Outside North America, Advanced Life Support is used. Other emergency responders may also be trained. CPR, which makes 2010 american heart association guidelines for cpr and ecc pdf the core foundation of ACLS.
When a sudden cardiac arrest occurs, immediate CPR is a vital link in the chain of survival. ACLS often starts with analyzing the patient’s heart rhythms with a manual defibrillator. In contrast to an AED in BLS, where the machine decides when and how to shock a patient, the ACLS team leader makes those decisions based on rhythms on the monitor and patient’s vital signs.
Commonly used ACLS drugs, such as epinephrine and amiodarone, are then administered. Based on their diagnosis, more specific treatments are given. These treatments may be medical such as IV injection of an antidote for drug overdose, or surgical such as insertion of a chest tube for those with tension pneumothoraces or hemothoraces.