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ACLS Algorithms, Training, and Review

Watch 2 Minute Video Introduction

Make sure you watch the 2 minute video introduction above. The video explains how to get the most out of your preparation for AHA ACLS certification.

Begin your training by reviewing ACLS algorithms in the knowledge base to the left. After you have reviewed the knowledge base material, you will be ready to apply the ACLS Algorithms by taking some of the ACLS practice tests and megacode/skills station scenarios, and if you think you need further review, use the ACLS Video Review tutorials.

On this site, you will have fun while you learn and master all of the ACLS algorithms?

After you have competed all of the multiple choice megacode scenarios in the megacode simulator, round off your preparation for the AHA ACLS megacode skills station by reviewing the ACLS megacode series videos which take you through real time megacode scenarios. You can also practice rhythm recognition by reviewing the rapid rhythm identification videos.

Straight forward, systematic, and comprehensive ACLS Training with hundreds of ACLS questions, scenarios and other training tools. To better understand how to systematically prepare using this site read through the ACLS Study Guide.

The ACLS algorithm training and information on this site will help you prepare for the ACLS Written Exam, Megacode and reality in the critical care and emergency setting. You will find detailed information about ACLS algorithms, ECG Interpretation, ACLS Pharmacology, and much more.

You can use the search function located below the knowledge base sidebar to find information that is not listed on the navigation or to find information on a specific topic.

This site is always up-to-date with the most recent AHA ACLS algorithm guidelines.

You can learn and master ACLS. All of the tools and resources that you need are on this site. Quizzes, scenarios, and a comprehensive knowledge base all designed to ensure that you learn and master ACLS. If you would like to see something added please let me know by using the contact form or you can leave a comment below.

You can learn and master ACLS.

See what others are saying in the comments below

This site is updated regularly with new scenarios and questions. Check back often and let others know about your learning experience here.

Review this ACLS study guide to get the most out of this site.

  652 Responses to “Home”

  1. Thank you for all of the info on this site. Used this site a week prior to the class and pass it with great confidence. I would recommend this learning tool to experience and new at this. Thanks Jeff!

  2. I passed and thanks to this site I was well prepared and went through with flying colours! Thank you so much. It’s a. Great site! See you in two years!

  3. Yes, I took my recertification course yesterday 11/12/14. I missed one question on the pre-test and obtain a 100% on the post test. I started studying this website three days prior. I review all the topics and performed all written tests and medgacodes ( and some of the megacodes I repeated just to reinforce questions missed).
    I stumbled slightly on the megacode but that was due to being placed in the circle of confusian ( when the spot light is on you without help), lol. Once I was started though I did well!!
    So in conclusion I believe my success was 90% due to your website. Believe me when I say that obtaining a 100% on the post test was, for me, a significant achievement. And I have been taking ACLS for at least 10 years.
    I paid for two months to be safe just in case I had to take it again. Money well spent. I told the educaiton coordinator who recommended it that it was the best advice recevied in a long time.
    If anyone is concerned about passing. I would highly recommend this website to them. That is all I have to say, and thanks.

  4. Hi Jeff.
    I PASSED!!!!!!! both the ACLS-Provider Megacode and the Exam. In the megacode I was a Pro..I hooked up into this sight by chance. No one ever told me about it. I am an internet servy person. Enrolled here last week because my book was being delayed reaching me. starting with this site gave me all I needed to know. It made the book more reader friendly. I really enjoyed every bit of this site. It was fun and very informative–to the point too. Will spread the good news.
    BIG thanks to you and your brother for the good works. BRAVOOO!!!!!!!!!!and God Bless you guys.

  5. I just wanted to let you know that your website is great. I passed my ACLS recertification today with flying colors. I was the first one done with the exam because I feel your website prepared me so well. Thank you and I’ll be back in 2 years.

  6. I just want to say thank you for such a wonderful site. This site has helped me pass ACLS every time. I hope you will consider making a PALS program. Thank you again!

  7. Passed my exam yesterday…thanks!!!


  9. Dear Jeff,
    This was a great help. Thanks for all for everything.

  10. I passed ACLS today! Yes, even the dreaded “Omar Megacode”! This site is awesome, and I’ll definitely be coming back here in two years! Thank you!

  11. Hi!
    I used the online review for 24 hours prior to a recertification class. Passed with flying colors!

  12. Thanks. Passed ACLS today. With the help of your wonderful sight, it was easy.

  13. I just passed! I had a traumatic brain injury one year ago…ICP’s in the 30’s and 40’s, fixed and dilated twice, bone flap out. Learned how to eat and walk again. Went back to work and am able to give chemo. to children again. No adult experience, but still got my ACLS! Thanks to this website help! Thank you Jeff! PALS is next week, is there a review for that too?

    • Thanks for the question comment and question at the site. First off, great job with your recovery from the traumatic brain injury and getting back into work! Great job also with passing ACLS.
      For your question about PALS, I do not have any PALS content at this time. I have looked around for something I can recommend, but I cannot find anything worth recommending. Your best resource at this time will be the AHA PALS provider manual.
      Kind regards, Jeff

  14. Took my ACLS recert today and I passed.I could not been more confident and happier walking in to that building this morning,had it not been for this website you passionately put together.
    I am so grateful and Thank You. I felt like I won the lottery today.
    God bless you for sharing us your talent.

  15. When my potential employer told me that I only had 10 days to take my initial ACLS course and pass because I needed to have it before my start date, I was freaking out! I thought there was no way I was going to pass in such a short amount of time. Well, I am happy to have found this website because I couldn’t have done it otherwise. I took my test last Friday and passed with flying colors! Jeff, thank you so much for making this website so affordable. It really is a life saver, especially when your pressed for time like I was. :-)

  16. I want to thank this wonderful website for helping me get ACLS certified again for the first time since i was a paramedic way back in 1997. The material from ACLS-Algorighms.com made passing the written and skill test entirely possible with the 2010 guidelines. I was infinitely more prepared with one week of this wonderful website for my exam than that very dry text book. This is some of the best on-line cardiology education I have come across, and for only $10 a steal. Thank you!

    Eric Wager
    Doctor of Pharmacy Candidate 2016
    Touro University California

  17. Took my ACLS recert. Thursday, your site made it so easy. I felt very prepared. Thanks.

  18. a few comments, my name is tom. i’m a recent graduate from a 2 year nursing program. i did this acls to better position myself for a job. i’m a hands on learner so i ignored your algorithms and went right to your exams and megacodes…one at a time. i never got below 75 % but kept retaking each one until perfect. slowly, over c 8 hours of diligence, i got through them all. when i was done, THEN i looked at the algorithms and knew them well. because of your outstanding program, i entered today’s acls exam with profound, yet humble confidence. i scored a 98 on the written and was told i was awesome on my megacodes. my certification is now in my wallet.
    THERE IS NO WAY i would have done well without this outstanding androgogy of yours. Thank you sincerely for this program of yours. i hope it makes you rich. you deserve it. you help many folks. best money i ever spent.
    a few discrepancies i want you to be aware of. first, my instructors want to give epi during pulseless VT/VF after the first shock, not the second. they told us to give cpr, read rhythm, shock, cpr, give epi, rhythm check, shock, Cpr, amio 300, alternating epi and amio until 450 amio is given. but you want amio after the third shock…. just saying.
    one other thing, for unsynchronized, they said the first is 200 joules, the second and third are also 200 joules, never increasing and never starting at 120. i think you were giving 120-200-300-360 with a monophasic and they just concentrated on a biphasic. you may have told us this, but i didn’t see it anywhere. my education came when i asked them why we’re not upping the jolt. would you consider making this more clear for future clients of yours ?
    what a great job you did for me. nobody should attempt acls without you. i promise you, i will tell them so. thanks again,

    • Question 1:
      In my personal experience, we always give epinephrine as soon as possible during the arrest process. Sometimes we even give it before the first shock if CPR has already been started. To be honest, I do not know why AHA as left epinephrine after the first shock. I have not found any clear information on this in the literature. In the algorithms, I do try and stick exactly with the AHA Algorithms for consistency, but I personally agree with your instructors.

      Question 2:
      For biphasic defibrillators, in the cardiac arrest algorithm, AHA recommends a starting dose of 120 J and incrementally increasing to 360 J. Remember, the AHA ACLS algorithms are simply recommendations and individual hospitals, ambulance services, etc. Can develop their own protocols. According to Joint Commission protocols just need to be evidence based. I’m not sure why your instructors would not increase the dose if there is no conversion. The likelihood of conversion with 200 J after an unsuccessful attempt with 200 J would be very low. Personally, in my opinion, if a patient does not convert at 120 J, I go straight to the highest setting on the defibrillator. The highest setting on biphasic defibrillator can vary but is usually 200 J or 360 J. I have seen both. The hospital that I work at uses Biphasic defibrillators with a max dose of 360 J.

      I hope this answers your questions. Thanks for the questions and feedback.
      Kind regards,

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