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Effective: Summer 2011
RSPT 60BADVANCED CARDIAC LIFE SUPPORT2 Unit(s)

Prerequisites: Prerequisites: RSPT 53B and 60A.
Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
2 hours lecture. (24 hours total per quarter)

Student Learning Outcomes -
  • Discuss airway care procedures and demonstrate cardiac life support proficiency.
  • Explain how defibrillators function and their effect on the heart.
Description -
Preparation for Advanced Cardiac Life Support Certification for healthcare providers who will be directing or participating in the resuscitation of patients. Students will practice skills involved in the treatment of arrest and peri-arrest patients. Intended for students in the respiratory therapy program.

Course Objectives -
The student will be able to:
  1. Recognize and initiate early management of peri-arrest conditions that may result in cardiac arrest
  2. Demonstrate proficiency in the use of an AED device
  3. State indications, dosages, hazards and contraindications of cardiac medications
  4. Discuss the importance of various invasive monitoring and therapeutic techniques, including defibrillators and emergency cardiac pacing
  5. Recognize cardiac arrhythmias
  6. List steps taken to treat cardiac arrhythmias based on ACLS algorithms
  7. Demonstrate effective communication as a member or leader in a mock mega code situation
  8. Discuss modifications needed in special resuscitation situations
  9. Discuss the causes, pathophysiology, diagnosis and treatment for the Acute Coronary Syndromes and Acute Stroke
  10. Discuss the ethical and community issues relating to cardiopulmonary resuscitation.
Special Facilities and/or Equipment -
Defibrillator with the computer capability to produce various cardiac rhythms. Airway care equipment. Simulation manequin and equipment. Computer with online capabilities.

Course Content (Body of knowledge) -
  1. Management of peri-arrest and cardiac arrest
    1. BLS Primary survey
    2. ACLS secondary survey
    3. Circulation
    4. Airway care
  2. AED
    1. Power on
    2. Follows prompts and attaches electrode pads
    3. Analyze rhythm
    4. Maintains a safe envyronment
    5. Delivers shock if advised by prompt
  3. ACLS medications
    1. Oxygen administration
    2. Routes of drug administration
      1. IV route
      2. IO route
      3. ET route
    3. Vasopressors
      1. Epinephrine
      2. Vasopressin
    4. Antiarrhythmic agents
      1. Amiodarone
      2. Lidocaine
      3. Magnesium sulfate
    5. Adenosine
  4. Invasive monitoring, Defibrillation and Cardiac pacing
    1. Invasive monitoring
      1. Arterial cannulation
      2. Pulmonary artery catheterization
      3. Arterial puncture
      4. Pericardiocentesis
      5. Tension pneumothorax
    2. Defibrillators
      1. Importance of early defibrillation
      2. Standard defibrillators
      3. Automated external defibrillation
      4. Use and care of equipment
      5. Indications
      6. Complications
  5. Rhythm recognition
    1. Normal sinus
    2. Sinus bradycardia and sinus tachycardia
    3. Ventricular asystole and agonal rhythms
    4. Ventricular fibrillation
    5. Premature ventricular contraction
    6. Pulseless electrical activity
    7. Atrial fibrillation and flutter
    8. Atrioventricular Block
      1. First-degree AV block
      2. Second-degree AV block
      1. Type 1 (Wenckebach)
      2. Type 2
      3. Third-degree AV block
    9. Junctional Complexes
      1. Premature junctional
      2. Junctional escape complexes and rhythms
      3. Tachycardia
        1. Paroxysmal supraventricular
        2. Wide-complex tachycardia of uncertain type
        3. Ventricular tachycardia
    10. ACLS algorythms for core cases
      1. Purpose of algorithms
      2. How to use algorithms
    11. Participates in a mega code as a member and a team leader
      1. Communicates effectively with the team
      2. Performs duties according to assigned role
    12. Special resuscitation situations
      1. Hypothermia
      2. Near drowning
      3. Electric shock
      4. Cardiac arrest associated with pregnancy
      5. Toxicologic cardiac emergencies
    13. Suspected Stroke Patient Algorithm
      1. NIH Stroke Scale
    14. Ethical aspects
Methods of Evaluation -
Methods of evaluation will include: quizzes, final exam, and ACLS Certification exams.
Representative Text(s) -
2010 American Heart Association Guidelines for CPR and ECC. Dallas, Texas: American Heart Association, 2010.

Disciplines -
Respiratory Therapy
 
Method of Instruction -
  1. Lecture presentations and classroom discussion using clinical simulation scenarios.
  2. In-class Mega code stations with a team leader and other supporting roles.
 
Lab Content -
Not applicable.
 
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
Each week the student will be assigned reading that correspond to subject matter discussed, reading assignments will be approximately 20-40 pages per week.