Pass ACLS Tip Of The Day podcast

#Science #Fitness #Biology #Podcasting Education #Medicine #Paul Taylor #Cardiac Arrest

26:46

For many travelers, Antarctica is a bucket-list destination, a once-in-a-lifetime opportunity to touch all seven continents. In 2023, a record-breaking 100,000 tourists made the trip. But the journey begs a fundamental question: What do we risk by traveling to a place that is supposed to be uninhabited by humans? And as the climate warms, should we really be going to Antarctica in the first place? SHOW NOTES: Kara Weller: The Impossible Dilemma of a Polar Guide Marilyn Raphael: A twenty-first century structural change in Antarctica’s sea ice system Karl Watson: First Time in Antarctica Jeb Brooks : 7 Days in Antarctica (Journey to the South Pole) Metallica - Freeze 'Em All: Live in Antarctica Learn about your ad choices: dovetail.prx.org/ad-choices…

Pass ACLS Tip of the Day

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I'm Paul from PassACLS.com and I'm here to help you pass ACLS. Like an audio flash card, this podcast is intended to aid any medical professional preparing for an Advanced Cardiovascular Life Support (ACLS) class. Each three-to-nine minute episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high performing team to deliver safe, quality patient care. Listening to a tip a day for a few weeks prior to your ACLS class will help cement the core concepts that have been shown to improve outcomes in patients suffering a heart attack, cardiac arrest, or stroke. In addition to the Chain of Survival, core concepts, and ACLS algorithms; specific information needed to pass the written exam, BLS checks, and megacode following the 2020 guidelines is presented. Healthcare providers that are already ACLS certified, but rarely participate in codes, may find listening a helpful reminder. Disclaimer: This podcast is a supplement to your course's approved text book and videos - not a replacement. The information presented is for educational purposes only, is intended for medical professionals, and is not medical advice. Medical professionals should follow their local laws, agency protocols, and act only within their scope of practice.

317 episodes

Pass ACLS Tip of the Day

updated a day ago

Series home•Feed

317 episodes

#Science #Fitness #Biology #Podcasting Education #Medicine #Paul Taylor #Cardiac Arrest

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Pass ACLS Tip of the Day

1
Adult Cardiac Arrest Code Flow 8:32

1 day ago8:32

8:32

Being the team leader during a cardiac arrest is challenging. Using an algorithm helps by standardizing & prioritizing our interventions using an If/Then methodology. Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest. If the patient is in a non-shockable rhythm on the ECG such as PEA or asystole, we will go down the right side of the Adult Cardiac Arrest Algorithm. If the patient is in a shockable rhythm on the ECG such as V-Fib or V-Tach, we will go down the left side of the Adult Cardiac Arrest Algorithm. An example of a code's flow for shockable rhythms when an antiarrhythmic such as Amiodarone or Lidocaine is administered. We will follow the algorithm until the patient has ROSC or we call the code. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…

Pass ACLS Tip of the Day

1
Aspirin Use in ACLS’s ACS & Stroke Algorithms 4:31

4 days ago4:31

4:31

For patients exhibiting symptoms consistent with myocardial ischemia, Aspirin is the first medications we should consider along with morphine, oxygen, and nitroglycerine; if indicated & safe. Aspirin's mechanism of action & benefits for Acute Coronary Syndrome (ACS) patients. Contraindications and considerations for aspirin’s use. The dose and route of administration of aspirin for ACS patients. The use of aspirin in the ACLS Stroke algorithm. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…

Pass ACLS Tip of the Day

1
First & Third Degree AV Blocks 7:42

5 days ago7:42

7:42

To pass ACLS, you will need to be able to identify common rhythms on a monitor during your mega code and ECG strips on your written exam. If you don't normally monitor patients as part of your job, I suggest two things: 1. Find a system for ECG interpretation that works well for you; and 2. Practice reading ECGs every day for a few weeks before your class. Review of normal ECG morphology of P wave, QRS complex, and T wave in lead II. Characteristics of first degree heart block. Characteristics of third degree (complete) AV block. Treatment of unstable patients in third degree block following the ACLS Bradycardia algorithm. Special considerations for use of Atropine when patients are in a third degree heart block. The use of TCP, Dopamine, & Epinephrine drip for unstable bradycardic patients refractory to Atropine. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…

Pass ACLS Tip of the Day

1
Antiarrhythmics: Lidocaine & Amiodarone 6:46

6 days ago6:46

6:46

In the Adult Cardiac Arrest algorithm, we should administer an antiarrhythmic medication to patients in V-Fib or pulseless ventricular tachycardia approximately two minutes after the first dose of epinephrine. The two first-line ACLS antiarrhythmics that are generally used are Amiodarone and Lidocaine. Review of Lidocaine dosing and administration to patients in persistent V-Fib or pulseless V-Tach. Review of Amiodarone dosing and administration to patients in persistent V-Fib or pulseless V-Tach. Use of antiarrhythmic infusions post-cardiac arrest to suppress ventricular ectopy. Amiodarone use & dosing for stable patients in V-Tach with a pulse. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…

Pass ACLS Tip of the Day

1
Use of the Nasopharyngeal Airway (NPA) 5:14

7 days ago5:14

5:14

The tongue is the most common airway obstruction in an unconscious patient. For patients with a decreased level of consciousness that can't control their airway, yet have an intact gag reflex, the nasopharyngeal airway (NPA) should be used as an alternative to the oropharyngeal airway (OPA). Examples of when a NPA should be considered. Contraindications and considerations for nasal airway insertion. Measuring a nasal airway for appropriate length and diameter. Insertion of a nasopharyngeal airway into the right vs left nostril. Patients with a NPA in place can receive supplemental O2, be ventilated with a BVM, have ETCO2 monitored, and have their upper airway suctioned as needed. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…

Pass ACLS Tip of the Day

1
Tamponade: An H&T Reversible Cause of Cardiac Arrest 5:19

8 days ago5:19

5:19

When blood, or other fluids, accumulate in the sac around the heart it’s called a cardiac tamponade or pericardial tamponade. The effects of tamponade on the electrical system and chambers of the heart. Cardiac tamponade can be acute or chronic and caused by traumatic, iatrogenic, or pathological etiologies. Common traumatic events, medical procedures, and diseases that can result in a pericardial tamponade. Signs & symptoms of cardiac tamponade. Treatment of cardiac tamponade with pericardiocentesis. For additional information on cardiac tamponade, check out the Pod Resources page at PassACLS.com. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…

Pass ACLS Tip of the Day

1
Team Leader Role and Use of Quick Reference Cards 5:10

11 days ago5:10

5:10

Two things have changed in recent years to aid students that don't use ACLS in their daily practice. 1. The role of the team leader; and 2. The ability to use your quick reference cards. The team leader is responsible for assigning tasks and overall direction of the team but can & should ask team members for help. Using closed-loop communication to ensure the clarity of orders and speaking up if there’s any doubt about an order or action. Use of your course’s approved text book and quick reference cards during the megacode and written exam. Tips to help you pass the ACLS written exam. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…

Pass ACLS Tip of the Day

1
The Importance of Early CPR & Defibrillation 5:24

12 days ago5:24

5:24

Two factors to cardiac arrest survivability that have been clearly shown to make the biggest difference is continuous, high-quality CPR and early defibrillation. The most common dysrhythmia present during the first few minutes of cardiac arrest. The chance of successful defibrillation decreases every minute that passes. How our chance of successfully defibrillating a patient into a perfusing rhythm significantly changes when good CPR is delivered vs when it isn't. Why bystander CPR is important for out-of-hospital cardiac arrest (OHCA) outcomes. The role of the CPR coach. Five tips to aid us in limiting CPR interruptions to less than 10 seconds so we can maintain a chest compression fraction (CCF) of at least 80%. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…

Pass ACLS Tip of the Day

1
Quantitative Waveform Capnography Use in ACLS 5:05

13 days ago5:05

5:05

Quantitative waveform capnography is used in ACLS to objectively assess good CPR; confirm placement of an endotracheal tube; identify return of spontaneous circulation; and during post-cardiac arrest care. We can use waveform capnography with, and without, an advanced airway in place. Monitoring end tidal CO2 during rescue breathing. Use of capnography to objectively measure good CPR. Capnography is a preferred method of confirming endotracheal tube (ETT) placement over x-ray during a code. During CPR, a sudden increase in ETCO2 may indicate ROSC. Quantitative waveform capnography use in the post-cardiac arrest algorithm. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…

Pass ACLS Tip of the Day

1
Vagal Maneuvers 5:51

14 days ago5:51

5:51

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers. Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine. Carotid sinus massage. Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…

Pass ACLS Tip of the Day

1
Defibrillation & Synchronized Cardioversion Energy Settings 5:26

15 days ago5:26

5:26

Remembering all the different energy setting needed for synchronized cardioversion and defibrillation used to be confusing for a lot of people. Defibrillators can be broken down into three basic categories: 1. Automated External Defibrillator (AED); 2. Biphasic defibrillators; and 3. Monophasic defibrillators. Use of an AED to rapidly deliver a shock. Advantages & use of Biphasic defibrillators. For monophasic defibrillators, use 360J to defibrillate V-Fib or pulseless V-Tach. AEDs must not be used on patients with a pulse. Cardioversion of patients in unstable SVT or V-Tach with a pulse using biphasic vs monophasic monitor/defibrillators. Team safety when performing synchronized cardioversion. Energy needed to cardiovert unstable patients with a narrow vs wide complex tachycardia. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…

Pass ACLS Tip of the Day

1
Identification and Treatment of Unstable Bradycardia 5:41

18 days ago5:41

5:41

Patients with a heart rate less than 60 are bradycardic. Some people can have a resting heart rate in the 40s without any compromise. For others, a heart rate of 50 or less could signify the need for immediate intervention and warrants additional assessment. Signs & symptoms that indicate a bradycardic patient is unstable. Monitoring oxygen saturation with pulse oximetry and indications for administration of oxygen. Calcium channel blockers and beta blocker medication as treatable causes of bradycardia. The indications and dosage of Atropine. Precautions for Atropine use in patients with second or third degree AV blocks. The use of transcutaneous pacing (TCP) for unstable bradycardic patients refractory to Atropine. The use and dosing of Dopamine and Epinephrine drips. For additional information about causes and treatment of bradycardia, check out the pod resources page at PassACLS.com. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…

Pass ACLS Tip of the Day

1
Post-Arrest Care & Targeted Temperature Management (TTM) 5:06

19 days ago5:06

5:06

The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved. Post-arrest care and recovery are the final two links in the chain of survival. Identification of ROSC during CPR. Initial patient management goals after identifying ROSC. The patient’s GCS/LOC should be evaluated to determine if targeted temperature management (TTM) is indicated. Patients that cannot obey simple commands should receive TTM for at least 24 hours. Recently published studies on TTM and ACLS’s current standard. Monitoring the patient’s core temperature during TTM. Patients can undergo EEG, CT, MRI, & PCI while receiving TTM. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn No statistical diff (TTM2 summary): https://www.ahajournals.org/doi/10.1161/JAHA.122.026539…

Pass ACLS Tip of the Day

1
The Chain of Survival for Cardiac & Stroke Emergencies 4:59

20 days ago4:59

4:59

The chain of survival for ACLS is the same as was learned in your BLS class. The beginning steps of the Cardiac Emergency and Stroke chain of survival. ACLS's timed goals for first medical contact to PCI for STEMI and door-to-needle for ischemic stroke. Characteristics of areas that have significantly better stroke and out-of-hospital cardiac arrest outcomes. Good luck with your ACLS class! Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/ Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/save Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com @Pass-ACLS-Podcast on LinkedIn…

Pass ACLS Tip of the Day

1
Hypokalemia & Hyperkalemia as a H&T Reversible Cause 4:50

21 days ago4:50