Learn & Master ACLS/PALS

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ACLS Interactive Course Guide 2.0

by 15 Comments

Welcome ACLS students! If you would like a guided process that takes you through the entire site one topic at a time, enroll in the ACLS Interactive Course Guide below.

Step 1:

Watch the Course Introduction Video below.

Step 2:

If you have not subscribed already, choose a subscription option. (SUBSCRIBE OPTIONS)

Choose Your ACLS Subscription and Get Started

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Step 3:

Navigate back to the ACLS Interactive Course Guide and click “Take this Course” to activate the course.

Step 4:

After enrolled, use the links below to access the course lessons and topics.

Course Content

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Lessons Status
1

Foundations of ACLS

2

Cardiac Arrest Algorithm

3

Post-Cardiac Arrest and Waveform Capnography

4

Bradycardia Algorithm

5

Tachycardia Algorithm

6

Acute Coronary Syndrome

7

Adult Stroke Algorithm

8

ACLS Rhythm Interpretation Application

9

ACLS Knowledge Application Part 1

10

ACLS Knowledge Application Part 2

Comments

  1. Meds for Tachycardia:
    For the unstable patient with a regular and narrow QRS complex, adenosine may be considered prior to synchronized cardioversion.

    Make sure that adenosine is not used for irregular, polymorphic wide-complex tachycardia and unstable VT. Use in these cases may cause clinical deterioration.

    Please clarify. Wouldn’t a regular narrow QRS be a VT?

    Reply

    • No. Ventricular tachycardia will always have a wide QRS complex.

      The wide QRS complex is present because the electrical impulse begins in the ventricles and travels slowly back around the heart and up into the atria. This prolonged electrical conduction that begins in the ventricles generates a wide QRS complex on the ECG.

      Kind regards,
      Jeff

      Reply

  2. Left side of cardiac arrest- CPR –>, shock (if shockable), get an IV, –>shock if shockable, –>
    CPR 2 min/5 cycles, give Epi every 3-5. I don’t understand– how long does this go on?
    Give Epi after 2nd shock and you keep doing CPR and there’s no max on Epi —-
    How/when do you give Amiodarone? When do you stop Epi?

    Reply

    • You give amiodarone after the third shock during CPR. Amiodarone is given rapid IV push and is followed with 20 mL of normal Saline.

      You stop giving epinephrine every 3 to 5 minutes when the code is finished.

      Kind regards,
      Jeff

      Reply

  3. I was a ball of nerves when I sat down to take this class today in my facility. I PASSED my ACLS today with flying colors. Thank you so much for the amazing study information you provided. I will forever utilize this from now on. I have to take PALS now and will defiantly use this course to prepare myself for it.

    Dawn Morris BSN, RN

    Reply

  4. I have recommended this course to the New/Experienced RN’s on the floors that I work. I am re-certificating my ACLS and this course was excellent. No matter how many times someone has ACLS re-certification there is always some thing new or something to re-enforce. Thank You.

    Reply

  5. What an amazing learning experience Master ACLS is!
    Thank you, Jeff, so much.
    Everything is so well-done.
    Five Star Rating describes this product!
    Best,
    Terry Hefner

    Reply

  6. This is my second time using your website and I can’t thank you enough! True excellence! Thank you, thank you, thank you and God Bless You!
    Eklas

    Reply

  8. Thanks Jeff! I loved the improvements to your site! This is my third time and each time you make it easier and better! I really dread ACLS renewal every 2 years (I just don’t ever use it in my nursing practice-but it’s required), but with your site it makes it much less stressful!
    Keep up the awesome service!
    Angelika

    Reply

  9. Jeff, thanks again for your great site. this is the third time i have used it for recertification for ACLS and i really feel this the site has improved.

    Question about blood pressure as an indicator of stable vs unstable. What woul you consider the lowest BP to be considered stable? i realize this may depend on other symtoms the patient has but give me a diastolic number that is a cutt off

    Thanks
    Gerry Dunphy RNFA,CNOR

    Reply

    • The lowest blood pressure to be considered stable is, as you said, dependent upon symptoms of the patient. I have seen quite a range of blood pressures in the low end, and sometimes I have been quite surprised at just how stable patients have been with extremely low systolic blood pressures. I’ve seen patients with a systolic blood pressure was around 80 mmHg that have been stable.

      I can’t say I’ve seen many patients with a systolic blood pressure less than 80 mmHg and stable.

      That said, I would say that the (MAP) mean arterial blood pressure is a better indicator of true stability. Mean arterial pressure of 65 mmHg would be the lowest that you would want to let a patient go. Here’s why: When the mean arterial blood pressure falls below 65 mmHg, this begins to negatively affect end organ perfusion. The kidneys begin to suffer ischemia, the brain begins to suffer ischemia, all organs begin to be negatively affected because of this decreased blood perfusion.

      Kind regards,
      Jeff

      Reply

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