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ACLS

ADVANCE CARDIOVASCULAR LIFE SUPPORT

RECKY RAHMAN HAQIKI


FADULRAHMAN NAUFAL
Definisi
• ACLS  sebagai suatu tindakan medik dalam
mengatasi kedarurtatan/kegawatan jantung.
Sistem Perawatan dan Peningkatan
Kualitas Berkelanjutan
• HCA : Serangan Jantung Di Dalam
Rumah Sakit
Sistem Perawatan dan Peningkatan
Kualitas Berkelanjutan
• OHOA : Serangan Jantung di Luar
Rumah Sakit.
Penyedia layanan kesehatan BLS algortima serangan jantung
pada orang dewasa - 2015
Penyedia layanan kesehatan BLS algortima
serangan jantung pada orang dewasa - 2015
ALGORITHM
Cardiac Arrest

Acute Coronary
Syndromes

PEA/ASYSTOLE

ACLS
VF/Pulseless VT

Bradycardia

Tachycardia

Suspected Stroke
ACLS : CARDIAC ARREST
ACLS : ACUTE CORONARY
SYNDROMES
ACLS : ACUTE CORONARY
SYNDROMES
ACLS : ACUTE CORONARY
SYNDROMES
ACLS : PEA/ASYSTOLE
ACLS Post Cardiac Arrest Care Algorithm
ACLS : Pulseless Arrest Algorithm for
Managing VF and Pulseless VT
ACLS : BRADYCARDIA
ACLS : BRADYCARDIA
ACLS : BRADYCARDIA
ACLS : BRADYCARDIA
ACLS : TACHYCARDIA
• The ACLS Tachycardia Algorithm is used for patients who have marked
tachycardia, usually greater than 150 beats per minute, and a palpable
pulse.
• Some patients may have cardiovascular instability with tachycardia at
heart rate less than 150 bpm. It is important to consider the clinical context
when treating adult tachycardia.
• If a pulse cannot be felt after palpating for up to 10 seconds, move
immediately to the ACLS Cardiac Arrest VTach and VFib Algorithm to
provide treatment for pulseless ventricular tachycardia.
ACLS : TACHYCARDIA
The immediate response to an adult patient with tachycardia and a
palpable pulse is:
• To maintain an open airway
• Assist breathing if necessary
• Apply monitors to assess cardiac rhythm, blood pressure, blood
oxygenation
• Provide supplement oxygen to maintain O2 saturation between 94%
and 99%
• The main assessment in adult patients with tachycardia is to
determine whether the patient is stable or not. Signs of
cardiovascular instability are hypotension, signs of shock or acute
heart failure (flash pulmonary edema, jugular venous distention),
altered mental status, or ischemic chest pain.
ACLS : TACHYCARDIA
ACLS : TACHYCARDIA
Stable patients with tachycardia with a palpable pulse can be treated with more
conservative measures first.
• Attempt vagal maneuvers
• If unsuccessful, administer adenosine 6 mg IV bolus followed by a rapid normal
saline flush
• If unsuccessful, administer adenosine 12 mg IV bolus followed by a rapid normal
saline flush
• Beta-blockers and calcium channel blockers may be considered for narrow QRS
tachycardia (QRS <0.12 sec)
• For stable, wide QRS complex tachycardia (QRS ≥0.12 sec)
• Strongly consider expert consultation
• Consider procainamide 20-50 mg/min IV, OR
• Amiodarone 150 mg IV over 10 minutes, OR
• Sotalol 100 mg (1.5 mg/kg) over 5 minutes
ACLS : TACHYCARDIA
ACLS : TACHYCARDIA
ACLS : TACHYCARDIA
ACLS : Suspected Stroke
Step 1
• Identify signs of a possible stroke.
• Facial Droop (have patient show teeth or smile)
• Arm Drift (patient closes eyes and extends both arms straight
out, with palms up for 10 seconds)
• Abnormal Speech (have the patient say “you can’t teach an old
dog new tricks”)
• If any 1 of these 3 signs is abnormal, the probability of a stroke
is 72%
ACLS : Suspected Stroke
ACLS : Suspected Stroke
Step 2
• Call 911 immediately (activate EMS system). This is an
important step because EMS responders can transport the
patient to a hospital that provides acute stroke care and notify
the hospital that the patient is coming. The hospital staff can
then prepare for efficient evaluation and management of the
patient. Currently, half of all stroke victims are driven to the ED
by family members or friends.
ACLS : Suspected Stroke

• STEP 3
•STEP 4 ACLS : Suspected Stroke
Within 10 minutes of the patient's arrival in the ED, take the following
actions:
ACLS : Suspected Stroke
Immediate Neurological Assessment by
Stroke Team
ACLS : Suspected Stroke
ACLS : Suspected Stroke
ACLS : Suspected Stroke
ACLS : Suspected Stroke
ACLS : Suspected Stroke
Left ventricular failure with cardiogenic
shock algorithm
Right Ventricular Failure with
Cardiogenic Shock Algorithm
Intubation and Airway Management
Algorithm
Terima Kasih