Material presented here is for informational purposes only & is not a substitute for formal ACLS training, nor is it intended as advice or directions for delivering medical treatment. Established practices at your institution may vary from the information presented here.
The changes for the new algorithms basically are in terms of too fast, too slow, and dead rhythms and continuing with the stroke and acute coronary syndromes as well.
We will take the approach with all Algorithms of ABCD primary and ABCD secondary surveys.
A=Airway, Open airway
B=Breathing, Breath for pt - 2 breaths
C=Circulation, Chest compressions for pulseless patient
D=Defibrillation, Check for and tx a shockable rhythm (V.fib/V.tach are the only two shockable rhythms, see Unstable Tachycardias for Cardioversion options)
A=Airway, Secure the an airway with an advanced airway device
B=Breathing, ventilate patient with 100% oxygen
C=Circulation, continue to do CPR, place IV, antecubital vein is 1st choice/IO (intraosseous) is an accepatible alternative
D=Differential Diagnosis, look for 6 Hs and 6 Ts: Hypovolemia, Hypoxia, Hypo/hyperkalemia(low or high K level), Hydrogen Ion (acidosis), Hypothermia, Hypoglycemia, & Thrombosis Pulmonary (PE), Thrombosis Cardiac (MI), Tension Pneumothorax, Cardiac Tamponade, Trauma, Tablets (OD) see PEA for tx.
