Pass ACLS Tip of the Day

Improved stroke outcomes have been shown when EMS transports to a stroke center and patients receive assessment, CT, & thrombolytics within these time frames.
When treating patients having a stroke, more minutes equals more dead brain cells.
Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI; to reestablish perfusion to the ischemic tissues.
The steps in the Stroke Chain of Survival.
Stroke benchmarks for door to:
assessment;
completing a non-contrast CT; and
administration of a fibrinolytic medication (door-to-needle);
endovascular therapy (EVT) of LVO strokes, and
administration to a stroke or neuro unit (door-to-admission).

EMS interaction with stroke teams and destination protocols to reduce time to definitive care.
The difference for timed goals for the identification & treatment of AMI vs Stroke.
Additional information about timed goals for stroke and how EMS affects outcomes, can be found on the PassACLS.com pod resources page.
Links:
Pass ACLS: Find ACLS classes near you and discover other podcasts with ACLS-related episodes. https://passacls.com/
Buy Me a Coffee: To give back. https://buymeacoffee.com/paultaylor
American Cancer Society: Fundraiser for breast cancer. Link is valid through October 31st. Together, we will beat cancer! https://secure.acsevents.org/goto/paultaylor
Safe Meds VIP: Patient-facing information about medication safety and a free drug discount card to save money on prescription medications for you and your pets.https://safemeds.vip

Review the indications, dosing, & administration of Adenosine for patients in supraventricular tachycardia (SVT) following ACLS's Tachycardia algorithm.
Common causes of tachycardia.
Symptoms indicating a stable vs unstable patient.
Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers.
Cardiac effects of Adenosine.
Indications for use in the ACLS Tachycardia algorithm.
Considerations and contraindications.
Dosing and administration.
Adenosine as a diagnostic for patients in A-Fib or A-Flutter with RVR.
Links:
Pass ACLS: Find ACLS classes near you and discover other podcasts with ACLS-related episodes. https://passacls.com/
Buy Me a Coffee: To give back. https://buymeacoffee.com/paultaylor
American Cancer Society: Fundraiser for breast cancer. Link is valid through October 31st. Together, we will beat cancer! https://secure.acsevents.org/goto/paultaylor
Safe Meds VIP: Patient-facing information about medication safety and a free drug discount card to save money on prescription medications for you and your pets.https://safemeds.vip

Identifying the characteristics of second-degree AV blocks on an ECG and the treatment of unstable bradycardia patients with them.
To pass the written ACLS exam and mega code, students need to be able to identify basic ECG dysrhythmias, including the two types of second-degree heart block.
One method of ECG rhythm identification.
ECG characteristics of a second-degree Mobitz type I (Wenckebach).
ECG characteristics of a second-degree Mobitz type II.
Identification of unstable bradycardia and treatment with Atropine.
Possible effect of using Atropine on patients with a second-degree type II AV block.
Treatment of unstable bradycardic patients refractory to Atropine using TCP, Dopamine, or Epinephrine drip.
Starting dose and titration of Dopamine and Epinephrine drips.
Links:
Pass ACLS: Find ACLS classes near you and discover other podcasts with ACLS-related episodes. https://passacls.com/
Buy Me a Coffee: To give back. https://buymeacoffee.com/paultaylor
American Cancer Society: Fundraiser for breast cancer. Link is valid through October 31st. Together, we will beat cancer! https://secure.acsevents.org/goto/paultaylor
Safe Meds VIP: Patient-facing information about medication safety and a free drug discount card to save money on prescription medications for you and your pets. https://safemeds.vip
The Curious Clinicians: History of Doctor Wenckebach & Mobitz. https://curiousclinicians.com/2022/07/06/episode-52-way-back-wenckebach/
Dialed Medics: Practice ECGs with rationale. https://dialedmedics.com/

Review the indications for oxygen administration and monitoring O2 saturation with pulse oximetry for patients in various ACLS algorithms.
In the ACS algorithm, the O in MONA is Oxygen.
When we should administer oxygen to ACS, bradycardia, & tachycardia patients.
When O2 administration is unnecessary based on an accurate pulse ox.
Monitoring patient's oxygen saturation (SpO2) using a pulse oximeter.
Review two common ACLS pre-arrest mega code scenarios.
Oxygen administration during CPR and post cardiac arrest.
You can find additional medical podcasts that cover ACLS-related topics, on the Pod Resources page at PassACLS.com
Links:
Pass ACLS: Find ACLS classes near you and discover other podcasts with ACLS-related episodes. https://passacls.com/
Buy Me a Coffee: To give back. https://buymeacoffee.com/paultaylor
American Cancer Society: Fundraiser for breast cancer. Link is valid through October 31st. Together, we will beat cancer! https://secure.acsevents.org/goto/paultaylor
Safe Meds VIP: Patient-facing information about medication safety and a free drug discount card to save money on prescription medications for you and your pets.https://safemeds.vip

Objective measures of high-quality CPR and how ACLS providers use waveform capnography and feedback devices to monitor effective chest compressions.
Along with early defibrillation, high quality CPR with minimal interruptions is one of the two factors that has been shown to improve cardiac arrest outcomes.
Objective measures of high-quality CPR.
The role of the CPR Coach on the code team.
The advantages and use of real-time feedback devices to monitor the rate, depth, and chest recoil of CPR compressions.
The use of end tidal waveform capnography. (ETCO2)
Insertion of an advanced airway.
A no-tech way to monitor effective CPR if no compression feedback device or ETCO2 capnography isn’t available.
Links:
Pass ACLS: Find ACLS classes near you and discover other podcasts with ACLS-related episodes. https://passacls.com/
Buy Me a Coffee: To give back. https://buymeacoffee.com/paultaylor
American Cancer Society: Fundraiser for breast cancer. Link is valid through October 31st. Together, we will beat cancer! https://secure.acsevents.org/goto/paultaylor
Safe Meds VIP: Patient-facing information about medication safety and a free drug discount card to save money on prescription medications for you and your pets.https://safemeds.vip
LinkedIn: @Pass-ACLS-Podcast. https://www.linkedin.com/company/pass-acls-podcast/