ADVANCE CARDIAC

LIFE SUPPORT
 Sejarah CPR
• 1966 1st conference on CPR
• 1973 AHA Guidelines for ACLS
• 1979 3rd conference
• 1985 4th conference
• 1992 5th conference. ILCOR
• 2000 Guidelines 2000 for CPR and ECC
International Consensus on Science
 Essentials of ACLS
• CORE of ACLS Concepts
o Cerebral Resuscitation is the
most important goal!
• Returning the patient to the
pre-arrested level of
neurological functioning
• Cardio-Pulmonary-Cerebral
resuscitation (CPCR) – had
been proposed to replace CPR
o Focuses on Airway and
Ventilation, Basic CPR,
Defibrillation of Ventricular
fibrillation and Drugs
 Essentials of ACLS
o The probability of survival declines
with each passing minute of
cardiopulmonary compromise
o Medical conditions that lead to
cardiac arrest must be identified
as quickly as possible (e.g. AMI)
o The chain of survival applies in all
settings.
o Good ACLS requires a careful
thought about when to start and
when to stop resuscitative efforts.
The Chain of Survival
 Acute Coronary Syndrome (ACS)
• 52% deaths of AMI
occurs out of the
hospital within the 1st
hour after the onset
of symptoms (chest
discomfort, nausea,
SOB etc)
 Stroke
• Number 3 killer and
leading cause of
severe, long term
disability
• EMS provider should
be trained to suspect
stroke, rapid dispatch
of EMS and rapid
delivery to a hospital
capable of providing
acute stroke care
Adult BLS
Algorithm
Adult BLS Algorithm
Adult BLS Algorithm
Automated External Defibrillator
 Adult Basic Life Support
• Recovery Position
o For unresponsive adult victims who have normal breathing
o Should be stable, near a true lateral position, with the head dependent
and no pressure on the chest to impair breathing
 ACLS
Algorithm
ACLS Pulseless Arrest
Algorithm
ACLS Pulseless Arrest Algorithm

CHEST COMPRESSION

DEFIBRILLATION

DEFIBRILLATION
ACLS Bradycardia
Algorithm
ACLS Tachycardia
Algorithm
Electrical Cardioversion Algorithm
Electrical Cardioversion
Acute Coronary Syndrome
Acute Coronary Syndrome
Algorithm
Acute Coronary Syndrome
Algorithm
Thank You