,WorldbHeadquartersbJon
esb&bBartlettbLearningb5
bWallbStreet
Burlington,bMAb01803
978-443-5000
bwww.jblearning.co
m
Jonesb&bBartlettbLearningbbooksbandbproductsbarebavailablebthroughbmostb
bookstoresbandbonlinebbooksellers.bTobcontactbJonesb&bBartlettbLearningbdi
rectly,bcallb978-443-5000,bfaxb978-443-
8000,borbvisitbourbwebsite,bwww.jblearning.com.
SubstantialbdiscountsbonbbulkbquantitiesbofbJonesb&bBartlettbLearningbpublica
tionsbarebavailablebtobcorporations,bprofessionalbassociations,bandbotherbquali
fiedborganizations.bForbdetailsbandbspecificbdiscountbinformation,bcontactbtheb
specialbsalesbdepartmentbatbJonesb&bBartlettbLearningbviabthebabovebcontact
.
Copyrightb©b2014bbybJonesb&bBartlettbLearning,bLLC,banbAscendbLearningbCompany
Allbrightsbreserved.bNobpartbofbthebmaterialbprotectedbbybthisbcopyrightbmaybb
ebreproducedborbutilizedbinbanybform,belectronicborbmechanical,bincludingbphoto
copying,brecording,borbbybanybinformationbstoragebandbretrievalbsystem,bwithout
bwrittenbpermissionbfrombthebcopyrightbowner.
Emergencyb&bCriticalbCarebPocketbGuidebACLSbVersion,bEighthbEditionbi
sbanbindependentbpublicationbandbhasbnotbbeenbauthorized,bsponsored,bo
rbotherwisebapprovedbbybthebownersbofbthebtrademarksborbservicebmarksb
referencedbinbthisbproduct.
Thebproceduresbandbprotocolsbinbthisbbookbarebbasedbonbthebmostbcurrentbrec
ommendationsbofbresponsiblebmedicalbsources.bThebauthorsbandbthebpublisher,
bhowever,bmakebnobguaranteebasbto,bandbassumebnobresponsibilitybfor,bthebco
rrectness,bsufficiency,borbcompletenessbofbsuchbinformationborbrecommendations
.bOtherborbadditionalbsafetybmeasuresbmaybbebrequiredbunderbparticularbcircum
stances.
Thisbbookbisbintendedbsolelybasbabguidebtobthebappropriatebproceduresbtobbe
bemployedbwhenbrenderingbemergencybcarebtobthebsickbandbinjured.bItbisbnot
bintendedbasbabstatementbofbthebstandardsbofbcarebrequiredbinbanybparticular
bsituation,bbecausebcircumstancesbandbthebpatient’sbphysicalbconditionbcanbva
rybwidely
frombonebemergencybtobanother.bNorbisbitbintendedbthatbthisbbookbshallbinb
anybwaybadvisebemergencybpersonnelbconcerningblegalbauthoritybtobperformb
thebactivitiesborbproceduresbdiscussed.bSuchblocalbdeterminationbshouldbbeb
madebonlybwithbthebaidbofblegalbcounsel.
ProductionbCredits Composition:bdiacriTech
ExecutivebPublisher:bKimberlybBrop CoverbDesign:bKristinbE.bPar
hybExecutivebAcquisitionsbEditor— kerbDirectorbofbPhotobResear
EMS:bChristinebEmerton chbandbPermissions:bAmybWr
AssociatebEditor:bCarlybLavoie ynn
AssociatebProductionbEditor:bNorabMe PrintingbandbBinding:bJohnbP.bP
nzibDirectorbofbMarketing:bAlishabWeis owbCompany
manbVP,bManufacturingbandbInventory CoverbPrinting:bJohnbP.bPowbCompany
bControl:bTheresebConnell
ISBN:b978-1-284-02370-1
6048
PrintedbinbthebUnitedbStatesbofbAmeri
ca
17b 16bb15bb14bb13bbbbb10b 9b 8b 7b 6b 5b 4b 3b 2b 1
, 1
ACLS
■ CPR:bAdult,bChild,borbInfant
1. Unresponsive?b(Notbbreathing,borbonlybgasping?)
2. Callb forb assistance—haveb someoneb getb defibrillator/AED.
3. Checkbpulsebwithinb10bsecondsb(Ifbpresent,bgiveb1bbre
athbeveryb5–6bseconds;bcheckbpulsebeveryb2bminutes).
IFbNObPULSE:
4. Positionb patientbsupineb onb hard,b flatb surface.
5. Beginbchestbcompressions,b30:2,bpushbhardbandbfastb≥10
0/bminutes,ballowbfullbchestbrecoil—minimizebinterruptions.
6. Openbairway:bhead-tilt/chin-lift,bventilateb×b2*b (avoidbexcessive
ventilations).
7. AttachbAEDbtobadultb(andbchildb>1byearbold).
SHOCKABLEb RHYTHM?
bYes Nob
8. Shockb×b1. 8. ResumebCPRbimmedi
9. ResumebCPRbimmedi -batelybforb2bminutes.
-batelybforb2bminutes. 9. InitiatebALSbi
10. Checkb rhythm. nterventions.
10. Checkbrhythmbeveryb
IFb SHOCKABLE: 2bminutes.
11. Shockb×b1;bresumebCP
R.
Lowerbhalfbofbsternum Head-tilt/chin-lift
ACLS
, ACLS
2
CPR Ratio Rate Depth Checkb Pulse
Adult:b 1b Person* 30:2 100 >2bin. Carotid
Adult:b 2b Person* 30:2 100 >2bin. Carotid
Child:b1bPerson 30:2 100 2bin. Carotid
Child:b2bPerson 15:2 100 2bin. Carotid
Infant:b1bPerson 30:2 100 1⁄3b cx Brachial,b
femoral
Infant:b2bPerson 15:2 100 1⁄3b cx Brachial,b
femoral
Newborn:b2bPerson 3:1 100 1⁄3b cx Brachial,b
femoral
*Adult—oncebanbadvancedbairwaybisbplaced,bventilatebatb8–10bbreaths/minute.
■ Cardiacb Arrestb Rhythms
CoarsebVentricularbFibrillation
Notebthebchaotic,birregularbelectricalbactivity.bTreatment:bShock.
Fineb Ventricularb Fibrillation
Notebtheblow-amplitude,birregularbelectricalbactivity.bTreatment:bShock.
VentricularbTachycardia
Notebthebrapid,bwidebcomplexes.bTreatment:bShockbifbnobpulse.
esb&bBartlettbLearningb5
bWallbStreet
Burlington,bMAb01803
978-443-5000
bwww.jblearning.co
m
Jonesb&bBartlettbLearningbbooksbandbproductsbarebavailablebthroughbmostb
bookstoresbandbonlinebbooksellers.bTobcontactbJonesb&bBartlettbLearningbdi
rectly,bcallb978-443-5000,bfaxb978-443-
8000,borbvisitbourbwebsite,bwww.jblearning.com.
SubstantialbdiscountsbonbbulkbquantitiesbofbJonesb&bBartlettbLearningbpublica
tionsbarebavailablebtobcorporations,bprofessionalbassociations,bandbotherbquali
fiedborganizations.bForbdetailsbandbspecificbdiscountbinformation,bcontactbtheb
specialbsalesbdepartmentbatbJonesb&bBartlettbLearningbviabthebabovebcontact
.
Copyrightb©b2014bbybJonesb&bBartlettbLearning,bLLC,banbAscendbLearningbCompany
Allbrightsbreserved.bNobpartbofbthebmaterialbprotectedbbybthisbcopyrightbmaybb
ebreproducedborbutilizedbinbanybform,belectronicborbmechanical,bincludingbphoto
copying,brecording,borbbybanybinformationbstoragebandbretrievalbsystem,bwithout
bwrittenbpermissionbfrombthebcopyrightbowner.
Emergencyb&bCriticalbCarebPocketbGuidebACLSbVersion,bEighthbEditionbi
sbanbindependentbpublicationbandbhasbnotbbeenbauthorized,bsponsored,bo
rbotherwisebapprovedbbybthebownersbofbthebtrademarksborbservicebmarksb
referencedbinbthisbproduct.
Thebproceduresbandbprotocolsbinbthisbbookbarebbasedbonbthebmostbcurrentbrec
ommendationsbofbresponsiblebmedicalbsources.bThebauthorsbandbthebpublisher,
bhowever,bmakebnobguaranteebasbto,bandbassumebnobresponsibilitybfor,bthebco
rrectness,bsufficiency,borbcompletenessbofbsuchbinformationborbrecommendations
.bOtherborbadditionalbsafetybmeasuresbmaybbebrequiredbunderbparticularbcircum
stances.
Thisbbookbisbintendedbsolelybasbabguidebtobthebappropriatebproceduresbtobbe
bemployedbwhenbrenderingbemergencybcarebtobthebsickbandbinjured.bItbisbnot
bintendedbasbabstatementbofbthebstandardsbofbcarebrequiredbinbanybparticular
bsituation,bbecausebcircumstancesbandbthebpatient’sbphysicalbconditionbcanbva
rybwidely
frombonebemergencybtobanother.bNorbisbitbintendedbthatbthisbbookbshallbinb
anybwaybadvisebemergencybpersonnelbconcerningblegalbauthoritybtobperformb
thebactivitiesborbproceduresbdiscussed.bSuchblocalbdeterminationbshouldbbeb
madebonlybwithbthebaidbofblegalbcounsel.
ProductionbCredits Composition:bdiacriTech
ExecutivebPublisher:bKimberlybBrop CoverbDesign:bKristinbE.bPar
hybExecutivebAcquisitionsbEditor— kerbDirectorbofbPhotobResear
EMS:bChristinebEmerton chbandbPermissions:bAmybWr
AssociatebEditor:bCarlybLavoie ynn
AssociatebProductionbEditor:bNorabMe PrintingbandbBinding:bJohnbP.bP
nzibDirectorbofbMarketing:bAlishabWeis owbCompany
manbVP,bManufacturingbandbInventory CoverbPrinting:bJohnbP.bPowbCompany
bControl:bTheresebConnell
ISBN:b978-1-284-02370-1
6048
PrintedbinbthebUnitedbStatesbofbAmeri
ca
17b 16bb15bb14bb13bbbbb10b 9b 8b 7b 6b 5b 4b 3b 2b 1
, 1
ACLS
■ CPR:bAdult,bChild,borbInfant
1. Unresponsive?b(Notbbreathing,borbonlybgasping?)
2. Callb forb assistance—haveb someoneb getb defibrillator/AED.
3. Checkbpulsebwithinb10bsecondsb(Ifbpresent,bgiveb1bbre
athbeveryb5–6bseconds;bcheckbpulsebeveryb2bminutes).
IFbNObPULSE:
4. Positionb patientbsupineb onb hard,b flatb surface.
5. Beginbchestbcompressions,b30:2,bpushbhardbandbfastb≥10
0/bminutes,ballowbfullbchestbrecoil—minimizebinterruptions.
6. Openbairway:bhead-tilt/chin-lift,bventilateb×b2*b (avoidbexcessive
ventilations).
7. AttachbAEDbtobadultb(andbchildb>1byearbold).
SHOCKABLEb RHYTHM?
bYes Nob
8. Shockb×b1. 8. ResumebCPRbimmedi
9. ResumebCPRbimmedi -batelybforb2bminutes.
-batelybforb2bminutes. 9. InitiatebALSbi
10. Checkb rhythm. nterventions.
10. Checkbrhythmbeveryb
IFb SHOCKABLE: 2bminutes.
11. Shockb×b1;bresumebCP
R.
Lowerbhalfbofbsternum Head-tilt/chin-lift
ACLS
, ACLS
2
CPR Ratio Rate Depth Checkb Pulse
Adult:b 1b Person* 30:2 100 >2bin. Carotid
Adult:b 2b Person* 30:2 100 >2bin. Carotid
Child:b1bPerson 30:2 100 2bin. Carotid
Child:b2bPerson 15:2 100 2bin. Carotid
Infant:b1bPerson 30:2 100 1⁄3b cx Brachial,b
femoral
Infant:b2bPerson 15:2 100 1⁄3b cx Brachial,b
femoral
Newborn:b2bPerson 3:1 100 1⁄3b cx Brachial,b
femoral
*Adult—oncebanbadvancedbairwaybisbplaced,bventilatebatb8–10bbreaths/minute.
■ Cardiacb Arrestb Rhythms
CoarsebVentricularbFibrillation
Notebthebchaotic,birregularbelectricalbactivity.bTreatment:bShock.
Fineb Ventricularb Fibrillation
Notebtheblow-amplitude,birregularbelectricalbactivity.bTreatment:bShock.
VentricularbTachycardia
Notebthebrapid,bwidebcomplexes.bTreatment:bShockbifbnobpulse.
