This episode continues the confersation with Andrew Bowman, MSN, BSN, RN, ACNP-BC, ACNP-C, TNS, CEN, CTRN, CPEN, CFRN, TCRN, CBRN, CCRN-CMC, CVRN-I-BC, NRP, FACCN, FAEN about Advance Cardiac Life Support (ACLS ) and take a closer look at the algorithms and medications used in adult resuscitation.   Remember this episode discusses in part research that may not yet be part of the ACLS recommendations.  Always default to your hospital’s protocols and guidelines. 

Here are a couple of interesting articles for further education:

ALPS Study

https://www.nejm.org/doi/full/10.1056/nejmoa1514204

Esmolol for refractory V-Fib
https://emergencymedicinecases.com/esmolol-refractory-ventricular-fibrillation/

Double sequential external defibrillation for refractory ventricular fibrillation https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9907872/

Thrombolysis during Resuscitation for Out-of-Hospital Cardiac Arrest
https://emcrit.org/wp-content/hypoarts/2651.pdf

Lewis Lead Placement

https://litfl.com/lewis-lead-s5-lead/

EKG Lead Placement (incliding R sided)
https://litfl.com/ecg-lead-positioning/ 

Wolff–Parkinson–White Syndrome article by Andrew Bowman

https://drive.google.com/file/d/1at6-oMJvvMH9PK5kJCJYbQptj6qdKUSh/view?usp=sharing

Stellate Ganglion Blockade for Refractory Ventricular Arrhythmias: Implications of Ultrasound-Guided Technique and Review of the Evidence

https://drive.google.com/file/d/1MMImR9r8Cr0QSRkjYJJeAqPkKudn6bdo/view?usp=sharing

The current ACLS Algorithms

https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/algorithms

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