ACLS | Cardiac Arrest and More

STAT Stitch Deep Dive Podcast Beyond The Bedside di Regular Guy

S19 E05
33:15
Note sull'episodio

🫀 Why Patients Die (and How ACLS Saves Them) Cardiac arrest = no effective circulation → global ischemia. Survival hinges on CPP (aortic diastolic − RA pressure). • High-quality CPR (≥2 in/5 cm, 100–120/min, full recoil, CCF ≥80%) maintains CPP; every pause tanks CPP. • Defibrillation for VF/pVT stuns chaotic myocardium → pacemakers can resume an organized rhythm (ROSC). Shock early.

Rhythms & Management

🔹 Shockable: VF / pVT

ECG: VF = chaotic; pVT = fast wide-QRS + no pulse. Algorithm (cycle):

  1. Start CPR, attach defib.
  2. Shock (biphasic 120–200 J per device; mono 360 J).
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