critical care core course acls
TRANSCRIPT
Critical Care Core Course
Advanced Cardiac Life Support—Review&
Lifeline: Critical Care Transport
Critical Care Core Course--ACLS & Transport 2
ObjectivesACLS—Review
• Review AHA ACLS algorithms*
• Utilize basic cardiac rhythm recognition to choose appropriate algorithm
• State at least one interventions for each algorithm
Lifeline: Transport• Review the Transport
Process• List the critical steps
necessary to create a safe transport environment.
• Describe the Transport resources available at Johns Hopkins
12/23/2009
Critical Care Core Course--ACLS & Transport 3
ACLS—Review
12/23/2009
* This review is not meant to replace formal ACLS Class
Critical Care Core Course--ACLS & Transport 4
ACLS Review—Universal Algorithm
12/23/2009
Key Points• Airway• Breathing • Circulation
Each min means10 %↑Mortality
http://circ.ahajournals.org/content/vol112/24_suppl/images/large/4FF2.jpeg
Critical Care Core Course--ACLS & Transport 6
ACLS Review—Tachycardia Algorithm
12/23/2009
Key Points• Airway• Breathing • Circulation
Each min means10 %↑Mortality
http://circ.ahajournals.org/content/vol112/24_suppl/images/large/9FF2.jpeg
Critical Care Core Course--ACLS & Transport 9
ACLS Review— Bradycardia Algorithm
12/23/2009
Key Points• Airway• Breathing • Circulation
Each min means10 %↑Mortality
http://circ.ahajournals.org/content/vol112/24_suppl/images/large/8FF1.jpeg
Critical Care Core Course--ACLS & Transport 11
ACLS Review— Pulseless Algorithm
12/23/2009
Key Points• Airway• Breathing • Circulation
Each min means10 %↑Mortality
http://circ.ahajournals.org/content/vol112/24_suppl/images/large/8FF1.jpeg
Critical Care Core Course--ACLS & Transport 14
ACLS Review— Name This…
12/23/2009
http://www.m.auvilacom/images/BasicECG.gif
P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:
ACLS Review— Name This…
12/23/2009 Critical Care Core Course--ACLS & Transport 15
Normal Sinus Rhythmhttp://www.m.auvilacom/images/BasicECG.gif
P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:
Critical Care Core Course--ACLS & Transport 16
ACLS Review— Name This…
12/23/2009
http://www.rnceus.com/case/images/wencke.gif
P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:
ACLS Review— Name This…
12/23/2009 Critical Care Core Course--ACLS & Transport 17
2nd Degree AV Block Type I
http://www.rnceus.com/case/images/wencke.gif
P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:
Critical Care Core Course--ACLS & Transport 18
ACLS Review— Name This…
12/23/2009
http://www.m.auvilacom/images/BasicECG.gif
PR interval:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:
ACLS Review— Name This…
12/23/2009 Critical Care Core Course--ACLS & Transport 19
Sinus Bradycardiahttp://www.m.auvilacom/images/BasicECG.gif
PR interval:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:
Critical Care Core Course--ACLS & Transport 20
ACLS Review— Name This…
12/23/2009
http://whttp://www.scottishirishhealthcare.com/article_images/ventricular_tachycardia.jpgww.m.auvilacom/images/BasicECG.gif
P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:
ACLS Review— Name This…
12/23/2009 Critical Care Core Course--ACLS & Transport 21
Ventricular Tachycardia
http://whttp://www.scottishirishhealthcare.com/article_images/ventricular_tachycardia.jpgww.m.auvilacom/images/BasicECG.gif
P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:
Critical Care Core Course--ACLS & Transport 22
ACLS Review— Name This…
12/23/2009
http://www.rnceus.com/case/images/Torades.gif
P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:
ACLS Review— Name This…
12/23/2009 Critical Care Core Course--ACLS & Transport 23
Torsades de Pointes
http://www.rnceus.com/case/images/Torades.gif
P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:
Critical Care Core Course--ACLS & Transport 24
ACLS Review— Torsades de Pointes
12/23/2009
http://www.themdsite.com/graphics/Physician_04.jpg
Critical Care Core Course--ACLS & Transport 25
ACLS Review— Name This…
12/23/2009
P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:
ACLS Review— Name This…
12/23/2009 Critical Care Core Course--ACLS & Transport 26
Narrow Complex Tachycardia
P:QRS:T:Ventricular Rate:Atrial Rate: Rhythm:
Critical Care Core Course--ACLS & Transport 27
ObjectivesACLS—Review
• Review AHA ACLS algorithms*
• Utilize basic cardiac rhythm recognition to choose appropriate algorithm
• State at least one interventions for each algorithm
Lifeline: Transport• Review the Transport
Process• List the critical steps
necessary to create a safe transport environment.
• Describe the Transport resources available at Johns Hopkins
12/23/2009
Critical Care Core Course--ACLS & Transport 28
Lifeline: The Transport Process• Provider orders a
test/procedure requiring a road trip.
• RN faxes a completed Transport Request to HOPCOM
• HOPCOM calls to confirm details and schedule transport
• Transport Team transports patient to test/procedure
• Patient returned & Care transferred to staff on unit of origin
12/23/2009
Critical Care Core Course--ACLS & Transport 29
Lifeline: Rules of the Road• What can we do to
safely transport this patient now with the resources at hand?
• How long will the patient be off of the unit?
• What is the plan?!?
12/23/2009
Critical Care Core Course--ACLS & Transport 30
Lifeline: Transport Resources• Lifeline Transport Team• Providers• Unit Staff• Respiratory Therapy• Testing/Procedure Area
Staff
12/23/2009