Pass ACLS Tip of the Day

By: Paul Taylor
  • Summary

  • Like a daily audio flash card. This podcast is intended to aid any medical professional preparing for an Advanced Cardiovascular Life Support (ACLS) class. Each one-to-nine minute Flash Briefing-style episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high-performing team to deliver quality care. Listening to a tip-of-the-day for 14-30 days prior to a class will help cement core concepts that have been shown to improve outcomes in patients suffering a heart attack, cardiac arrest, or stroke. In addition to the chain of survival core concepts and ACLS algorithms, specific information needed to pass the written exam and megacode following the 2020 guidelines is presented. Healthcare providers that are already ACLS certified may find listening a helpful reminder. Disclaimer: This podcast is a supplement to your course's approved text book and videos - not a replacement. The information presented is for educational purposes only and is not medical advice. Medical professionals should follow their local laws, agency protocols, and act only within their scope of practice.
    Copyright 2023 Paul Taylor
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Episodes
  • First & Third Degree AV Blocks
    Apr 17 2025

    To pass ACLS, you will need to be able to identify common rhythms on a monitor during your mega code and ECG strips on your written exam.

    If you don't normally monitor patients as part of your job, I suggest two things:

    1. Find a system for ECG interpretation that works well for you; and

    2. Practice reading ECGs every day for a few weeks before your class.

    Review of normal ECG morphology of P wave, QRS complex, and T wave in lead II.

    Characteristics of first degree heart block.

    Characteristics of third degree (complete) AV block.

    Treatment of unstable patients in third degree block following the ACLS Bradycardia algorithm.

    Special considerations for use of Atropine when patients are in a third degree heart block.

    The use of TCP, Dopamine, & Epinephrine drip for unstable bradycardic patients refractory to Atropine.

    Good luck with your ACLS class!


    Links:

    Buy Me a Coffee at https://buymeacoffee.com/paultaylor

    Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/

    Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip

    Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com

    @Pass-ACLS-Podcast on LinkedIn

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    8 mins
  • Antiarrhythmics: Lidocaine & Amiodarone
    Apr 16 2025

    In the Adult Cardiac Arrest algorithm, we should administer an antiarrhythmic medication to patients in V-Fib or pulseless ventricular tachycardia approximately two minutes after the first dose of epinephrine.

    The two first-line ACLS antiarrhythmics that are generally used are Amiodarone and Lidocaine.

    Review of Lidocaine dosing and administration to patients in persistent V-Fib or pulseless V-Tach.

    Review of Amiodarone dosing and administration to patients in persistent V-Fib or pulseless V-Tach.

    Use of antiarrhythmic infusions post-cardiac arrest to suppress ventricular ectopy.

    Amiodarone use & dosing for stable patients in V-Tach with a pulse.

    Good luck with your ACLS class!


    Links:

    Buy Me a Coffee at https://buymeacoffee.com/paultaylor

    Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/

    Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip

    Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com

    @Pass-ACLS-Podcast on LinkedIn

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    7 mins
  • Use of the Nasopharyngeal Airway (NPA)
    Apr 15 2025

    The tongue is the most common airway obstruction in an unconscious patient.

    For patients with a decreased level of consciousness that can't control their airway, yet have an intact gag reflex, the nasopharyngeal airway (NPA) should be used as an alternative to the oropharyngeal airway (OPA).

    Examples of when a NPA should be considered.

    Contraindications and considerations for nasal airway insertion.

    Measuring a nasal airway for appropriate length and diameter.

    Insertion of a nasopharyngeal airway into the right vs left nostril.

    Patients with a NPA in place can receive supplemental O2, be ventilated with a BVM, have ETCO2 monitored, and have their upper airway suctioned as needed.

    Good luck with your ACLS class!


    Links:

    Buy Me a Coffee at https://buymeacoffee.com/paultaylor

    Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/

    Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip

    Pass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com

    @Pass-ACLS-Podcast on LinkedIn

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    5 mins
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