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Advanced cardiac life support, advanced cardiovascular life support (ACLS) refers to a set of clinical guidelines established by the American Heart Association (AHA) for the urgent and emergent treatment of life-threatening cardiovascular conditions that will cause or have caused cardiac arrest, using advanced medical procedures, medications, and techniques.
Common signs of shock include weak pulses, altered mental status, bradycardia or tachycardia, low urine output, hypotension, and pale, cold skin. [6] Treating shock focuses on increasing blood flow and oxygen delivery to tissues and organs before organs are permanently damaged. [4] This section will discuss the recognition and management of shock.
It is only when bradycardia presents with signs and symptoms of shock that it requires emergency treatment with transcutaneous pacing. False capture with visible phantom beats [3] Some common causes of hemodynamically significant bradycardia include myocardial infarction, sinus node dysfunction and complete heart block. [citation needed]
[4] [1] The goal of treatment for cardiac arrest is to rapidly achieve return of spontaneous circulation using a variety of interventions including CPR, defibrillation, and/or cardiac pacing. Two protocols have been established for CPR: basic life support (BLS) and advanced cardiac life support (ACLS). [17]
Transvenous cardiac pacing (TVP), [1] also called endocardial pacing, is a potentially life-saving intervention used primarily to correct profound bradycardia.It can be used to treat symptomatic bradycardias that do not respond to transcutaneous pacing or to drug therapy.
Bradycardia, also called bradyarrhythmia, is a resting heart rate under 60 beats per minute (BPM). [1] While bradycardia can result from various pathologic processes, it is commonly a physiologic response to cardiovascular conditioning or due to asymptomatic type 1 atrioventricular block.
Treatment may include specific antidotes, fluids for volume expansion, vasopressors, sodium bicarbonate (for tricyclic antidepressants), glucagon or calcium (for calcium channel blockers), benzodiazepines (for cocaine), or cardiopulmonary bypass. Herbal supplements and over-the-counter medications should also be considered, alongside narcotics.
Often sinus node dysfunction produces no symptoms, especially early in the disease course. Signs and symptoms usually appear in more advanced disease and more than 50% of patients will present with syncope or transient near-fainting spells as well as bradycardias that are accompanied by rapid heart rhythms, referred to as tachycardia-bradycardia syndrome [4] [5] Other presenting signs or ...
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