Adult Suspected Stroke

The goal of stroke care is to minimize brain injury. Suspected Stroke Sequence The stroke sequence is critical in providing rapid assessment and treatment to minimize disability: Identify signs of stroke Sudden weakness of the face or one side of the body Garbled speech Sudden severe headache Sudden trouble seeing out of

Adult Immediate Post Cardiac Arrest Care

After Return of Spontaneous Circulation (ROSC) in a cardiac arrest victim, the following sequence should occur: Assure oxygenation beginning at a breath every 5-6 seconds. If waveform capnography is available, titrate the oxygen and ventilation to a PETCO2 of 35-40 mm Hg. If waveform capnography is not available, titrate oxygenation

Chest Pain Checklist for STEMI Fibrinolytic Therapy

Fibrinolytic therapy is the treatment of choice for STEMI patients who meet specific criteria: Patient has been symptomatic (Chest pain) for longer than 15 minutes but less than 12 hours. ECG is diagnostic for ST elevation indicating an MI or a new Left Bundle Branch Block. If any of the

Adult Cardiac Arrest

In Cardiac arrest, the pulse cannot be felt, the patient is unresponsive, and respirations are absent or agonal. The arrest rhythms include: Asystole Pulseless Electrical Activity (PEA) Ventricular Fibrillation Pulseless ventricular tachycardia The goal of intervention in cardiac arrest is Return of spontaneous circulation (ROSC). Cardiac Arrest Sequence This sequence is structured around

Adult Bradycardia (With Pulse)

Bradycardia is any rhythm with a heart rate < 50 beats per minute. Symptoms of Bradycardia may include respiratory distress or failure, decreased systolic blood pressure, ECG changes, diminished or absent peripheral pulses, cool and pale skin, and syncope or decreased level of consciousness. Bradycardia Sequence Attempt to identify and treat

Acute Coronary Syndromes

Goals of therapy for ACS include: Identification of patients with ST Elevation MI (STEMI) in order to facilitate early reperfusion Relief of chest pain Treatment of life-threatening complications including VF, VT and unstable tachyarrhythmias. Prevention of major adverse cardiac events (MACE) ACS Sequence Recognition of symptoms of myocardial infarction (MI) Chest

Adult BLS for Healthcare Providers

Adult BLS for Healthcare Providers 1. Secure the Scene Before beginning Basic or Advanced life support on any victim, be sure that both you and the victim are safe from other hazards (traffic, water, etc.). 2. Assess the Victim Check for responsiveness by shaking the victim’s shoulder and shouting. Check to see if the victim

Adult Tachycardia (With Pulse)

Tachycardia is a faster than normal heart rhythm that is usually classified as narrow complex (QRS < 0.12 seconds on ECG) or wide complex (QRS > 0.12 seconds on ECG).Interventions that may be attempted for emergency treatment of tachycardia include: Vagal Maneuvers Synchronized cardioversion Medications Adenosine Amiodarone Procainamide Tachycardia Sequence When the

2010 Stroke Protocol

Suspected Stroke Algorithm Latest guidelines 2015 AHA/ASA Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment. A Guideline for Healthcare Professionals From the American Heart Association/American Stroke AssociationNew algorithm being developed based on the updated guidelines. Part 11: Adult Stroke - 2010 American

Acute Coronary Syndromes

Acute Coronary Syndromes Image Copyright © American Heart Association 2015 Part 10: Acute Coronary Syndromes: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.  Robert E. O'Connor, William Brady, Steven C. Brooks, Deborah Diercks, Jonathan Egan, Chris Ghaemmaghami, Venu Menon, Brian J. O'Neil, Andrew H. Travers, and Demetris Yannopoulos. 

Adult Suspected Stroke