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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.

  633 Responses to “Home”

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

  2. 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.
    BUT
    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,
    tom

    • 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,
      Jeff

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