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Critical care core course acls
1. Critical Care Core Course Advanced Cardiac Life Support—Review & Lifeline: Critical Care Transport
2. Objectives ACLS—Review Review AHA ACLS algorithms* Utilize basic cardiac rhythm recognition to choose appropriate algorithm State at least one interventions for each algorithm Lifeline: Transport Review the Transport Process List the critical steps necessary to create a safe transport environment. Describe the Transport resources available at Johns Hopkins 12/23/2009 2 Critical Care Core Course--ACLS & Transport
4. ACLSReview—Universal Algorithm 12/23/2009 Critical Care Core Course--ACLS & Transport 4 Key Points Airway Breathing Circulation Each min means 10 %↑Mortality http://circ.ahajournals.org/content/vol112/24_suppl/images/large/4FF2.jpeg
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6. ACLSReview—Tachycardia Algorithm 12/23/2009 Critical Care Core Course--ACLS & Transport 6 Key Points Airway Breathing Circulation Each min means 10 %↑Mortality http://circ.ahajournals.org/content/vol112/24_suppl/images/large/9FF2.jpeg
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9. ACLSReview— Bradycardia Algorithm 12/23/2009 Critical Care Core Course--ACLS & Transport 9 Key Points Airway Breathing Circulation Each min means 10 %↑Mortality http://circ.ahajournals.org/content/vol112/24_suppl/images/large/8FF1.jpeg
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11. ACLSReview— Pulseless Algorithm 12/23/2009 Critical Care Core Course--ACLS & Transport 11 Key Points Airway Breathing Circulation Each min means 10 %↑Mortality http://circ.ahajournals.org/content/vol112/24_suppl/images/large/8FF1.jpeg
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14. ACLSReview— Name This… 12/23/2009 Critical Care Core Course--ACLS & Transport 14 P: QRS: T: Ventricular Rate: Atrial Rate: Rhythm: http://www.m.auvilacom/images/BasicECG.gif
15. ACLSReview— Name This… P: QRS: T: Ventricular Rate: Atrial Rate: Rhythm: Normal Sinus Rhythm http://www.m.auvilacom/images/BasicECG.gif 12/23/2009 Critical Care Core Course--ACLS & Transport 15
16. ACLSReview— Name This… 12/23/2009 Critical Care Core Course--ACLS & Transport 16 P: QRS: T: Ventricular Rate: Atrial Rate: Rhythm: http://www.rnceus.com/case/images/wencke.gif
17. ACLSReview— Name This… P: QRS: T: Ventricular Rate: Atrial Rate: Rhythm: 2nd Degree AV Block Type I http://www.rnceus.com/case/images/wencke.gif 12/23/2009 Critical Care Core Course--ACLS & Transport 17
18. ACLSReview— Name This… 12/23/2009 Critical Care Core Course--ACLS & Transport 18 PR interval: QRS: T: Ventricular Rate: Atrial Rate: Rhythm: http://www.m.auvilacom/images/BasicECG.gif
19. ACLSReview— Name This… PR interval: QRS: T: Ventricular Rate: Atrial Rate: Rhythm: Sinus Bradycardia http://www.m.auvilacom/images/BasicECG.gif 12/23/2009 Critical Care Core Course--ACLS & Transport 19
20. ACLSReview— Name This… 12/23/2009 Critical Care Core Course--ACLS & Transport 20 P: QRS: T: Ventricular Rate: Atrial Rate: Rhythm: http://whttp://www.scottishirishhealthcare.com/article_images/ventricular_tachycardia.jpgww.m.auvilacom/images/BasicECG.gif
21. ACLSReview— Name This… P: QRS: T: Ventricular Rate: Atrial Rate: Rhythm: Ventricular Tachycardia http://whttp://www.scottishirishhealthcare.com/article_images/ventricular_tachycardia.jpgww.m.auvilacom/images/BasicECG.gif 12/23/2009 Critical Care Core Course--ACLS & Transport 21
22. ACLSReview— Name This… 12/23/2009 Critical Care Core Course--ACLS & Transport 22 P: QRS: T: Ventricular Rate: Atrial Rate: Rhythm: http://www.rnceus.com/case/images/Torades.gif
23. ACLSReview— Name This… P: QRS: T: Ventricular Rate: Atrial Rate: Rhythm: Torsades de Pointes http://www.rnceus.com/case/images/Torades.gif 12/23/2009 Critical Care Core Course--ACLS & Transport 23
24. ACLSReview— Torsades de Pointes 12/23/2009 Critical Care Core Course--ACLS & Transport 24 http://www.themdsite.com/graphics/Physician_04.jpg
25. ACLSReview— Name This… 12/23/2009 Critical Care Core Course--ACLS & Transport 25 P: QRS: T: Ventricular Rate: Atrial Rate: Rhythm:
26. ACLSReview— Name This… P: QRS: T: Ventricular Rate: Atrial Rate: Rhythm: Narrow Complex Tachycardia 12/23/2009 Critical Care Core Course--ACLS & Transport 26
27. Objectives ACLS—Review Review AHA ACLS algorithms* Utilize basic cardiac rhythm recognition to choose appropriate algorithm State at least one interventions for each algorithm Lifeline: Transport Review the Transport Process List the critical steps necessary to create a safe transport environment. Describe the Transport resources available at Johns Hopkins 12/23/2009 27 Critical Care Core Course--ACLS & Transport
28. Lifeline: The Transport Process Provider orders a test/procedure requiring a road trip. RN faxes a completed Transport Request to HOPCOM HOPCOM calls to confirm details and schedule transport Transport Team transports patient to test/procedure Patient returned & Care transferred to staff on unit of origin 12/23/2009 Critical Care Core Course--ACLS & Transport 28
29. Lifeline: Rules of the Road What can we do to safely transport this patient now with the resources at hand? How long will the patient be off of the unit? What is the plan?!? 12/23/2009 Critical Care Core Course--ACLS & Transport 29
30. Lifeline: Transport Resources Lifeline Transport Team Providers Unit Staff Respiratory Therapy Testing/Procedure Area Staff 12/23/2009 Critical Care Core Course--ACLS & Transport 30