Advanced Cardiovascular Life Support Provider Manual © 2020 American Resuscitation Council. All Rights Reserved. resuscitation.org ACLS Provider Manual Table of Contents Unit One: ACLS Overview .................................................................................................................................. 6 Preparing for ACLS ......................................................................................................................................................................................6 Organization of the ACLS Course ............................................................................................................................................................6 Delivering the Most Up-to-Date Guidelines Available .........................................................................................................................7 ACLS Manual Updates At-A-Glance: 2020 to 2025 ...............................................................................................................................8 Unit Two: BLS and ACLS Surveys....................................................................................................................10 BLS Survey ................................................................................................................................................................................................. 10 Adult BLS/CPR ........................................................................................................................................................................................... 11 ACLS Survey ............................................................................................................................................................................................... 12 Primary Assessment ................................................................................................................................................................................ 13 Secondary Assessment ........................................................................................................................................................................... 14 Unit Three: Team Dynamics .............................................................................................................................15 Unit Four: Systems of Care ..............................................................................................................................17 Post-Cardiac Arrest Care ......................................................................................................................................................................... 17 Acute Coronary Syndromes (ACS) ......................................................................................................................................................... 18 Acute Stroke Care .................................................................................................................................................................................... 18 Education and Teams ............................................................................................................................................................................... 19 Unit Five: ACLS Cases ........................................................................................................................................20 BLS and ACLS Surveys ............................................................................................................................................................................. 20 Respiratory Arrest .................................................................................................................................................................................... 20 Basic Airway Management ..................................................................................................................................................................... 22 Oropharyngeal Airway ............................................................................................................................................................................ 22 Nasopharyngeal Airway .......................................................................................................................................................................... 23 Advanced Airway Management ............................................................................................................................................................ 24 Suctioning the Airway ............................................................................................................................................................................. 25 Ventricular Fibrillation, Pulseless Ventricular Tachycardia, PEA and Asystole ............................................................................ 26 Cardiac Arrest: Ventricular Fibrillation (VF) with CPR and AED ...................................................................................................... 26 Adult BLS/CPR ........................................................................................................................................................................................... 26 Using the Automated External Defibrillator ...................................................................................................................................... 27 Cardiac Arrest ........................................................................................................................................................................................... 29 Manual Defibrillation for VF or Pulseless VT ..................................................................................................................................... 33 Cardiac Arrest in Pregnant Women ...................................................................................................................................................... 33 Routes of Access for Medication Administration .............................................................................................................................. 35 2 © 2020 American Resuscitation Council ACLS Provider Manual Insertion of an IO Catheter .................................................................................................................................................................... 36 Monitoring During CPR ........................................................................................................................................................................... 37 Medications Used during Cardiac Arrest ............................................................................................................................................. 37 When to Terminate Resuscitation Efforts ........................................................................................................................................... 37 Post-Cardiac Arrest Care ......................................................................................................................................................................... 38 Acute Coronary Syndrome (ACS) .......................................................................................................................................................... 40 ACS Algorithm ........................................................................................................................................................................................... 40 Bradycardia ................................................................................................................................................................................................ 43 Stable and Unstable Tachycardia .......................................................................................................................................................... 45 Tachycardia Algorithm ............................................................................................................................................................................ 46 Opioid Overdose Algorithm ................................................................................................................................................................... 48 Acute Stroke .............................................................................................................................................................................................. 49 Suspected Stroke Algorithm .................................................................................................................................................................. 50 Unit Six: Commonly Used Medications in Resuscitation .........................................................................52 Unit Seven: Rhythm Recognition ...................................................................................................................55 Sinus Bradycardia ..................................................................................................................................................................................... 56 Sinus Tachycardia ....................................................................................................................................................................................