ACLS algorithms made simple | ACLS-Algorithms.com

Comments

  1. gunnewick-murphy@prodigy.net says

    Hi Jeff,
    I passed my ACLS and felt very prepared after using this site. Thanks so much. One question
    I was under the impression through my studying that epi was given after the 2nd shock (Pulseless VT/VFib). In my class they said to give it earlier. Is it as soon as you have IV access?

    • Jeff with admin. says

      Congrats’ on passing ACLS certification.
      According to the AHA ACLS pulseless arrest algorithm, epinephrine is to be administered after the 2nd shock during CPR. In real world, I have seen it given earlier than this. The reason why AHA puts it after the 2nd shock is they want the focus to be on high quality CPR and early defibrillation. If you have a good code team and the essential of CPR and early defibrillation are taken care of, I see no reason why the epi could not be given earlier.
      The algorithm is just for emphasis on the aspects in order of importance. Your instructors should have clarified this with you.

      Kind regards,
      Jeff

  2. CarolHo says

    Hi Jeff,
    I passed the ACLS with your wonderful web site and of course my efforts.
    Thanks for making the process easier to be handled and knowledge to be easier memorable.
    Carol

  3. EFREN BERNARDINO says

    Thank you Jeff. It was my first time to get certified on ACLS. I have done it well and a lot easier with the help of this website. I got certified on October 26, 2013.

  4. Franky Wibowo says

    Hi jeff,
    Interesting to read your website. I have a question about paddles placement of defib. What will happen if we put the paddles in wrong position when we do the unsynchronize shock and synchronize shock.? Sometimes We can put the paddles in a wrong position when we were in a panic condition. Thanks.

    • Jeff with admin. says

      Improper placement will result in a greater passage of current through non-cardiac tissue and failure to depolarize the requisite critical mass of myocardium, hence reducing the chances of successful defibrillation. Only a very small proportion of the delivered electrical energy traverses the myocardium during transthoracic defibrillation and efforts to maximize this proportion are important. This is why it is very important to ensure proper pad placement.
      Kind regards,
      Jeff

      • Franky Wibowo says

        Thanks jeff for the answer. Then. My next question is what happen if the placement of the paddles are switched in doing the shock. The apex paddle switched with sternum paddle. Does any effect with the heart rhytm?

      • Jeff with admin. says

        With a biphasic defibrillator, I think that the affect would be the same as with regular placement since the electrical shock is biphasic and travels both directions.
        I do not know what the affect would be with a monophasic defibrillator. My guess is that the affect would be the same. It seems to me that any electrical depolarization of the heart caused by the shock would produce the same effect as long at the pads have good contact with the skin.
        Try it on a patient and let me know 🙂 (just kidding)

        Kind regards,
        Jeff

  5. serenity says

    Thank you jeff! I passed my ACLS course yesterday…this site really helped me a lot,that iam so confident when my class started last saturday.im gonna come back here after 2 years..keep it up and God bless you! You guys are helping a lot of people here,the practice questions and the videos are really great! And i also like to read the comments and your answers below,coz i also learned a lot from it..im going to recommend this to my friends..thank u guys!

  6. Erin Brown says

    Thank you so much for your wealth of knowledge that is evident throughout this site. I hate studying, but found your quizzes and practice mega codes very entertaining and informative. Your site truly helped me learn the material and I am happy to say that I passed my ACLS today with flying colors. Thanks again! I will be coming back to your site soon.

  7. vaborn25 says

    Thanks for the site. I am a brand new licensed RN, and decided to go through ACLS to make me more marketable as a nurse. This site helped me a lot. It helped with Rhythm recognition, with the steps in the various algorithms and so on. ACLS is no joke. It was good training and well worth the money. This site will help you prepare for ACLS certification. I did part one of the ACLS online and passed all the simulators, megacodes, and the written exam. This is the place to go to get your educational needs met before taking your ACLS course.

  8. Kris says

    This site was SO helpful! I passed ACLS last week and feel I understand things much more than I have the last 4 times I’ve taken the class. I did GREAT on the written test. The mega code was difficult due to an instructor who insisted on testing us on things NOT in ACLS. Why should I know what lab tests to order after the code? But all in all this site helped a ton. Will be back in two years!!

  9. dhebz22 says

    I just passed my ACLS today….I didn’t even read the book anymore coz i always end up falling asleep. Really glad i found this site. Very helpful and easy to understand. I was terrified to take the ACLS class coz the last class i attended was year 2007 and there are a lot of changes in the guidelines of the AHA already but your site is up to date and really helped me a lot. I felt confident & prepared doing the actual megacode & I did great on my written exam as well. Thank you so much for sharing your knowledge…. Two thumbs up to you!!!! You’re such a blessing….

  10. Merlyn says

    Hi Jeff, thanks a million for all your efforts on this site! I got my certification today :D.. I scored 47/50 from the exam and passed the megacode confidently :D. Thanks for everything! May God bless you as always… Best regards, Merlyn

  11. pollie says

    THANKS FOR THIS WEB SITE- IT WAS QUITE INTERESTING, AND VERY HELPFUL, I PASS ACLS ON YESTERDAY…………………

  12. E. Lane says

    I aced my megacode with this info….I felt sooo empowered!!!! I am an old nurse with 45 years experience in the nursery and surgery. I now find myself needing to pass the PALS certification. I remember it being easier, but I would love to have a site just for PALS recert. Any sugestions? Thank you so much for all of this information!

    • Jeff with admin. says

      Thanks for the question and your feedback about the site.
      I am so glad that the site was helpful for you.
      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

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