Cite this post as:
Scott Weingart, MD FCCM. EMCrit Podcast 34 – 2010 ACLS Guidelines. EMCrit Blog. Published on October 25, 2010. Accessed on May 24th 2022. Available at [https://emcrit.org/emcrit/acls-guidelines-2010/ ].
Financial Disclosures:
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
CME Review
Original Release: October 25, 2010
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
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I have been waiting for the blogosphere to make a summary, it’s impossible for us newbred family docs to read all that material. Thank you Scott, I’m taking your podcast to the gym right now!
Thanks for the summary, very well received. A question popped up on another forum, and I would love your input. Say you are performing your typical ACLS routine, and don’t feel a carotid/femoral pulse during a rhythm check, but you do either see organized contractions on bedside u/s, or get a weak doppler-able pulse. And lets say you don’t have fancy realtime endtidal capnography to help your management (as I don’t). My assumption is that the patient now has ROSC, but has a BP of say 40/25, if I had an Aline. (1) Do you hold compressions, or do you… Read more »
A-line 40/25 is not going to generate a pulse, so I would keep giving compressions or that heart is going to stop again. I would push 20 mcg of epinephrine every minute or so to get the BP up. Once you have the diastolic above 4o-50 mm Hg without compressions, you can switch the patient over to standard pressor drip.
All opinion, no evidence for this level of stuff.
scott
Great summary, I’ve been spreading it around to the juniors at NMH when we talk about the new guidelines.
glad you like them
–scott
Hey Scott,
Great summary and thanks for taking the time to grind through it. I’m still surprised that ultrasound has still not become mandate in ACLS. I understand that not every institution has this, but don’t you think it’s time for a ACLS recommendation; at least for cardiac standstill during pulse checks?
Haney
Haney,
Ultrasound is in there for cause of arrest. (Class IIb, LOE C)
Scott
Scott, I forget if this is the podcast where you suggested to use a metronome for good quality CPR, but regardless, I wanted to let you know I took your advice… and I think it works well. I actually got a free metronome ap for my droid phone (always in my back pocket, and the price was right). We tried it out the other day during an arrest when one of the techs was giving pretty crappy 200 times a minute compressions… 2 minutes of good compressions later we had ROSC. Now that is likely a happy coincidence, but everyone… Read more »
Excellent!!! I am the pharmacist consultant for NYC REMSCO, love to be able to speak to you about many topics, wish the state would have allowed us to use Fentanyl for the TH vs MCO, i understand the lower dose of midazolam would preserve neuro functions and keep the pt intact to allow ED staff to assess more accurately. My real career quest is ED pharmacy. Love to share ideas with you, John Freese with his promotion is so busy these days!!! , he is great!!! Based on what your saying (back to your lecture) End Tidal seems to be… Read more »