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Nangrong Hospital, developed by Purinat Tikkapanyo, MD

🫁Airway Management & CPR Quality

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ACLS 2020 Algorithm

ACLS 2020 Algorithm

Source: American Heart Association

💗 CPR

⚡ Defib

💉 Adrenaline

ACLS Key Points

Essential Steps:

High-quality CPR: 100-120 compressions/min, depth 5-6 cm
Minimize interruptions: Chest compression fraction >80%
Defibrillation: For VF/pVT - 200J for biphasic
Epinephrine: 1 mg IV/IO every 3-5 minutes
Advanced airway: ETCO2 monitoring (35-45 mmHg target)

Airway Management:

ETT: Confirm placement with waveform capnography
LMA: Alternative when intubation not possible
ETCO2: Target 35-45 mmHg, confirms ROSC

Reversible Causes (Hs and Ts):

Hs:

Hypovolemia
Hypoxia
H+ (acidosis)
Hypo/hyperkalemia
Hypothermia

Ts:

Tension pneumothorax
Tamponade
Toxins
Thrombosis (coronary)
Thrombosis (pulmonary)