Advance Cardiac Life Support

Stroke | Signs of STROKE

21/08/2009 18:30
STROKE Stroke can be hemorrhagic or Ischemic.  Ischemic stroke occurred because a primary vessel is occluded by a clot, fat (thrombus or emblism).  WhileHemorrhagic stroke is a result of a ruptured cerebral artery.   7 D’s of Stroke Management: 1.      Detection – Early recognition 2.      Dispatch – Early Ems/emergency activation and instructions for EMD’s 3.      Delivery – Pre hospital assessment,...

Algorithm for emergency care for Acute Coronary Syndrome

21/08/2009 18:22
Algorithm for Acute Coronary Syndrome Client discomfort suggestive of Ischemia ↓ 1.      EMS assessment and care and hospital preparation: ·         Monitor, support (ABC) Airway, Breathing, Circulation .  Be prepared to provide CPR and ...

Types of Angina Pectoris

21/08/2009 18:20
Patterns of Angina:   1.      SILENT ANGINA – with objective signs ( signs of MI, ECG changes – dysrythmias and S-T elevation) but patient reports no symptom   2.      STABLE ANGINA – paroxysmal chest pain relieved by rest and nitroglycerine; predictable degree of exertion; stable pattern onset; duration, severity, and relieving factor.     3.      UNSTABLE ANGINA also called “Preinfarction...

MI Localization and description of the important arteries for heart perfusion

21/08/2009 18:19
MYOCARDIAL INFARCTION LOCALIZATION: Infarction Area ECG Leads Coronary Artery Branch Extensive anterior A, AVL, V1-V6 Left, LM LAD, LCX ...

Algorithm in giving Emergency Care to BRADYCARDIA

21/08/2009 18:17
BRADYCARDIA... What to do????? 1.      Maintain patent airway 2.      Give Oxygen 3.      Monitor ECG (identify rythm), Blood pressure, Oximetry 4.      Establish IV access 5.      Observe for Adequate or Poor Perfusion:  Signs of Poor perfusion: Acute altered mental status, Ongoing chest pain, Hypotension and other signs of shock a.     ...

Agorithm in giving emergency care to TACHYCARDIA

21/08/2009 18:13
TACHYCARDIA????     What to do???? 1.       Assess and support ABC (Airway, Breathing, Circulation) as needed 2.      Give oxygen 3.      Monitor ECG (Identify rythm), Blood pressure, oximetry 4.      Identify and treat reverse causes   A.      UNSTABLE Tachycardia (Signs: altered mental status, ongoing chest pain, hypotension, or other...

Basic Life Support Steps

21/08/2009 18:11
Basic life support Algorithm: If you see an unresponsive individual..... 1.       Check for responsiveness (Then if no movement or response) 2.      Call for help:  Activate EMS:  Call 911 or emergency number in your local area 3.      Remember ABC: “Look, Feel and Listen” a.      Check AIRWAY – for aspiration (never finger swipe blindly!) b.      Check...

Steps to Operate Automated External Defibrillator (AED)

21/08/2009 18:08
The Common Steps to Operate ALL Automated External Defibrillator (AED): 1.        POWER ON the AED 2.       Attach the electrode pads Place electrode pads directly on the skin, on the upper right sternal border, (directly below the clavicle) and lateral to the left nipple, with the top margin of the pad a few inches below the axilla.... 3.       Analyze the...
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ECG Reading Simple Tips:

1.      Sinus Bradycardia – slow beat <60 beats per minute or slower

2.      Atrio ventricular Junctional Rythm or Idionodal rythm – 40 – 60 beats per minute,

absent or retrograde P wave

3.      Idioventricular rythm – 20-40 beats per minute

                      P waves generally absent, wide QRS (more than .12 msec or 3 small boxes wide)

4.      Sinoatrial exit block – failure of transmission from SA node to atrium

                     Absent P wave; equal R-R cycles, no QRS



5.      First degree AV Block – prolonged P-R interval (about 5 small squares)

6.      Second degree AV Block Type I – progressive prolonged P-R interval then drop beat

7.      Second degree AV Block Type II – Normal then sudden drop, no prolongation of P-R

8.      Second degree AV Block 2:1 – 2 P waves and 1 QRS

9.      High grade AV Block – 3 P-waves and 1 QRS

10.  Third degree/Complete AV Block – P-waves and QRS has no association with each other, P-R interval varies