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ACLS Algorithm Reviews


ACLS Video Reviews

The ACLS video reviews available here provide an action packed ACLS review of the respective Algorithm along with a megacode scenario to help you refine and develop your ACLS skills. Also you will find videos about special topics within ACLS that require a more detailed examination.



quantitative-waveform-capnosimplified-cardiac-arrest-aAcute Coronary Syndrome Review

  73 Responses to “ACLS Algorithm Reviews

  1. Thank you for the website. I had only four days to study for my first certification. 95% of my study was done by using your website. I pass the course. Great website! I actually was enjoying during study time.

  2. Hi,

    Thank you for this incredible site! I got my ACLS certificate today! First time taking the class. Your site is so easy to understand and not intimidated at all. Love it! Keep up the awesome work! Will recommend to all my coworkers!

  3. I am not seeing the algorithms for acute stroke and ACS on the site. Are they not included?

    • At this time, the tests covering ACS and stroke are the only materials covering this topic. The practice tests do cover all of the major aspects of each. You can find them on this page of the site toward the bottom of the page.

      At this time I am working on developing materials that give a thorough review of ACS and stroke, but they are not ready to be published at this time.

      I can direct you to the complete AHA guidelines for stroke and ACS if you would like to review them. You can find them at the links below:
      AHA ACS
      AHA Stroke

      Kind regards,

  4. I happened upon your website one day while at work and signed up. One week later I took ACLS and passed, Thank You so very much, this website has broken down ACLS to the most basic learning level and took my jitters away. I was extremely confident through my megacode and the answers flowed with out stumbling or second guessing. I recommend this website to all my co-workers,and will continue to review this website to maintain my skills and boost my confidence while working. Again, many thanks.

    NREMT/Paramedic Tracye

    • Thanks so much for the encouraging feedback. I’m so glad that the site has been helpful for you.
      It is my hope that I can help people learn ACLS by making it fun and easy to understand.

      Kind regards,

  5. Passed my recert today with little stress and I felt well prepared. Thanks, Jeff, I love your site. The test for BLS is more difficult because of all the PEDs and infant stuff. I am an internist and hospitalist. They also have a lot of questions on ventilation rates per minute and not necessarily ventilation to compression ratios which can be tricky. Anyway, do everything on this site and you will enter confident and assured. Follow Marshal Suverov’s succinct advice to his Russian army,” Train hard, fight easy. “

  6. I am studying once again for ACLS certification …. In the book it says… CPR needs to be improved if DIASTOLIC INTERARTERIAL PRESSURE is less then 20mm HG … but no where does it say how the INTERARTERIAL PRESSURE is being monitored. ALINE ? manual cuff readings? How would be the best method to measure INTERARTERIAL PRESSURE.

    • Could you give me the page reference for this so I can also look in the book regarding this?

      The easiest way to monitor blood pressure during CPR with with a standard blood pressure cuff. You would have to set the BP machine to auto repeat with no time interval.
      So the answer would be manual cuff readings.
      A better method would be to monitor with an arterial line, but this would require arterial line setup which would be unlikely in an emergency cardiac arrest situation.
      Another way that CPR can be monitored would be waveform capnography. This soon will become the standard of care. Make sure to watch the video on the site about waveform capnography to get an understanding of this.

      Kind regards,

      • On PG 61 in the right hand side / grey table last item under CPR QUALITY it says… “INTER-ARTERIAL PRESSURE — if relaxation phase ( diastolic) pressure <20mmHG …attempt to improve CPR quality " …. I was pretty sure it meant BP cuff but in our study group their was a hot discussion about it so I was looking for clarification. We have a number of new grads / student nurses taking the test for the first time. And yes, I have told them all to come to this site for at home help and self study… Hope they listened….. ACLS frequently uses phrased in their description of scenarios not common or not used in all regions of USA …. NONNIE …

      • After looking at the reference on page #61 about intra-arterial pressure monitoring, I think that this is specifically addressing the use of an intra-arterial line also called an arterial line. The arterial line measures direct arterial pressure.

        In a code, this would most likely be possible if the arterial line as in place prior to the cardiac arrest.

        I must say what we have an automatic blood pressure monitor monitoring constantly while performing CPR during a cardiac arrest. This will not be as accurate, but it may give you some idea about CPR effectiveness.

        For measuring CPR effectiveness waveform capnography is becoming the standard of care.

        Kind regards,

  7. Why is there no pulse check after the second rhythm check? It could be vtach with a pulse in which case the next step is cardiovert not defibrillate

    • When advancing through the pulseless arrest algorithm, if pulselessness has been established and VT persists, it is not necessary to recheck a pulse. The VT indicates the need for defibrillation. A pulse check would be a waste of time since there has been no rhythm change from a rhythm that was already assessed as being pulseless (non-perfusing). This same thing would be true for ventricular fibrillation.

      Kind regards,

  8. I am a new EMT-I, I am ACLS certified but every now and then I need a little refresher. I love how the site is set up. Simple to find what you need. Thanks!

  9. I have noticed in this review that little is mentioned about stroke and ACS. Is this still part of the ACLS testing?

  10. Just beginning to review. Have not been ACLS certified since 11/2010. Will take my time and renew my subscription if I need to. Excited about this site and all the replies.

  11. I used this website to help me prepare for the ACLS. I found the practice quizzes especially useful in helping me study for the written exam, which is a b*tch.

    BUT, I passed both the written exam and the Megacode today. So, thanks Jeff!


  12. Such a great site…thanks so much!

  13. Symptoms of a dissecting or ruptured thoracic aortic aneurysm can mimic an MI (remember John Ritter?). How is this life-threatening event evaluated since time is so critical and treatment with fibrinolytics can be fatal?

  14. in PEA if the patient is hypothermic I will warm him according to Hs and Ts ,right? ok if he goes to ROSC ,not responding,I will induce therapeuic hypothermia,right? how it comes warming then cooling,it will damage the cells,right?

    • If PEA is known to have been caused by hypothermia. Then warming slowly would be indicated. The case where PEA is caused by hypothermia would probably be rare and most likely would not be in the hospital setting. If PEA is caused by hypothermia I do think that therapeutic hypothermia may be contraindicated.
      Kind regards,

    • Chris with admin says:
      “There are many documented cases of patients being in cardiac arrest for many hours after significant hypothermia and having full recoveries. Actually, cardiac arrest from this mechanism probably has the best chance of full recovery depending on the amount of time in cardiac arrest and degree of hypothermia. I attached a very interesting article on three case reports of cardiac arrest from hypothermia. All three patients had full recoveries. Interestingly, all three patients had fixed and dilated pupils and were pulseless for extended periods of time.
      To directly answer your question, you would not want to make a patient hypothermic after rewarming them, and you would want to rewarm as quickly as possible.”–articles available on request by using the contact me page.

    • After revision of many literatures, it is contraindicated to induce hypothermia if the patient was initially hypothermic below 30 C,

  15. This is the best preparation I have ever had for understanding and passing the ACLS class. I sure appreciate your format for retaining information, drugs and dosing along with breakdown on all possible questions.

    Thank you!

  16. Thank you, Jeff and colleagues your site allowed me to be fully prepared to pass and understand ACLS, I will recommend to all.

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