SlideShare a Scribd company logo
1 of 70
2005  AHA Guideline Changes BLS for Healthcare Providers ACLS Updates
 
Purpose of BLS Changes ,[object Object],[object Object]
What Have We Learned About CPR? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Less than 1/3 get bystander CPR Even pros don’t do good CPR!  ,[object Object],[object Object],[object Object]
Most significant changes 2005 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Most significant changes (cont.) ,[object Object],[object Object],[object Object]
Why change compressions? ,[object Object],[object Object],[object Object]
Why shorten breaths? ,[object Object],[object Object],[object Object],[object Object]
Why from 3 shocks to 1? ,[object Object],[object Object],[object Object],[object Object]
Chest Compressions ,[object Object],[object Object],[object Object],[object Object]
Chest Compressions cont’d ,[object Object],[object Object]
Chest Compressions cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chest Compressions cont’d ,[object Object],[object Object],[object Object],[object Object]
Changing Compressors Every 2 Minutes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rescue Breathing without Compressions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rescue Breathing without Compressions cont’d ,[object Object],[object Object],[object Object]
Rescue Breaths with Compressions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rescue Breaths with Compressions cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object]
Rescue Breaths with Compressions cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object]
Rescue Breaths with Compressions cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
2 Rescuer CPR with Advanced Airway ,[object Object],[object Object],[object Object]
2 Rescuer CPR with Advanced Airway cont’d ,[object Object],[object Object],[object Object],[object Object]
2 Rescuer CPR with Advanced Airway cont’d ,[object Object],[object Object],[object Object],[object Object]
Airway/Trauma Victims ,[object Object],[object Object],[object Object],[object Object]
Airway/Trauma Victims cont’d ,[object Object],[object Object],[object Object],[object Object]
“ Adequate” vs.Presence or Absence of Breathing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Adequate vs. Presence or Absence of Breathing cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object]
Infant/Child: Give 2 Effective Breaths   ,[object Object],[object Object],[object Object],[object Object]
Infant/Child: Give 2 Effective Breaths cont’d ,[object Object],[object Object],[object Object]
Lone Healthcare Provider-”phone first” vs. “CPR first” ,[object Object],[object Object],[object Object],[object Object]
Lone Healthcare Provider cont’d ,[object Object],[object Object],[object Object],[object Object]
“ Child” BLS Guidelines ,[object Object],[object Object],[object Object],[object Object]
“ Child” BLS cont’d ,[object Object],[object Object],[object Object]
Symptomatic Bradycardia Infants/Children ,[object Object],[object Object],[object Object],[object Object]
Symptomatic Bradycardia Infants/Children cont’d ,[object Object],[object Object],[object Object]
Child Chest Compressions   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Infant Chest Compressions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Compression to Ventilation Ratios Infants/Children ,[object Object],[object Object],[object Object],[object Object],[object Object]
Compression to Ventilation Ratios Infants/Children cont’d ,[object Object],[object Object],[object Object],[object Object]
 
Foreign Body Airway Obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Foreign Body Airway Obstruction cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object]
Foreign Body Airway Obstruction cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Foreign Body Airway Obstruction cont’d ,[object Object],[object Object],[object Object],[object Object]
Shock /Immediate CPR ,[object Object],[object Object],[object Object]
Shock /Immediate CPR cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monophasic Defibrillation  dose ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Biphasic Defibrillation Dose  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Biphasic Defibrillation Dose cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object]
Use of AED’s in Children ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Community/Lay Rescuer AED Programs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Community/Lay Rescuer AED Programs cont’d ,[object Object],[object Object],[object Object]
 
Tx of Arrhythmias AHA 2005 Guidelines
CPR Algorithm
Pulseless  Algorithm
Brady- Arryhthmias
Tachy- Arryhthymias
Pulseless Arrest 4 Basic Rhythms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Shockable Rhthyms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NON-Shockable ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contributing Factors  H’s and T’s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tachycardia’s Stable vs. Unstable ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tx of Stable Tachycardias ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tx of Unstable Tachycardias ,[object Object],[object Object],[object Object],[object Object]
Bradycardias Tx of Bradycardias ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 

More Related Content

What's hot

What's hot (20)

FIBRE OPTIC INTUBATION (AWAKE INTUBATION).pptx
FIBRE OPTIC INTUBATION (AWAKE INTUBATION).pptxFIBRE OPTIC INTUBATION (AWAKE INTUBATION).pptx
FIBRE OPTIC INTUBATION (AWAKE INTUBATION).pptx
 
Bls and acls 2020
Bls and acls 2020Bls and acls 2020
Bls and acls 2020
 
Bls 2010
Bls 2010Bls 2010
Bls 2010
 
ACLS - update and review
ACLS - update and reviewACLS - update and review
ACLS - update and review
 
physiology of transition circulation
physiology of  transition circulationphysiology of  transition circulation
physiology of transition circulation
 
Fluid Electrolyte By Monica N
Fluid Electrolyte By Monica NFluid Electrolyte By Monica N
Fluid Electrolyte By Monica N
 
Colloids
ColloidsColloids
Colloids
 
CPR
CPRCPR
CPR
 
ANAESTHESIA FOR ANTEPARTUM HAEMORHHAGE
ANAESTHESIA FOR ANTEPARTUM HAEMORHHAGEANAESTHESIA FOR ANTEPARTUM HAEMORHHAGE
ANAESTHESIA FOR ANTEPARTUM HAEMORHHAGE
 
basic life support
basic life supportbasic life support
basic life support
 
Cyanosis OVERVIEW # MBBS#BDS#BPTH#ALLIED SCIENCES
Cyanosis OVERVIEW # MBBS#BDS#BPTH#ALLIED SCIENCESCyanosis OVERVIEW # MBBS#BDS#BPTH#ALLIED SCIENCES
Cyanosis OVERVIEW # MBBS#BDS#BPTH#ALLIED SCIENCES
 
Put it all together
Put it all togetherPut it all together
Put it all together
 
Mechanical Ventilation -Modes for Pediatrics
Mechanical Ventilation -Modes for PediatricsMechanical Ventilation -Modes for Pediatrics
Mechanical Ventilation -Modes for Pediatrics
 
acls
aclsacls
acls
 
Pals
Pals Pals
Pals
 
Caeserean section complicated by mitral stenosis
Caeserean section complicated by mitral stenosisCaeserean section complicated by mitral stenosis
Caeserean section complicated by mitral stenosis
 
Ventilator Education
Ventilator Education Ventilator Education
Ventilator Education
 
Neonatal resuscitation program 8 th edition updates
Neonatal resuscitation program  8 th edition updatesNeonatal resuscitation program  8 th edition updates
Neonatal resuscitation program 8 th edition updates
 
Adult basic life support for junior doctors
Adult basic life support for junior doctorsAdult basic life support for junior doctors
Adult basic life support for junior doctors
 
ACLs review.ppt
ACLs review.pptACLs review.ppt
ACLs review.ppt
 

Viewers also liked

Viewers also liked (20)

Advanced cardiac life support(acls)
Advanced cardiac life support(acls)Advanced cardiac life support(acls)
Advanced cardiac life support(acls)
 
2015 acls
2015 acls2015 acls
2015 acls
 
ACLS 2015
ACLS 2015ACLS 2015
ACLS 2015
 
Acls drugs 2014
Acls drugs 2014Acls drugs 2014
Acls drugs 2014
 
30 years of CPR in Saudi Arabia (Presentation)
30 years of CPR in Saudi Arabia (Presentation)30 years of CPR in Saudi Arabia (Presentation)
30 years of CPR in Saudi Arabia (Presentation)
 
BLS instructor course
BLS instructor courseBLS instructor course
BLS instructor course
 
ACLS 2010
ACLS 2010ACLS 2010
ACLS 2010
 
Modul 10
Modul 10Modul 10
Modul 10
 
6 acls
6  acls6  acls
6 acls
 
Cardiac arrest
Cardiac arrest Cardiac arrest
Cardiac arrest
 
Acls
AclsAcls
Acls
 
Advanced cardiac life support 2010
Advanced cardiac life support 2010Advanced cardiac life support 2010
Advanced cardiac life support 2010
 
CPR GUIDELINES-2005
CPR GUIDELINES-2005CPR GUIDELINES-2005
CPR GUIDELINES-2005
 
ACLS
ACLSACLS
ACLS
 
ACLS: Management of Cardiac Arrest 2015
ACLS: Management of Cardiac Arrest 2015ACLS: Management of Cardiac Arrest 2015
ACLS: Management of Cardiac Arrest 2015
 
Bls update 2015
Bls update 2015Bls update 2015
Bls update 2015
 
Acls prestudy packet
Acls prestudy packetAcls prestudy packet
Acls prestudy packet
 
Aspectos destacados BLS 2015
Aspectos destacados BLS 2015Aspectos destacados BLS 2015
Aspectos destacados BLS 2015
 
ACLS CE -Part I of III -ECG STRIP INTERPRETATION w Case Scenarios Supplemental
ACLS CE -Part I of III -ECG STRIP INTERPRETATION w Case Scenarios SupplementalACLS CE -Part I of III -ECG STRIP INTERPRETATION w Case Scenarios Supplemental
ACLS CE -Part I of III -ECG STRIP INTERPRETATION w Case Scenarios Supplemental
 
CPR2015 update: Adult ACLS
CPR2015 update: Adult ACLSCPR2015 update: Adult ACLS
CPR2015 update: Adult ACLS
 

Similar to ACLS Lecture

Similar to ACLS Lecture (20)

Aids for Clinical Improvement
Aids for Clinical ImprovementAids for Clinical Improvement
Aids for Clinical Improvement
 
5257407.ppt
5257407.ppt5257407.ppt
5257407.ppt
 
Cpr
CprCpr
Cpr
 
BLS_CPR.ppt
BLS_CPR.pptBLS_CPR.ppt
BLS_CPR.ppt
 
Cpr guide lines
Cpr guide linesCpr guide lines
Cpr guide lines
 
Cardio pulmonary resuscitation (BLS)
Cardio pulmonary resuscitation (BLS)Cardio pulmonary resuscitation (BLS)
Cardio pulmonary resuscitation (BLS)
 
Basic and advanced life support(BLS)-1.pptx
Basic and advanced life support(BLS)-1.pptxBasic and advanced life support(BLS)-1.pptx
Basic and advanced life support(BLS)-1.pptx
 
CPR- Cardio Pulmonary Resusciatation (Pediatrics)
CPR- Cardio Pulmonary Resusciatation (Pediatrics)CPR- Cardio Pulmonary Resusciatation (Pediatrics)
CPR- Cardio Pulmonary Resusciatation (Pediatrics)
 
Update Of Pediatric Resusc
Update Of Pediatric ResuscUpdate Of Pediatric Resusc
Update Of Pediatric Resusc
 
BLS
BLSBLS
BLS
 
Adult basic life support cpr
Adult basic life support cprAdult basic life support cpr
Adult basic life support cpr
 
Basic Life Support, Bit by Bit approach
Basic Life Support, Bit by Bit approachBasic Life Support, Bit by Bit approach
Basic Life Support, Bit by Bit approach
 
Basic life support
Basic life supportBasic life support
Basic life support
 
Advanced Cardiac life Support ACLS . DR TAREK BELASHHER.
Advanced Cardiac life Support ACLS . DR TAREK BELASHHER.Advanced Cardiac life Support ACLS . DR TAREK BELASHHER.
Advanced Cardiac life Support ACLS . DR TAREK BELASHHER.
 
Cpcr ped dr sunil mokashi (2)
Cpcr  ped dr sunil  mokashi (2)Cpcr  ped dr sunil  mokashi (2)
Cpcr ped dr sunil mokashi (2)
 
Cpr rsdk ca resd
Cpr rsdk ca resdCpr rsdk ca resd
Cpr rsdk ca resd
 
cpcr
cpcrcpcr
cpcr
 
Neonatal Resuscitation2
Neonatal Resuscitation2Neonatal Resuscitation2
Neonatal Resuscitation2
 
Module 5 Cardiac Arrest
Module 5   Cardiac ArrestModule 5   Cardiac Arrest
Module 5 Cardiac Arrest
 
New Guidelines On Cpr
New Guidelines On CprNew Guidelines On Cpr
New Guidelines On Cpr
 

Recently uploaded

Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 

Recently uploaded (20)

Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 

ACLS Lecture