Improved stroke outcomes have been shown when EMS transports to a stroke center and patients receive assessment, CT, & thrombolytics within these time frames.

When treating patients having a stroke, more minutes equals more dead brain cells.

Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI; to reestablish perfusion to the ischemic tissues.

The steps in the Stroke Chain of Survival.

Stroke benchmarks for door to:

• assessment;
• completing a non-contrast CT; and
• administration of a fibrinolytic medication (door-to-needle);
• endovascular therapy (EVT) of LVO strokes, and
• administration to a stroke or neuro unit (door-to-admission).

EMS interaction with stroke teams and destination protocols to reduce time to definitive care.

The difference for timed goals for the identification & treatment of AMI vs Stroke.

Additional information about timed goals for stroke and how EMS affects outcomes, can be found on the PassACLS.com pod resources page.

Links:

Pass ACLS: Find ACLS classes near you and discover other podcasts with ACLS-related episodes. https://passacls.com/

Buy Me a Coffee: To give back. https://buymeacoffee.com/paultaylor

American Cancer Society: Fundraiser for breast cancer. Link is valid through October 31st. Together, we will beat cancer! https://secure.acsevents.org/goto/paultaylor

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

Objective measures of high-quality CPR and how ACLS providers use waveform capnography and feedback devices to monitor effective chest compressions.

Along with early defibrillation, high quality CPR with minimal interruptions is one of the two factors that has been shown to improve cardiac arrest outcomes.

Objective measures of high-quality CPR.

The role of the CPR Coach on the code team.

The advantages and use of real-time feedback devices to monitor the rate, depth, and chest recoil of CPR compressions.

The use of end tidal waveform capnography. (ETCO2)

Insertion of an advanced airway.

A no-tech way to monitor effective CPR if no compression feedback device or ETCO2 capnography isn’t available.

Links:

Pass ACLS: Find ACLS classes near you and discover other podcasts with ACLS-related episodes. https://passacls.com/

Buy Me a Coffee: To give back. https://buymeacoffee.com/paultaylor

American Cancer Society: Fundraiser for breast cancer. Link is valid through October 31st. Together, we will beat cancer! https://secure.acsevents.org/goto/paultaylor

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

LinkedIn: @Pass-ACLS-Podcast. https://www.linkedin.com/company/pass-acls-podcast/

Review the indications for oxygen administration and monitoring O2 saturation with pulse oximetry for patients in various ACLS algorithms.

In the ACS algorithm, the O in MONA is Oxygen.

When we should administer oxygen to ACS, bradycardia, & tachycardia patients.

When O2 administration is unnecessary based on an accurate pulse ox.

Monitoring patient's oxygen saturation (SpO2) using a pulse oximeter.

Review two common ACLS pre-arrest mega code scenarios.

Oxygen administration during CPR and post cardiac arrest.

You can find additional medical podcasts that cover ACLS-related topics, on the Pod Resources page at PassACLS.com

Links:

Pass ACLS: Find ACLS classes near you and discover other podcasts with ACLS-related episodes. https://passacls.com/

Buy Me a Coffee: To give back. https://buymeacoffee.com/paultaylor

American Cancer Society: Fundraiser for breast cancer. Link is valid through October 31st. Together, we will beat cancer! https://secure.acsevents.org/goto/paultaylor

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