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ACLS (ADVANCED CARDIOVASCULAR LIFE ) 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

KEY POINTS Basic life (BLS) Advanced cardiovascular life (ACLS) Post–cardiac arrest care

BLS • BLS is the foundation for saving lives after cardiac arrest

(OHCA and IHCA) • Fundamental aspects of adult BLS include : • Immediate recognition of sudden cardiac arrest • Activation of the emergency

response system • Early R • Rapid defibrillation with an automated external defibrillator (AED)

BLS

BLS • Pulse Check • no more than 10 seconds • Ideally, the pulse check is performed simultaneously with the check for no breathing or only gasping, to minimize delay in detection of cardiac arrest and initiation of R • Early R • Begin chest compressions as quickly as possible after recognition of

cardiac arrest (C-A-B)

• Early Defibrillation With an AED

Immediate Recognition Cardiac Arrest

If the patient is unresponsive with abnormal or absent breathing, it is reasonable for the emergency dispatcher to assume that the patient is in cardiac arrest

High quality R

• Rate of 100/min to 120/min • Depth of at least 2 inches • • • •

or 5 cm Allow full chest wall recoil Minimizing Interruptions Compression to ventilation ratio of 30:2 position hands for chest compressions on the lower half of the sternum in adults

4 Irama CARDIAC ARREST • SHOCKABLE • pVT • VF • NON-SHOCKABLE • PEA • ASISTOL

DEFIBRILLATION

DEFIBRILLATION VS CARDIOVERSION ??

DRUGS

Consider Advance Airway

1 breath every 6 sec (10 breath/min)

Sign UNSTABLE Hypotension Acutely altered mental status Sign of shock Ischemic chest discomfort Acute heart failure

Kasus 1 • Ps datang ke IGD dengan keluhan nyeri dada setelah

dilakukan pemeriksaan vital sign oleh perawat tiba-tiba ps kejang & tidak sadarkan diri dan tidak bernafas  apa yang anda lakukan sebagai dr IGD?

Irama?

Irama?

Irama?

Irama?

Irama?