Build the knowledge and skills you need to provide emergency cardiovascular care! ACLS Study Guide, 6th Edition provides a comprehensive, easy-to-understand overview of advanced cardiovascular life support. With case studies and hundreds of full-color photos and illustrations, this guide covers everything from airway management to cardiac arrest rhythms and electrophysiology, tachycardias and bradycardias, acute coronary syndromes, and acute ischemic stroke. Discussions of the newest ECC guidelines and ACLS treatment algorithms help you manage common cardiac conditions. Written by noted EMS educator Barbara Aehlert, ACLS Study Guide is ideal for use with the American Safety & Health Institute ACLS certification course.
- Easy-to-understand approach simplifies your study of advanced cardiac life support, thanks to Barbara Aehlert’s unique, conversational writing style.
- Case studies describe real-world examples of common clinical situations, helping you master skills in cardiac rhythm interpretation, medication administration, and other essential interventions.
- Evidence-based practice recommendations are provided for emergency medical treatment.
- ACLS Pearl boxes offer brief explanations of complex topics and useful tips for clinical practice.
- Keeping It Simple boxes provide clear and concise summaries of key points along with memory aids.
- End-of-chapter quizzes include answers and rationales, helping you remember the most important information.
- NEW! Updated content includes the latest guidelines from the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care and the International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations.
- NEW! 20 new illustrations are added to the book’s hundreds of illustrations.
Author(s): Barbara J. Aehlert
Edition: 6
Publisher: Elsevier
Year: 2021
Language: English
Pages: 272
City: St. Louis
Front Cover
Front matter
ACLS Study Guide
Copyright
Preface to the sixth edition
Acknowledgments
About the author
Table of Contents
CHAPTER 1 Chain of survival and high-quality cardiopulmonary resuscitation
Introduction
Learning objectives
Learning plan
Key terms
Phases of cardiac arrest
Chain of Survival
Out-of-hospital Chain of Survival
Early recognition, emergency response activation, and prevention
Delivery of high-quality cardiopulmonary resuscitation
Rapid defibrillation
Effective advanced life support
Postcardiac arrest care
Recovery
In-hospital Chain of Survival
Early recognition and prevention
Notification and response
Performance of high-quality cardiopulmonary resuscitation
Prompt defibrillation
Intraarrest and postcardiac arrest care
Recovery
High-quality cardiopulmonary resuscitation
Barriers to effective cardiopulmonary resuscitation
Techniques and adjuncts to improve the quality of cardiopulmonary resuscitation
Monitoring during cardiopulmonary resuscitation
Monitoring the patient’s response
Monitoring the rescuer’s performance
Stop and review
Stop and review Answers
References
CHAPTER 2 Teams
Introduction
Learning objectives
Learning plan
Rapid response systems
The resuscitation team
Pit crew model
Crew resource management
Team arrival
Team roles and responsibilities
Support roles
Elements of effective team performance
Teamwork
Task management
Team communication
Speaking up
Situation awareness
Decision making
Debriefing
Family notification
Conveying bad news
Helping the caregivers
Stop and review
Stop and review Answers
References
CHAPTER 3 Patient assessment and resuscitation therapies
Introduction
Learning objectives
Learning plan
Key terms
Part I: Patient assessment
Basic life support assessment
Primary assessment
Airway
Breathing
Circulation
Disability
Exposure
Vital signs
Secondary assessment
Part II: Resuscitation therapies
Airway and breathing management
Tools for assessing oxygenation and ventilation
Manual airway maneuvers
Head tilt–chin lift
Jaw thrust
Suctioning
Pharyngeal airways
Oropharyngeal airways
Nasopharyngeal airways
Positive pressure ventilation
Mouth-to-mask ventilation
Bag-mask ventilation
Oxygen delivery
Ventilating with a bag-mask device
Troubleshooting bag-mask ventilation
Noninvasive positive pressure ventilation
Advanced airways
Confirming endotracheal tube placement
Esophageal detector devices
Oxygen delivery devices
Nasal cannula
Simple face mask
Partial rebreather mask
Nonrebreather mask
Electrocardiogram monitoring
Conduction system
Leads
Electrocardiography paper
Electrocardiogram components
Electrical therapies
Defibrillation
Monophasic versus biphasic defibrillation
Reducing transthoracic impedance
Adhesive pad size
Adhesive pad position
Selected energy
Defibrillation procedure
Synchronized cardioversion
Cardioversion procedure
Possible complications
Transcutaneous pacing
Indications
Procedure
Limitations
Alternative therapies
Vascular access
Medication administration
Stop and review
Stop and review Answers
References
CHAPTER 4 The patient with respiratory compromise
Introduction
Learning objectives
Learning plan
Respiratory compromise
Respiratory distress
Respiratory failure
Respiratory arrest
Patient assessment
Therapeutic interventions
Stop and review
Case study 4.1
Stop and review Answers
Case study 4.1 Answers
References
CHAPTER 5 Bradycardias
Introduction
Learning objectives
Learning plan
Key terms
Overview
Rhythm review
Sinus bradycardia
Junctional escape rhythm
Ventricular escape rhythm
Atrioventricular blocks
First-degree atrioventricular block
Second-degree atrioventricular block type I
Second-degree atrioventricular block type II
2:1 Atrioventricular block
Third-degree atrioventricular block
Patient assessment
Therapeutic interventions
Stop and review
Case study 5.1
Case study 5.2
Stop and review Answers
Case study 5.1 Answers
Case study 5.2 Answers
References
CHAPTER 6 Tachycardias
Introduction
Learning objectives
Learning plan
Key terms
Overview
Narrow-QRS tachycardias
Sinus tachycardia
Supraventricular tachycardias
Atrial tachycardia
Reentrant tachycardias
Atrioventricular nodal reentrant tachycardia
Atrioventricular reentrant tachycardia
Wide-QRS tachycardias
Ventricular tachycardia
Irregular tachycardias
Multifocal atrial tachycardia
Atrial flutter
Atrial fibrillation
Polymorphic ventricular tachycardia
Patient assessment
Therapeutic interventions
Narrow-QRS tachycardias
Wide-QRS tachycardias
Irregular tachycardias
Stop and review
Case study 6.1
Case study 6.2
Stop and review Answers
Case study 6.1 Answers
Case study 6.2 Answers
References
CHAPTER 7 Cardiac arrest rhythms
Introduction
Learning objectives
Learning plan
Cardiac arrest rhythms
Ventricular tachycardia
Ventricular fibrillation
Asystole
Pulseless electrical activity
Out-of-hospital cardiac arrest
In-hospital cardiac arrest
The cardiac arrest algorithm
Shockable rhythms
Medications
Vasopressors
Antiarrhythmic medications
Nonshockable rhythms
Refractory cardiac arrest
Return of spontaneous circulation
Patient transfer
Special resuscitation situations
Known or suspected opioid overdose
Known or suspected COVID-19
Cardiac arrest and pregnancy
Postcardiac arrest care
Oxygenation and ventilation
Cardiovascular care
Extracorporeal cardiopulmonary resuscitation
Emergent coronary angiography
Neurologic care
Other considerations
Stop and review
Case study 7.1
Case study 7.2
Stop and review Answers
Case study 7.1 Answers
Case study 7.2 Answers
References
CHAPTER 8 Acute coronary syndromes
Introduction
Learning objectives
Learning plan
Key terms
Coronary heart disease
Obstructive atherosclerosis with systemic inflammation
Obstructive atherosclerosis without systemic inflammation
Nonobstructive atherosclerosis
Ischemic heart disease
Clinical features
Diagnostic studies
Stable angina
Variant angina
Microvascular angina
Acute coronary syndromes
Clinical features
Patient history
Sample history
OPQRST history
Atypical presentation
Physical examination
Diagnosis
Cardiac biomarkers
Electrocardiogram findings
Classification of myocardial infarction
Unstable angina and non–ST-elevation myocardial infarction
ST-elevation myocardial infarction
Anatomic location of a myocardial infarction
Anterior infarction
Lateral infarction
Inferior infarction
Inferobasal infarction
Right ventricular infarction
Lead aVR
Imaging studies
Initial management of acute coronary syndromes
Prehospital management
Emergency department management
Pharmacologic therapies
Nitroglycerin
Analgesic therapy
Beta blockers
Calcium channel blockers
Lipid management
Renin-angiotensin-aldosterone system inhibitors
Antiplatelet therapy
Anticoagulant therapy
Reperfusion therapies
Stop and review
Matching
Case study 8.1
Stop and review Answers
Matching
Case study 8.1 Answers
References
CHAPTER 9 Acute ischemic stroke
Introduction
Learning objectives
Learning plan
Key terms
Anatomy review
Stroke types
Subarachnoid hemorrhage
Intracerebral hemorrhage
Ischemic stroke
Transient ischemic attack
Stroke systems of care
Stroke centers
Public education
Emergency medical services
Assessment and management
Hospital initial evaluation and treatment
History and physical examination
Neurologic examination
Intravenous fluids
Diagnostic studies
Blood glucose
Blood pressure
Electrocardiogram monitoring
Temperature
Patient positioning
Intravenous fibrinolysis
Endovascular therapies
Antiplatelet therapy
Stop and review
Case study 9.1
Stop and review Answers
Case study 9.1 Answers
References
CHAPTER 10 Posttest
Posttest Answers
Glossary
Index
A
B
C
D
E
F
G
H
I
J
L
M
N
O
P
Q
R
S
T
U
V
W
Y
