Kitty Chan School of Nursing,The Hong Kong Polytechnic University Date: 2005

Upon completion of the module, the students should be:  Familiar with the principles of airway management  Able to understand the fundamental approach used for the algorithms in Cardiac-pulmonary Resuscitation (CPR)  develop a basic understanding of the clinical application of drugs for the heart relating to advanced cardiac life support (ACLS) Objectives

Wiegand, L-M. D. J. & Carlson, K. K. (Eds.). (2005). AACN Procedure Manual for Critical Care. (5th ed.). Philadelphia: Lippincott Section 1 Indicative Readings

Core Concepts In response to cardiovascular emergency, American Heart Association (AHA) established the chain of survival which is a consistent process supported by evidence based principles & skills to save life.

Core Concepts Basic Life Support (BLS) differs from Advanced Cardiac Life Support (ACLS). More sophisticated interventions are used in ABCD

International Guidelines 2000 for CPR & ECC (Cardiopulmonary Resuscitation & Emergency Cardiovascular Care) 1. Basic Life Support (BLS) 2. Advanced Cardiovascular Life Support (ACLS) 3. Stroke 4. The Acute Coronary Syndromes 5. Rapid Sequence Intubation, Tracheal Intubation and Preintubation 6. Pediatric Advanced Life Support 7. Resuscitation of Newborns 1. Basic Life Support (BLS) 2. Advanced Cardiovascular Life Support (ACLS) 3. Stroke 4. The Acute Coronary Syndromes 5. Rapid Sequence Intubation, Tracheal Intubation and Preintubation 6. Pediatric Advanced Life Support 7. Resuscitation of Newborns

Resuscitation This module focuses on the basic elements in adult advance cardiac life support. It sub- divides into 3 main topics : 1. Airway Management & Infection Control 2. Resuscitation Algorithms 3. Electric Therapy:  Defibrillation  Cardioversion  Cardiac Pacing This module focuses on the basic elements in adult advance cardiac life support. It sub- divides into 3 main topics : 1. Airway Management & Infection Control 2. Resuscitation Algorithms 3. Electric Therapy:  Defibrillation  Cardioversion  Cardiac Pacing

 Hazinski M F, Cummins R O & Field J M (ed) Handbook of Emergency Cardiovascular Care for Healthcare Providers. American Heart Association  Hudak C M, Gallo B M & Morton P G (ed) 2002 Critical Care Nursing: A Holistic Approach. 7th ed Philadelphia: Lippincott  Jackson K (ed) 2002 Mastering ACLS. Springhouse: Springhouse  Opie L H & Gersh B J 2005 Drugs for the Heart. 5th ed Philadelphia: W B Saunders.  Swearingen P L & Keen J H 2002 Manual of Critical Care Nursing: Nursing interventions and Collaborative Management. 4th ed St Louis: Mosby  Urden L D, Stacy K M & Lough M E 2002 Thelan ’ s Critical Care Nursing: Diagnosis and Management. 4th ed St Louis: Mosby.  Wiegand L-M D J & Carlson K K (eds) 2005 AACN Procedure Manual for Critical Care. 5th ed Philadelphia: Saunders. References

 Lo C B & WONG T W 2003 A&E Clinical Guidelines No.14 Guidelines on Rapid Sequence Intubation (RSI). Hospital Authority in Hong Kong, Electronic Knowledge Gateway.  Lau C C, Tong H K, Liu H W, Hung C T, Tsang D, Yam L & Yung R 2003 A&E Clinical Guidelines No.16 Guideline for in-hospital resuscitation of patients at risk of SARS. Hospital Authority in Hong Kong, Electronic Knowledge Gateway. References

 American Heart Association. Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Consensus on Science 2000 Part 3: Adult Basic Life Support: Section Circulation, Vol 102 (8) Supplement August ppI  American Heart Association. Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Consensus on Science 2000 Part 6: Advanced Cardiovascular Life Support: Section Circulation, Vol 102 (8) Supplement August ppI  Burns S M 2001 Safely caring for patients with a laryngeal mask airway. Critical Care Nurse, Vol 21 (4) pp72-76 Journals