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.
Such a great site…thanks so much!
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?
Aortic dissection is best evaluated with noncontrast CT to look for acute hemorrhage followed by CT angiography. Here’s a link to a very good article on noninvasive imaging for aortic disease.
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,
Jeff
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,
Correct. If a patient is initially hypothermic or the arrest was due to hypothermia. Rewarming measures should be implemented.
Kind regards,
Jeff
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!
Thank you, Jeff and colleagues your site allowed me to be fully prepared to pass and understand ACLS, I will recommend to all.
Thank you, for helping me pass,, Your practice tests and site helped me tremendously.
Anna