MANU
Acknowledgments
The American Heart Association thanks the following people for their contributions to the
development of this manual: Elizabeth Sinz, MD, MEd; Kenneth Navarro, MEd, LP: Adam
Cheng, MD; Ellz.ibeth A, Hunt. MD, MPH, PhD: Sallie Johnson, PharmD, BCPS: Steven
C. Brooks, MD, MHSc: Mauricio G. Cohen, MD; Edward C. Jauch, MD, MS; Sarah Livings,
PharmD; Venu Menon, MD: Susan Morris, RN; David Slattery, MD: Brian K. Walsh, PhD, RRT:
Julie Crider, PhD; and the AHA ACLS International Project Team.
ACLS Student Resources can be found at eLearning.heart.org {where
avallable}. Contact your International Training Center Coordinator for more
information about accessing these before your course.
To find out about any updates or corrections to this text. visit
www.lnternatlonal.heart.org.
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Part 1
Overview of ACLS 1
Introduction 1
Course Description and Goal 1
Course Objectives 1
Course Design 2
Course Prerequisites and Preparation 2
Course Materials 3
Course Completion Requirements 5
Advanced Cardiovascular Life Support 5
Continuous Quality Improvement 6
Systems of Care 7
Cardiac Arrest and Post-Cardiac Arrest Systems of Care 7
STEMI Systems of Care 13
Stroke Systems of Care 14
Systematic Approach 15
BLS Assessment 17
Primary Assessment 20
Secondary Assessment 22
References 24
Part 2
Preventing Arrest 27
Recognition: Signs of Clinical Deterioration 27
Rapid Response 27
Implementing a Rapid Response System 28
Acute Coronary Syndromes 29
Goals for ACS Patients 29
OHCA Response 30
Pathophysiology of ACS 30
Managing ACS: The Acute Coronary Syndromes Algorithm 33
Symptoms Suggestive of lschemia or Infarction 34
EMS Assessment, Care, and Hospital Preparation 35
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