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ACLS Algorithm and ECG Strip Interpretation
American Heart Association ACLS Algorithm and ECG Strip Interpretation MSU Family Health II: Cardiac Interpretation
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Cardiac Conduction System
SA Node AV Node Bundle of HIS Purkinje Fibers
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Cardiac Rhythm Paper
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Adult Advanced Cardiovascular Life Support
Summary of Key Issues and Major Changes made in 2015 The combined use of vasopressin and epinephrine offers no advantage to using standard-dose epinephrine in cardiac arrest and therefore vasopressin has been removed from the ASCL cardiac arrest algorithm. In cardiac arrest patients with non-shockable rhythm and who are otherwise receiving epinephrine, the early provision of epinephrine is suggested. There is a strong association between early administration of epinephrine and increased ROSC, survival to hospital discharge, and neurologically intact survival. One observational study suggests that ß-blocker use after cardiac arrest may be associated with better outcomes than when ß-blockers are not used, however, the routine use of ß-blockers after cardiac arrest is potentially hazardous because ß-blockers can cause or worsen hemodynamic instability, exacerbate heart failure, and cause bradyarrhythmias. Link to 2015 AHA Summary of Guidelines:
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When interrupting cardiac rhythms remember:
Rate: achieved by counting QRS spikes Rhythm: use calipers to determine QRS spikes are equal P Wave: assess for presence prior to QRS complex PR Interval: measure from beginning of P wave to the beginning of QRS complex QRS: Assess base of QRS for width; is it wide or narrow?
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For Example: Rate: 80 beats per minute Rhythm: Regular P Wave: Present before every QRS complex PR Interval: 0.20 QRS: 0.08 Interpretation: Normal Sinus Rhythm
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