Life saving procedures for heart conditions ( diseases ) advanced life support ACLS

ADVANCED CARDIAC LIFE SUPPORT .

Supports advanced cardiac life Support (ACLS) refers to a range of clinical interventions for the emergency treatment of cardiac arrest and other life-threatening medical emergencies and the knowledge and skills to use these interventions. Extensive medical knowledge and rigorous practical training and practice required to master ACLS. Only trained health professionals (doctors, paramedics, nurses, respiratory therapists, clinical pharmacists, physician assistants, nurses and other health workers trained) to provide ACLS, as it requires the ability to manage the airway of the patient , initiate IV access, read and interpret ECG emergency pharmacology, and understand. Some health professionals, or even put the rescuers can be trained in our basic life support (BLS), Cardiopulmonary resuscitation or CPR in particular.

When you experience a sudden cardiac arrest, immediate CPR an important link in survival. Another important link is early defibrillation, which has greatly improved the widespread availability of anti-epileptic drugs. ACL is to extend the BLS. It often begins with an analysis of the patient's heart rhythm manual defibrillator. Contrary to AED in BLS, the machine to decide when and how a shock to the patient, leading ACL will make these decisions based on the rhythms are controlled and the patient's vital signs. The following steps are the ACL has been added to intravenous (IV) lines and positioning of different airway devices. ACL commonly used drugs like adrenaline, atropine and amiodarone was then adopted. Currently, ACL staff to quickly search the possible causes of cardiac arrest (eg heart attack, drug overdose or trauma). Based on their diagnosis, more specific treatments.

These treatments may be medical, such as intravenous injection of an antidote to an overdose of drugs or surgery, such as the insertion of a chest tube for those who hemothorax or tension pneumothorax. While the above steps are carried out in ACLS, is crucial to continue chest compression with minimal interruptions. This point is repeatedly emphasized in the new ACLS guidelines.

The current  guidelines of advanced cardiac life support are set into different groups. ,with set of different instructions that are followed to uniform approach for treatment, and increase efficiency. These algorithms are generally  in the form of a flowchart, incorporating yes/no  type  of decision, which can make  the algorithm easy to remember
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Notes for the use of  ACLS algorithm

• The most common issue of  defibrillation is not successful is the failure of suppliers to identify and correct the root causes of the arrhythmia.
• identify and treat potentially reversible cause of  cardiac arrest, bradycardia / tachycardia.
• Be careful before using epinephrine in  cardiac arrests linked with cocaine or some other sympathomimetic medicines.
• Give atropine 1 mg  (IV) for( heart block )asystole or slow PEA (heart rate <60 per minute ) (No longer recommended.
• In arrest ( PEA ) related with hyperkalemia, hypocalcemia. or  overdose Calcium channel antagonist  , give  dose of 10mL of  calcium chloride (IV)  10% (6.8 mmol/L)
• Give  amiodarone for ventricular fibrillation/pulseless ventricular tachycardia after three defibrillation attempts.
• For torsades de pointes, refractory Ventricular fibrillation  in digoxin toxicity  patients or in condition of hypomagnesemia, give magnesium sulfate  ( IV ) 8 mmol (4mL of 50% ).