This document provides guidance on advanced cardiac life support (ACLS) techniques for resuscitationists. It outlines steps for securing airways through intubation, optimizing breathing by connecting to ventilators, and improving circulation with high-quality chest compressions. It also recommends prioritizing coronary reperfusion for STEMI patients in cardiac arrest and using vasoactive drugs like epinephrine. The document stresses the importance of minimizing peri-shock pauses, dosing epinephrine by blood pressure, and considering techniques like extracorporeal cardiopulmonary resuscitation. It emphasizes addressing human factors like keeping interventions quiet and knowing when premorbid state or time of arrest impacts survival chances.

3. Post

5. Cookbook

7. Nihilism

8. ACLS

9. Push
hard &
fast

10. Truly
Advanced
Cardiac Life Support
for
Resuscitationists

11. t

12. Max Harry Weil
Disease-a-Month 1997

13. Airway

16. Convert
to Tube
ASAP

18. Custom Bent Bonfils Fiberoptic Stylet

20. Breathing

21. Grossman
On Combat

22. Hook them to the
Ventilator

23. Set Peak Pressure Limit to
> 100 cm H20

24. Set the
rate low

25. Circulation

26. Quality
Compressions

28. Eliminate
Peri-Shock
Pause
ROC Primed
Resus 2014;85:336

29. Look-Through
Rhythm Analysis

33. Crit Care Med 2013;41:1782
LINC - JAMA. 2014;311(1):53-61
Sandra Ware on resus.me

34. STEMIs go to Lab;
Even if Coding
Circulation 2012;126(13):1605

35. Drugs

36. Epi
The PACA Trial: Jacobs et al
Resuscitation.2011;82(9):1138

37. VSE
JAMA.2013;310(3):270
Arch Intern Med 2009;169(1):15

38. Esmolol
Emergency Department Use of Esmolol in
RefractoryVentricular Fibrillation
--Driver,Plummer,Smith

39. Nitroprusside?
Prolonged Adult Cardiac Arrest With Enhanced
Cardiopulmonary Resuscitation and Sodium
Nitroprusside
Yannopoulos’Group

40. Monitoring

41. Femoral Arterial Line

42. Epi Dosing by
DBP
Resuscitation 2013;84:696 | Crit Care Med 2013;41:2698
JAMA 1990;263(8):1107 | Resus 2014;85:350

48. RUSH

49. Human
Factors

50. Quiet

51. emcrit.org/smacc

52. ECPR

53. Image from ep monthly

55. Time to CPR and
Premorbid State
Matters

56. Time of the
Code doesn’t
matter!

57. Too Good to Die!

59. Cookbook
X

60. Cardiac Arrest
Resuscitation
by
Resuscitationists