Memory Joggers: ACLS Adult Emergency Cardiac Care
Reviewed 8-2004
UNRESPONSIVE
- ACTIVATE EMS
- CALL FOR DEFIBRILLATOR
RESPONSIVE
- Observe
- Treat as indicated
BREATHING ABSENT
BREATHING PRESENT
- Recovery position if no trauma
PULSE ABSENT
- CPR
- VENTRICULAR FIB / TACH?
Yes, VG/VT algorithm
- INTUBATE
- CHECK VENTILATIONS
- ELECTRICAL ACTIVITY?
Yes, PEA algorithm
No, ASYSTOLE algorithm
PULSE PRESENT
- RESCUE BREATHING
- OXYGEN
- IV
- VITALS
- INTUBATE
- H & P
- EKG
- CAUSE?
Hypotension, shock, or acute
pulmonary edema; arrhythmia;
brady or tachycardia; acute MI
WAVEFORM MEASUREMENTS
P wave < 0.11 sec
PR interval 0.12-0.20 sec
QRS interval < 0.10 sec
QTc interval 0.33-0.47 sec
One Large Box 0.20 sec
One Small Box 0.04 sec
CARDIOPULMONARY VALUES
Central Venous 3-8 mm Hg
R Atrium (mean) 0-8 mm Hg
R Ventricle 15-30 / 0-8 mm HG
Pulm. Artery 15-30 / 3-12 mm Hg
Pulm. Wedge (mean) 1-10 mm Hg
L. Ventricle 100-140 / 3-12 mm Hg
Aorta 100-140 / 60-90 mm Hg
Aa Gradient 5-15 mm Hg
Pulm. Resistance 20-130 d*s/cm5
Syst. Resistance 700-1600 d*s/cm5
Cardiac Output 3.5-7.5 L/min
Cardiac Index 2.5-3.5 L/min/m2
Ejection Fraction 59-75%
Mitral Valve 4.0-6.0 cm2
Aortic Valve 2.6-3.5 cm2
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