Ashr7le el ACLS cardiac arrest protocol simple
🫀 ACLS Cardiac Arrest Algorithm - شرح مبسط
الصورة الرسمية (AHA 2020)
الخطوة الأولى - ابدأ فوراً
السؤال المحوري: هل الـ Rhythm Shockable؟
✅ Shockable Rhythm (VF / Pulseless VT)
| الخطوة | الإجراء |
|---|---|
| 1 | Shock فوراً |
| 2 | CPR 2 دقيقة + IV/IO Access |
| 3 | تحقق من الـ Rhythm مرة ثانية |
| 4 | لو لسه Shockable → Shock تاني |
| 5 | CPR 2 دقيقة + Epinephrine 1 mg كل 3-5 دقائق + فكّر في Advanced Airway |
| 6 | تحقق من الـ Rhythm |
| 7 | لو لسه Shockable → Shock تالت |
| 8 | CPR 2 دقيقة + Amiodarone أو Lidocaine + عالج الأسباب |
❌ Non-Shockable Rhythm (Asystole / PEA)
| الخطوة | الإجراء |
|---|---|
| 1 | Epinephrine ASAP (أسرع ما يمكن) |
| 2 | CPR 2 دقيقة + IV/IO + Epinephrine كل 3-5 دقائق + Advanced Airway |
| 3 | تحقق من الـ Rhythm |
| 4 | لو لسه Non-shockable → CPR 2 دقيقة + عالج الأسباب |
| 5 | تحقق مرة ثانية - لو بقى Shockable روح لـ step 5 أو 7 في الـ Shockable side |
💊 الأدوية
| الدواء | الجرعة | متى |
|---|---|---|
| Epinephrine | 1 mg IV/IO كل 3-5 دقائق | في الاثنين (Shockable بعد شوكة 2، Non-shockable من البداية) |
| Amiodarone | 300 mg bolus أولاً، ثم 150 mg | VF/pVT بعد 3 شوكات |
| Lidocaine (بديل) | 1-1.5 mg/kg، ثم 0.5-0.75 mg/kg | نفس توقيت Amiodarone |
ملاحظة مهمة: Vasopressin اتشال من الـ Algorithm من 2015 وعلى حاله في 2020. Atropine كمان مش موصى بيها في Asystole بعد كده.
⚡ جودة الـ CPR
- اضغط بعمق ≥ 5 سم وبسرعة 100-120 ضربة/دقيقة
- خلّي الصدر يرجع كامل (complete recoil)
- قلّل الانقطاعات
- غيّر اللي بيعمل CPR كل 2 دقيقة
- لو ما في Advanced Airway: نسبة 30:2
- لو في Advanced Airway: سكب واحد كل 6 ثواني (10 تنفسات/دقيقة) مع compressions مستمرة
🔍 الـ Reversible Causes - الـ "5H + 5T"
| 5 Hs | 5 Ts |
|---|---|
| Hypovolemia | Tension pneumothorax |
| Hypoxia | Tamponade (cardiac) |
| Hydrogen ion (Acidosis) | Toxins |
| Hypo-/Hyperkalemia | Thrombosis (Pulmonary - PE) |
| Hypothermia | Thrombosis (Coronary - MI) |
🔄 علامات الـ ROSC (Return of Spontaneous Circulation)
- رجعة النبض وضغط الدم
- ارتفاع مفاجئ في الـ PETCO₂ ≥ 40 mmHg
- Spontaneous arterial pressure waves (لو في Arterial line)
بعد الـ ROSC
Can you make flash cards
Medical flashcard for ACLS cardiac arrest. Front side: bold question "What are the 2 shockable rhythms in cardiac arrest?" Back side answer panel: "VF (Ventricular Fibrillation)" and "Pulseless VT (pVT)" with lightning bolt icons next to each. Bottom label: "Shockable = DEFIBRILLATE first!" Clean white card design with red accents, clear bold medical font, structured layout with front question on top half and answer on bottom half separated by a dividing line.
Medical flashcard for ACLS cardiac arrest shockable rhythm algorithm. Title: "SHOCKABLE Rhythm (VF/pVT) - Steps". Numbered list: 1. SHOCK immediately. 2. CPR 2 min + IV/IO access. 3. Check rhythm → still shockable? SHOCK again. 4. CPR 2 min + Epinephrine 1mg every 3-5 min + consider advanced airway. 5. Check rhythm → still shockable? SHOCK again. 6. CPR 2 min + Amiodarone OR Lidocaine + treat reversible causes. Lightning bolt icon in header. Clean white card with red and blue color scheme, clear medical font, bold numbers.
Medical flashcard for ACLS cardiac arrest non-shockable rhythm algorithm. Title: "NON-SHOCKABLE Rhythm (Asystole/PEA) - Steps". Numbered list: 1. Epinephrine ASAP! 2. CPR 2 min + IV/IO + Epinephrine 1mg every 3-5 min + advanced airway. 3. Check rhythm → still non-shockable? Continue CPR 2 min + treat reversible causes. 4. If rhythm becomes shockable → go to shockable side. Syringe icon in header. Clean white card with gray and blue color scheme, clear medical font, bold numbers.
Medical flashcard for ACLS drug doses during cardiac arrest. Title: "ACLS Cardiac Arrest - Drug Doses". Three sections with icons: Section 1 - EPINEPHRINE: 1 mg IV/IO every 3-5 minutes. When: Non-shockable = ASAP. Shockable = after 2nd shock. Section 2 - AMIODARONE: 1st dose 300 mg bolus, 2nd dose 150 mg. When: Shock-refractory VF/pVT. Section 3 - LIDOCAINE (alternative to amiodarone): 1st dose 1-1.5 mg/kg, 2nd dose 0.5-0.75 mg/kg. Footer note: "Vasopressin REMOVED from algorithm (2015). Atropine NOT recommended for asystole." Clean white card with green and blue accents, pill and syringe icons, bold text.
Medical flashcard for ACLS reversible causes of cardiac arrest. Title: "Reversible Causes - 5H + 5T". Two columns layout. Left column - 5 H's with H letter highlighted: Hypovolemia, Hypoxia, Hydrogen ion (Acidosis), Hypo/Hyperkalemia, Hypothermia. Right column - 5 T's with T letter highlighted: Tension pneumothorax, Tamponade (cardiac), Toxins, Thrombosis (Pulmonary - PE), Thrombosis (Coronary - MI). Bold header "THINK ABOUT THESE IN EVERY ARREST!" at bottom. Clean white card, blue and orange color scheme, clear bold medical font.
Medical flashcard for ACLS CPR quality and ROSC signs. Title: "CPR Quality + Signs of ROSC". Two sections. Section 1 - CPR QUALITY checklist: Push hard 5 cm deep, Rate 100-120/min, Allow full chest recoil, Minimize interruptions, Change compressor every 2 min, No advanced airway = 30:2 ratio, Advanced airway = 1 breath every 6 seconds. Section 2 - SIGNS OF ROSC (Return of Spontaneous Circulation): Pulse and blood pressure return, PETCO2 sudden rise to 40 mmHg or more, Spontaneous arterial pressure waves. Clean white card, green checkmarks for CPR quality, heart icon for ROSC, bold clear medical font.
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