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ACLS Cardiac Arrest Mastery

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ACLS Cardiac Arrest Mastery

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Rhythms, treatments, priorities

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Stephanie costa
Stephanie costa
United States

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ACLS Cardiac Arrest Mastery
 

ACLS Cardiac Arrest MasteryOnline version

Rhythms, treatments, priorities

by Stephanie costa
1

What is the first-line rhythm detected in a shockable cardiac arrest when initiating CPR?

2

Which defibrillation energy is recommended for a monophasic shock in biphasic era guidelines?

3

In a shockable rhythm, what is the recommended time to check rhythm after delivering a shock?

4

What is the recommended compression-to-ventilation ratio for adult CPR with two rescuers?

5

Which drug is first-line during cardiac arrest after the initial shock?

6

When should amiodarone be considered in cardiac arrest?

7

What should be done immediately for PEA or asystole?

8

Which vasopressor is commonly used in cardiac arrest?

9

What is a key objective during the first minutes of cardiac arrest management?

10

Which rhythm is non-shockable?

11

After a shock, when is a rhythm check recommended?

12

What is the target CPR depth for adults during arrest?

13

Which condition warrants immediate defibrillation: VF or PEA?

14

Which antiarrhythmic is commonly used after recurrent shockable arrests?

15

In hypoxic arrest, what adjunct supports CPR?

16

Which scenario suggests a shockable rhythm requiring defibrillation?

17

What is the recommended pacing view for refractory arrests?

18

Which medication is often given for suspected vasoplegia during ROSC?

19

What is the recommended sequence during a witnessed cardiac arrest with a shockable rhythm?

20

Which factor indicates a poor prognosis during arrest?

Feedback

VF is the primary shockable rhythm; asystole/PEA are non-shockable.

Monophasic historically used 360 J; today energy depends on device type.

Post-shock assessment is done after 2 minutes of CPR or rhythm check.

Standard is 30 compressions to 2 breaths for single rescuer; two rescuers use 15:2.

Epinephrine is given every 3–5 minutes during arrest; antiarrhythmics follow if needed.

Amiodarone is for recurrent VT/VF after defibrillation attempts fail.

PEA/asystole require continuous CPR and vasopressors; defibrillation is not indicated.

Epinephrine is standard; vasopressin is less common now.

Immediate high-quality CPR to maintain perfusion is priority.

Asystole is a non-shockable rhythm; VF/VT are shockable.

Check rhythm after 2 minutes of CPR or if ROSC is suspected.

Adequate depth ~5 cm is recommended to generate perfusion.

Shock for VF; PEA/Asystole require CPR/meds, not shock.

Amiodarone reduces recurrent VT/VF shocks.

Airway and breathing are essential alongside chest compressions.

Pulseless VT is shockable; asystole/PEA are not.

Pacing is not first-line in initial AHAs; focus on CPR and shocks.

Vasopressors support perfusion during ROSC and post-arrest care.

Prompt CPR and serial shocks optimize survival.

Long no-flow time correlates with worse outcomes.

 
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