Dr. Fareed Al Nozha Faculty Saudi Heart Association Consultant Cardiologist ACLS Program Head
•CPR and early defibrillation for treatable arrhythmias remain the cornerstones of B & ACLS. •Excellent chest compressions without interruption are the key to successful CPR. •The performance of teams providing ACLS improves when there is a single designated leader and the team practices clear, closed-loop communication.
•Begin properly performed CPR immediately for any patient with suspected cardiac arrest. •Other initial interventions for ACLS include administering oxygen, establishing intravenous access, placing the patient on a cardiac and oxygen saturation monitor, obtaining an electrocardiogram (ECG)
â€˘In adults, properly performed chest compressions take priority over ventilation during the initial period of basic life support. â€˘When ventilating the patient in cardiac arrest, give 100 % oxygen, use low respiratory rates (approximately 8 breaths per minute), and avoid hyperventilation, which is harmful.
For the purposes of ACLS, ECG interpretation is guided by three questions: Is the rhythm fast or slow? Are the QRS complexes wide or narrow? Is the rhythm regular or irregular?