysp6ic, b hy?ormiJ, h6
06r* d96 ot td riir@, ha e dslJ oryle dlr.tir r8. tu so96. d $ts
oxyld sna!.. E hkff p,!v{,.G ,s.& tffi. oxysr d*&y ro , dhEivdy
fsrr.r.d orri.rEgro6i^ {rE roi s% r sd, aGe il5 u!.n E ha d b-i
*bnah.d ]n ,'morrc pl|rnE win !6per.d & c6tu Acs, @'doB nEy @
sido. w thh.rdhg lupprffi.7y 6xy! nBapy rn trrdo parisrts
rf nE pdrtti h& id e*s ..prb 3nd hE do hi{ory ol rw 6prdn a[r!r/ aid m di-
d.(s ol lEnr Gr d€edino, sN rh€ p6r6r &ptl. 1160 io 325 hr) b clEn h nE hiud
ndE ol s Acs. rsm a .bo.rt d bd.i rrH .rt*.d ,B *rb *.n6,.d, pertar-
My ll 6oBr*r ,6 bal 0i6 r.k€ ErJ dphi 3'J0r6ito.E (r0o Ds) id !.rraE
si,I nffi, Mtiis, d.rir p€9irc urq dE@, d dn* disrds or rh. lppe 6r f.d
Mrcgty$k (Clycqyl t kltete)
Nitboly.dn .ftdlvdy Ed@a i&h6lc .lEr dLco'n n. a'd ha bs.fd.r Far'.dy'
.lhcts. rh. physrro!'c .ltd8 or niu& c.4 r.ddim . Lv dtd ,rgri €nrlar-
'wic
t lFv) e,iL.d ftdsh P.r'rld ,6i,
Gis e ,6H 1 dinsud ,ir,rslrEn bbbr ld 3r.Ey -tul .,!ry 3 ro 5 nhLr6
tor ono.ln! lynptoms I i k pqnitld by DodLd enrD] &.d no oont lndLrrro.B di.r
H. nce Drovidds may 6xat rhs d@ iric. (rot or 3 d@l Admrnrdr nrtlohdrn
o6ly ir rh. p.i-r h-iody@i.ally d'br.: s8P b si€ale fs 9o hm Hs - tu
bM ,ri 30 nm 'ffiiF
r'{g b.r.* b.!.rrt€ 0, kmrn) ald oE halrn. ! 50 ro 1o(Vmin,
e wlh.ador n lSrE
'61
a,t ,9..d. EpdtusM rh.6py ,th fb.mrync d Pcr
d both whrch nEy 6dG. md.liy and hin'm'.€ myG.
t.
i.ou'kml*ML6.t&!tcc
o
F{@ 2a effi ho* ro ,1u@ SIenEr dMin
IlE EU[s or c.dr.c mri(@, .h6t I Ey, -d r.bdlhry 6tudks 3no!E not
,'Jor.:
d.rry rEo*tus on *'€Epy unl€s cri^tc.lty @65ay, .9, .u3p.chn &dic di@noi
din'4.!dfuyb.cG*kDdinpdxddh
6danii: rYp. cts dMid:
. ory!6 ir hr!.Mic (or x rE rhs $96) d no6 or hi b{B
STEMI
hea4hu<.|Feiioner.h€'nel.t,edusonlhe
iqaibmol,l.c[.cknlappro/ak
nElo|dll'ioii'lhecJ!oIacl!
.Fd'Il:,,hssoalolFodoollc
lilblroyssslhedgdele!€n
heprci6r.{jl.pedusof,n.alsgyov,ionnolyrC
ry afier rhrno nr.s n pal eds who ma! hale eor
Alblro}lCaqeilol
€eralo. qffirerrhan 2 mm irl2 mV
|.asetrasihef5lf'bl.ol,1:lsedtde!bU1is
,tctharapyaleasroows
slsaso€a$nabaloq!g,blno}1]cSlo
..,.,".,,..."..""'.-'",".,-""
arnasprnmoFhneandlbltro,l
sllMl Ihe assnt s. blorry d scus!.d b.row u$ 6r bNar rud 6, P2Y ! rnhibrtoq
D b@kots..id orycop6l6n rrtl/rrra.hrb16w nor b. @v6*€d Us ortEelodh
k E .nd a d.r.ir.d kn*r.d!. or Ih. lp.dtum o,
'n9know]..o€o'tErofuhsoicllnlcalld'13
ttapatin (UntQctioo.tod d Lo*.naohcul -Waiohl
H.9r'n ..unftry qi6 6 .n aapd rd Fq ,rn ibnmryrE h.r.ry wih ribi'i.le'fc
's
4ds 1nPA. Bropre. r.i&r.prel [ 6.r!o hdd.d h dh, sp*ilc hishnsk r
d nbir6rFi, ed p@phruE r@ vs* r'Mh.
emb.r's Floirs *irr pEroi96d b.d 6r &1d h.d L @ Emd@ri! Ml n rlu @
rhe druss ,!u m6r b6 r i@ w'th d6n9 sh.dore ltr lp.ofrc cl'n'c.t M.!i6
the inapqop al6 dosing ahd fronionnq ol l6pon t6apy ha c6us6d
** hnedebtul dgdling d naiot hqnoohaCo in S7EMI prtimte
P@vi.@s @ng hopsh to XN* tha hdicetbft, dosiaq, a.d us l.
'toed
rhe spernc.4CS calogo.iss.
i.lldo'et3.cn.ddr6n'l.n
r xa sBP oer.r rhrn so mm 8!
. L'h[ dDp SsP lo 30 mh Hs bde
'i
bexn.'ihyp.n6w.DdM.
lnFofrnr s rd*rr..hr ri
t umll dED h saP b r0* or lqr in
heb.aiA{houq[6r,dlolsn'ore.JI.sm@,
3a/n
Thestokecn3iorsur a lFsue25)&scrbddbyrheANA3:orheAne.caistok
,[
4. n raron or rfu ioryr c I h erapy n apprcs are pai etrb 11hos6 wihour c onra'ndra
Crili@l fim. Peio.k ave a tme depende benef r ror r br norrl c rheiapy
a[onol/y,&io}1|clheEpybegiswlhilr6onslof
hm.dld€ndElogi..$smd
Admini*aliono,fibddy{crtl.B,y,
tm.rllomon$lol3ympbn.
C'-ll-F-*
o h-ll.d#**
o baera.b.drbca5(rr.h-
*.-Ha'*|.-{.r$.*t.*
bi-l*r-r.d-I+
'...hdg.,d'd,JFih
o
ala..M.a,.llsotig'.ld.dlo@
. ldd'fdtr or 3En3 Md rynproro o1 p6!lt . nEr. ad acr,\dion oi -dgfty
. cdicd EMs as6hsirE ed adpns (s'op 2)
jabi zarE. lst.p 3)
d
. rnh€d ar€ nercrds'c aeMd by tE *oro 16 or d€sisne l$op a)
r cr gtr, Mdn'a!. d io hslBhase (srap 5)
. Fdr.o\rir thmpy 61 3nttirEdir. ir cdidor. lSrG 6, 3. ,nd 10)
. c:.ld sde l)e (sr.pr r d 12)
.Trubbsp6d].Edd.llbdrE
lfl ry.rt' ddd FHid egns - rrndds oI sdc clJdry h.n or aI 3r'.i<o paiffi e div'
th. aHA Eommonds rha! .l EMS p.lsd b€ tr4n a io 6..sn ze shk. b, ude .
naroioljc d,Lrroi iod Mh a b6 circiM,
ftor'6o[d sde s..h lcpss) ITabrc 5t
t*hl d.o9: tiarc t'€ palid slw ,{md-bdh 5id6 of ra6 mv€ €quar,
F@md*@r,md
Abstn
m m dni. &u. dped mt nx
Crrllc.t EfS
Bcnriry siqrc .s or stoke lstep t)
s{poon $. AaG {n p6v do $ppl€modary oxyqEn ro
hypo\mic {eg, oxy$n satudiod bs dr& e4%) srrck
on6plo,dulnsou|oihosptaha$olSlrcke
L^qd€ntlyi9souc6soln6u.oldg'csxpedse
I br no[r cs or ef,dovascu r rturapy ar rhar rac' ry
qELlyoJlewhenpaieshosplaz
fhe goal ol the strcke teafr, emergency physician, ot othet erpeds shootd
be ro assess rhe patient w,th suspected strcke within 10 ninutes af anivat
h the Eo: 'tine is brain" (Step 3).
troipny M hYp.!rrsr',
.xpdb&donpd.lm'ndpmimob
oda an Bmdadr cr *ao or rhe b
dofus&u''ali'6i'ms9{,d
t,+lhrcdmngdy1lm'amldlo
p&culadynlrel*.lh.nud'.!€|lboFtdl6k|.dy
6 c3rly ebbr6. rdmd or ionr'ia-rhErd'n! &myrf,nE
(b.rdy@dE vr. a"d armMnfl , IAvl mnducrtr bL.k)
Yes,HemonlEge ls P6st
I hmoda!. s ior.d m h€ cT s the paiqn R mr a cd'd'dar. rq rlbnrclrE.
cone t . n&6log'sr ( ntumtu'ssn considd tdt& ld appDpd6r. c.tr (9€? 4
h-
o
Fibrinolytic Therapy
haqe,lhspanenlmaybea.and'ddelol,blno,lc
FibriDofilc fher.Dy ar e bi t and 6k ,rar r car on
sfapdympmvnqlo,adnoma'ibmo|tCs
. Eevatdbr@dprcsd4(sydoic>1s5 mm|sordiasrol,c>rlommNql
7n lcLs c.t!r ra,r. StEr.
.pal6smayEeElbrno,lclhaapydspe
r a..hEkrd emo us F
'ncluds fiMd Arwasa suid€Li6 Evsiotrs
smic srrcke.
ph}.]od*lh{pe'tgi4uiedokeGE
Asuliad.Uqsi$no)dcshalep
E p'eenr iTatr e 6)
Endovascular Therapy
subsbnialne{hqhqlalyevdenc
Aswhiblno}tClherap}'Flenlsm
Hy06qycema s6sc'dedwrhro
n rsimenr o, hyo6arycem a n orheorG y
an.genena in nPA
.NG'npreN5mg/hltdeUpby,.5mqAse.y515mflUbsmaimum15mg/h:
. cnh6' aetrr thydEraz n8 marapl ai, olc) may b. consdedd when arpopiaro
rr-*rrr ol uod, s., drtg.n & lf acl--ritlFtlddratl
. ltoiE M r.. Ey 15 tr*xll-b.2 lE- nsr rrE dr.t iFA o:pv.
n! dy 3D lr 16 hq-.
nl'rn6 ld 6 hqr., .ld ,- Ey ,ur
r, rr&Ic Ee l&2lo m l! rdEl.lc l,b6d EEft 1&1m m Hc
br.od
. t-a&l 10 fi N ioxoEd by dr*Ifu lv ffir$n 2{ n!r'r*r d
. ltr.sSti lv 5 nE,l ftn tp t d..rt<, dl. r by 2.5 nl,,t Ey 5.15 mkpt+
lrbio.d FBe nor 6itdhd ddl6t h blooi EB6 >lao mm rh, Mddd
!dBdfudy'84fr{ldBlhi,dd.l*E
d*i,rddhld,l.!i!ED,fu
ewhg€aoppdunylodm',€.fi{-
16hghp€j,orurcol@mbeilvo6*n'bpcilmhqlhssssdand&lon
skL s. Duiiq rhe BLs ars@nr r. nflboE ril p€rrom coniitr h si.quEriy
odtymqtvffid66va,da.MlolBeldioErlglr]@aIdMdft
i{ee€d(,111@n1€&B.rclqdmg
reFs$r}bdedlyaeslolmpo€ms'ids
Ihsca*ivoiveslhaseEcGfi,lljms
' vF lexampre
'n
F su€ 30)
r Ashocrlbredrthm(vF/pursessslrndspravedonthe.fi sdeorrhe3rsorrhn
. A ronshockab e hllhn 1ay or3/PEA) d spraved on he rqhr s de o1 $e a sorrhm
,t
l*"
"t
,tt*
*l
rr,..4c4t cdr: c.rdrc /an *t lFthrt,&,iw
aracr"nq rhe manua derrbnlatoi and dervemq the 16r shock lsteps I rhrclqh 4)
ini .l lnaeflptid
r€ d.r oi l"diaslo . ') pfssu'e mnu s r qhi at'ar rdealon ( d asto c "l p€ssuG Du ms
) (
o
FMd.ddDl F.cb Besume CPF While Manual Delibrillalor ls Charging
kabeh}lhmand'nlaliglhecha'!nqsequence
lfi,rhmaBysscompaedwlhaulomatCmone
hlrhmanaySsaid
B4ha,.&l'bnalo6U*avar]etyol
h.arih,lhma.sU6aIel'nihe6usctaloi
resumhqhqla]lycPR,b{'nnfq*
The inh.l Mbl lalion rs @ ol rh€ md lmp.tur dereminft or
lrod conaAs ro
$divar ftom B-dr ad. E ry dafbrirrsiim rs qricar rd p.rr6nrs wih sulds cadLc
' A .ommn iniial dryrhm in d-ol-hosoirrl witner.a 3udd.n caEiac msr k VF.
Pu sl€* w @idrv d61dioEk5 io VE rvb VF s p@l( t\e h@n qui$ 6nd
' Er€ddoar def'b'irbrio. E rhe md dfidiE My 1o rmt w (do'lvsy ol a s\dr( b
. Ih6 p6b.bi rt or acstud6ibr raion d{lEes quicldy d4 dtu.
(
' vF.,6Lrmais !o a.rdo e iol t@red
In. &nbr (l.nbrjrars @@q rhe hisher dr€ ffi val raL. wn.n vI'b p@i1. cPB En
lo lr'. h6an and b@o bd .annd di'w{y csre d
oE.nr.d ,ny$m. rne lkofih@d oI @bin! a p€itudio ,6y6m B oplLmted wih imhsdl
w mai0l6 ot lhe nt'al Er6t (Fhue 33).
tly cdsr p'.sms l!@ in nkol h@d ol dny cP€ d allnpr€d darbilr.-
AED
t6. Ihis h.h6 3nodd rk t e bei*ffi c.ll.p$ and .r.fib.irarim rbr a srcab. numba
ol paliqb witr add6n eJde mer
I
I II II
Eoo !
d50 I
!I
II II II I
I II II I
II
II II II II I II
I I I I r r r!l
ta
Ift (min)
F''$.BdGhr'@dlwdfu
o
Clearing lor Delibdllalion
To 6isu 6 etety dur nq d6r b rtu shdk war^'ng s1ai6 th6
rrato n. a ways announce
b.rorc der e nq each shock (his enr're sequoic
shoud rak6 srhan 5 €onds):
!e,ylhaInooie€sumadcoalaclwi$theFlienl
I3*examp6oioptmzngccFaidhgh.quaily
".$
7he ,Cl.s Cr* Crrdb. t r*t VFlPutuLs Yf
Ihe pause rn chesl comFressionsta check the thythm should not exceed
.lihe.h,ihm.re.leleasanom
. i rh. firrh'n.,e.k €r*s a sho.kabe ihn q!e I 3ho.k 3id resume cPF mme
usaq.ondrcrremaEr.slsa
Fn 2.,1!J Odden*E
I
o
co^duclafi,llrmcheckaltel2mn
. rftiehnhmcheckrcleasanonshmkabehnhmaidrharc.ioFrs.,oroG6d
. rr rhe hnhm check relea s a shockabre hllhm €s!m6 ch6sr comp€ssons {,nd!
q (srep 3r ne bam eader 6 rcspon. bre fo'
o'ad,lhmicdrugbullpossessAeie.
ant symp3rhei c ad on (c ass I efi€d) ore d he man 6r,eds or prc onqed amr
or rhe cad'ac acron p.reir a l.ras n dfscl)
.Lidoc.im110],5mg/kq]vnoif
sequen.eo]cPRrh,ihfr.h€kss
codr,.rl,,..drh,
ftftk*rr.icn.,.a.4.,
,o\ernes u.6ko snaua telu.c
o
fh. Ac[s CM Cdfr* M WAtMd. Yl
o
Ex
i.€as6 n Pnco. iv sbre rud 8frer ihe ioudh vefrtcar hq io searer rhan 50 nn Hq,
fteatnent o, YFtDw
ss rhan 30'c less rhan e F)
tlhn].druglher4ynhypolhemtp.0snlsn.a.da.
ftitanes.cdsssnotng6gld
onloibono}irlheGpynpatenbwlhAcs
tt /rc[scrlB'cr,ti.cl'*!vFlPuLlslf
Endoaddr..l Rolae
Ftuid A.lnini.tr.aion
Antiarrhythmic AEents
lihmcoio.q$andnqandwdespGadfamady
d b,,s bm erircat n cdd ac are{. Prc! dqs
br0miulederu!5loamaxmumol3mg/kq
fh. ACLS cM cardLE An.t: Whtutd vt
.;craihdriF,m's. '.
o
anrason6i nihe bEn sp na cord a^d Gl
evn9bpbeFyo.aeh@ffiy
Adhirislor n.l6rcm.
MqBpdaig4nn!6
Description of PEA
qDrp or h}1hms rhar are oEanzad or semro'n:tr zad
AnyoQanzed,lr'ihmwi[oa.!sssdefLnedasPEAEveisnusfryihmwlhoula
eessh,rhfrslhlld.3icldedbydelntonncLude
lhe Ei P.thwey o,
iotqalzedlnJiifrorlhemJrdorb,.lo.]serha
..ndi.i 6 PE4 rsiep 3t chen ror
iFqre39l beq nn .rry ri s1.. I0
t
t
l
I;
't*"
?1,./16[A C.r.- C rirc/lrrrrl t tN E dd *t
itherhythmch{k€v6alsashockabah}1hm.€sumecPR*lhch6lcomple.
povde6shoulddGmplbdsllya
Rhyrhh. lq Asyraole
lsowPalem'naiiqibradyasystolclh,thm
Approach to Asystole
Asy3loesamid]a.arcSlfi}lhma
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Appendix
Adult High-Ouality BLS
Skills Testing Checklist
o Heart
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ResLrmes Compressions
tr Ensues .omprcs oB are Brmd
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I
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Megacode Tesling Checklist Scenarios 4/7/lO Heart
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I
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t
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ACLS Pharmacology Summary Table
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