Review the indications, contraindications, and safe administration of nitroglycerine to Acute Coronary Syndrome (ACS) patients with ischemic chest pain.

Nitroglycerine’s effects.

Assessment of vital signs prior to administering nitro.

Indications for use of nitroglycerine.

Nitroglycerine's contraindications & considerations for use.

Use of nitro with patients taking PDE inhibitors.

Administration of nitroglycerine to patients with ischemic chest pain.

Considerations for patients that took their home nitroglycerine.

Monitoring patient's pain and vital signs after nitro administration.

Good luck with your ACLS class!

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Identification of Atrial Fibrillation (A-Fib) & Atrial Flutter on the ECG and the treatment of unstable and stable SVT patients with A-Fib/Flutter.

The ECG characteristics of A-Fib and A-Flutter.

Recognition and treatment of unstable patients in A-Fib/Flutter with rapid ventricular response (RVR).

Suggested energy settings for synchronized cardioversion of unstable patients with a narrow complex tachycardia.

Team safety when cardioverting an unstable patient in A-FIB/Flutter.

Adenosine’s role for stable SVT patients with underlying atrial rhythms.

Treatment of stable patients in A-Fib/Flutter with RVR.

For other medical podcasts that cover narrow complex tachycardias, visit the pod resource page at passacls.com.

Good luck with your ACLS class!

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Review of Tablets & Toxins as an ACLS H &T reversible causes of cardiac arrest with some specific, commonly encountered examples.

The majority of toxins don’t have a specific antidote.  There are a few toxins for which we have emergency interventions and ACLS providers should be familiar with.

Reviewing the patient's medical history for indicators that may lead us to suspect a tablet/toxin cause of cardiac arrest.

Administration of Narcan for suspected narcotics overdose following the Opioid Associated Emergency algorithm.

Other common ACLS Tablet Toxin scenarios with possible treatments.

Medications commonly used to treat specific toxins that are regularly stocked on crash carts or carried in EMS med bags.

ACLS providers that suspect a specific toxin should consult with their Pharmacy or call Poison Control for treatment directions.

Good luck with your ACLS class!

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Poison Myths and Misconceptions on The Pharmacists Voice podcast:

https://www.thepharmacistsvoice.com/podcast/poison-myths-and-misconceptions-discussion-part-1-of-5-with-angel-bivens-rph-and-wendy-stephan-phd/

Why we use algorithms.

Generally speaking, if there’s a change in a patient’s condition, we should ensure we’re using the correct algorithm.

Three key points to remember when using ACLS algorithms.

Walk through of an example mega code scenario with explanations of when and why we change to a different ACLS algorithm.

Good luck with your ACLS class!

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Review of when we should consider beta blocker use in ACLS's Acute Coronary Syndrome (ACS) & Tachycardia algorithms and when they're contraindicated.

Beta blocking medications attach to Beta receptors to inhibit or “block” the effects of epinephrine (adrenaline)and norepinephrine in the body.

The primary locations of Beta I, II, and III receptors.

Effects of epinephrine & norepinephrine stimulation of beta receptors on the heart.

Beta blockers effects on the heart.

When we should consider the use of beta blockers in the Acute Coronary Syndrome (ACS)and Tachycardia algorithms.

Contraindications to the use of beta blocker medications.

More detailed information about beta blocker’s mechanism of action and specific instances for their use can be found on the Pod Resource page at PassACLS.com.

Good luck with your ACLS class!

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A review of advanced airway use in ACLS’s Adult Cardiac Arrest algorithm including: advantages, types, insertion, and monitoring ETCO2.

When we should consider insertion of an advanced airway for patients in a shockable vs non-shockable rhythm.

In addition to an endotracheal tube (ETT), other ACLS advanced airways.

The advantages of using an advanced airway over basic airway maneuvers.

Use of end tidal CO2 waveform capnography to confirm placement and assess the adequacy of CPR.

Identification and management of a misplaced ET tube.

Good luck with your ACLS class!

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Indications & use of an antiarrhythmic infusion of Amiodarone or Lidocaine for cardiac arrest patients that have return of spontaneous circulation (ROSC).

Our primary focus immediately following return of spontaneous circulation (ROSC).

Post-arrest goals for O2 saturation, ETCO2, and BP/MAP.

Indications for use of an antiarrhythmic after ROSC.

Determining which antiarrhythmic to use post cardiac arrest.

Administration of Amiodarone or Lidocaine after ROSC.

The use of Amiodarone post arrest if no antiarrhythmics were administered prior to obtaining ROSC.

Links to other medical podcasts that cover antiarrhythmics and other ACLS-related topics are on the Pod Resource page at PassACLS.com.

Good luck with your ACLS class!

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Hydrogen ions is on one of the Hs in ACLS's H&T reversible causes of cardiac arrest.  When considering hydrogen ions as a cause, what we’re looking at is the patient’s pH, or acid/base balance, and conditions that affect it.

The body's normal pH.

Using patient history, ABGs, & labs to determine acidosis or alkalosis.

Common conditions/causes that may lead us to suspect acidosis.

Common conditions/causes that may lead us to suspect alkalosis.

Correcting acidosis by changing the rate of ventilations.

The indications, dose, and considerations for use of Sodium Bicarbonate.

Treatment of alkalosis.

Other podcasts that cover acid/base balance and conditions that cause acidosis or alkalosis can be found on the Pod Resource Page at PassACLS.com.

Good luck with your ACLS class!

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BLS & ACLS's Adult Cardiac Arrest algorithm makes it easier to act as team leader during a code by following an If/Then methodology.

Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest.

If the patient is in a non-shockable rhythm on the ECG such as PEA or asystole, we will go down the right side of the Adult Cardiac Arrest Algorithm.

If the patient is in a shockable rhythm on the ECG such as V-Fib or V-Tach, we will go down the left side of the Adult Cardiac Arrest Algorithm.

An example of a code's flow for shockable rhythms when an antiarrhythmic such as Amiodarone or Lidocaine is administered.

We will follow the algorithm until the patient has ROSC or we call the code.

Good luck with your ACLS class!

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Review of aspirin's mechanism of action, indications, contraindications, and administration for patients with acute coronary syndrome (ACS) or stroke.

Aspirin's mechanism of action & benefits for Acute Coronary Syndrome (ACS) patients.

Contraindications and considerations for aspirin’s use.

The dose and route of administration of aspirin for ACS patients.

The use of aspirin in the ACLS Stroke algorithm.

Good luck with your ACLS class!

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