, Copyright © 2016 Satori Continuum Publishing
All rights reserved. Except as permitted under U.S. Copyright Act of 1976, no part of this publication can
be reproduced, distributed, or transmitted in any form or by any means, or stored in a database
or retrieval system, without the prior consent of the publisher.
Satori Continuum Publishing
1810 E Sahara Ave. Suite 1507
Las Vegas, NV 89104
Printed in the United States of America
Educational Service Disclaimer
This Provider Handbook is an educational service provided by Satori Continuum Publishing. Use of this
service is governed by the terms and conditions provided below. Please read the statements below
carefully before accessing or using the service. By accessing or using this service, you agree to be bound
by all of the terms and conditions herein.
The material contained in this Provider Handbook does not contain standards that are intended to be
applied rigidly and explicitly followed in all cases. A health care professional’s judgment must remain
central to the selection of diagnostic tests and therapy options of a specific patient’s medical condition.
Ultimately, all liability associated with the utilization of any of the information presented here rests solely
and completely with the health care provider utilizing the service.
Version 2016.01
,TABLE of CONTENTS
1 Introduction to ACLS . . . . . . . 5
Chapter
2 The Initial Assessment . . . . . . . 6
3 Basic Life Support . . . . . . . 7
Initiating the Chain of Survival – 7
2015 BLS Guideline Changes – 8
2010 BLS Guideline Changes – 9
BLS for Adults – 10
One-Rescuer Adult BLS/CPR
Two-Rescuer Adult BLS/CPR
Adult Mouth-to-Mask Ventilation
Adult Bag-Mask Ventilation in Two-Rescuer CPR
Self-Assessment for BLS – 16
4 Advanced Cardiac Life Support . . . . . . . 18
Normal Heart Anatomy and Physiology – 18
The ACLS Survey (ABCD) – 19
Airway Management – 20
Basic Airway Adjuncts
Basic Airway Technique
Advanced Airway Adjuncts
Routes of Access – 24
Intravenous Route
Intraosseous Route
Pharmacological Tools – 25
Self-Assessment for ACLS – 26
5 Principles of Early Defibrillation . . . . . . . 27
Keys to Using an Automated External Defibrillator – 28
Criteria to Apply AED
Basic AED Operation
6 Systems of Care . . . . . . . 30
Cardiopulmonary Resuscitation – 31
Initiating the Chain of Survival
Post-Cardiac Arrest Care – 32
Therapeutic Hypothermia
Optimization of Hemodynamics and Ventilation
Percutaneous Coronary Intervention
Neurologic Care
Acute Coronary Syndrome – 33
Goals of ACS Treatment
Acute Stroke – 34
Goals of Acute Ischemic Stroke Care
The Resuscitation Team – 35
Education, Implementation, Teams – 36
Self-Assessment for Systems of Care – 37
, TABLE of CONTENTS
Chapter 7 ACLS Cases . . . . . . . 38
Respiratory Arrest – 38
Ventricular Fibrillation and Pulseless Ventricular Tachycardia – 42
Pulseless Electrical Activity and Asystole – 44
Post-Cardiac Arrest Care – 48
Blood Pressure Support and Vasopressors
Hypothermia
Symptomatic Bradycardia – 51
Tachycardia – 54
Symptomatic Tachycardia with Heart Rate Greater than 100 BPM
Stable and Unstable Tachycardia
Acute Coronary Syndrome – 58
Acute Stroke – 60
Self-Assessment for ACLS Cases – 64
8 ACLS Essentials . . . . . . . 67
9 Additional Tools . . . . . . . 68
MediCode – 68
CertAlert+ – 68
10 ACLS Review Questions . . . . . . . 69
All rights reserved. Except as permitted under U.S. Copyright Act of 1976, no part of this publication can
be reproduced, distributed, or transmitted in any form or by any means, or stored in a database
or retrieval system, without the prior consent of the publisher.
Satori Continuum Publishing
1810 E Sahara Ave. Suite 1507
Las Vegas, NV 89104
Printed in the United States of America
Educational Service Disclaimer
This Provider Handbook is an educational service provided by Satori Continuum Publishing. Use of this
service is governed by the terms and conditions provided below. Please read the statements below
carefully before accessing or using the service. By accessing or using this service, you agree to be bound
by all of the terms and conditions herein.
The material contained in this Provider Handbook does not contain standards that are intended to be
applied rigidly and explicitly followed in all cases. A health care professional’s judgment must remain
central to the selection of diagnostic tests and therapy options of a specific patient’s medical condition.
Ultimately, all liability associated with the utilization of any of the information presented here rests solely
and completely with the health care provider utilizing the service.
Version 2016.01
,TABLE of CONTENTS
1 Introduction to ACLS . . . . . . . 5
Chapter
2 The Initial Assessment . . . . . . . 6
3 Basic Life Support . . . . . . . 7
Initiating the Chain of Survival – 7
2015 BLS Guideline Changes – 8
2010 BLS Guideline Changes – 9
BLS for Adults – 10
One-Rescuer Adult BLS/CPR
Two-Rescuer Adult BLS/CPR
Adult Mouth-to-Mask Ventilation
Adult Bag-Mask Ventilation in Two-Rescuer CPR
Self-Assessment for BLS – 16
4 Advanced Cardiac Life Support . . . . . . . 18
Normal Heart Anatomy and Physiology – 18
The ACLS Survey (ABCD) – 19
Airway Management – 20
Basic Airway Adjuncts
Basic Airway Technique
Advanced Airway Adjuncts
Routes of Access – 24
Intravenous Route
Intraosseous Route
Pharmacological Tools – 25
Self-Assessment for ACLS – 26
5 Principles of Early Defibrillation . . . . . . . 27
Keys to Using an Automated External Defibrillator – 28
Criteria to Apply AED
Basic AED Operation
6 Systems of Care . . . . . . . 30
Cardiopulmonary Resuscitation – 31
Initiating the Chain of Survival
Post-Cardiac Arrest Care – 32
Therapeutic Hypothermia
Optimization of Hemodynamics and Ventilation
Percutaneous Coronary Intervention
Neurologic Care
Acute Coronary Syndrome – 33
Goals of ACS Treatment
Acute Stroke – 34
Goals of Acute Ischemic Stroke Care
The Resuscitation Team – 35
Education, Implementation, Teams – 36
Self-Assessment for Systems of Care – 37
, TABLE of CONTENTS
Chapter 7 ACLS Cases . . . . . . . 38
Respiratory Arrest – 38
Ventricular Fibrillation and Pulseless Ventricular Tachycardia – 42
Pulseless Electrical Activity and Asystole – 44
Post-Cardiac Arrest Care – 48
Blood Pressure Support and Vasopressors
Hypothermia
Symptomatic Bradycardia – 51
Tachycardia – 54
Symptomatic Tachycardia with Heart Rate Greater than 100 BPM
Stable and Unstable Tachycardia
Acute Coronary Syndrome – 58
Acute Stroke – 60
Self-Assessment for ACLS Cases – 64
8 ACLS Essentials . . . . . . . 67
9 Additional Tools . . . . . . . 68
MediCode – 68
CertAlert+ – 68
10 ACLS Review Questions . . . . . . . 69
