Guest guest Posted August 30, 2000 Report Share Posted August 30, 2000 anything on BiPhasic defib in the guidelines??? Frieze wrote: > > I just got a copy of the new guidelines for ACLS there are some pretty interesting changes. Amiodrone is now considered a class IIb and is recommended as a FIRST line antiarrhythmic instead of Lidocaine in shock refractory V-Fib and pulsless V-Tach. It is also stated that Vasopressin may be more effective pressor agent than Epinephrine for promoting the return of spontaneous circulation. The algorhythm for cardiac arrest has Epi. 1mg q every 3-5 minutes OR Vasopressin 40 U IV single dose. ( I don't know if Epi can or should be given after the dose of Vassopressin if circulation does not return) Studies have shown that cardiac arrest survivors who received high dose Epi. have more post resuscitation complications then those who received the standard dose therefore high dose Epi. is no longer recommended do to the potential harm. In Monomorphic V-Tach with normal cardiac function FIRST line is now Procainamide or Sotalol Amiodrone and Lidocaine are exceptable but not preferred. If cardiac function is impaired Amidrone 150mg IV bolus or Lidocaine .5 to .75mg/kg. I would like to here some feed back on these changes this is the most dramatic changes I have seen to ACLS in quit awhile and will most definitely affect EMS care. The initiation of Amiodrone to the ACLS guidelines will effect quit a few services just do to the price of it alone. > > Frieze><> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2000 Report Share Posted August 30, 2000 I hope to recall this accurately. New AHA ECC guidelines from Channing-Bete 1- are $20 on hard copy or disk... Paper delivery is prompt, disks will be out in mid-September. AHA says their product will be out in a month or so and cost $24 for paper... Or the August 22nd edition of Circulation, but AHA won't even sell it to you. They do have it online and in PDF format including the algorithms (jpeg) if you know someone with the special handshake to their site! Yes Tim, there are details about bi-phasic defib... but I haven't read it yet. I am still trying to digest the " Class Indeterminate " . [texasems-L] New ACLS guidelines | -------------------------- eGroups Sponsor -------------------------~-~> | Get Your Computer Info Right From The Source - PC World! | http://click./1/8238/9/_/4981/_/967677902/ | ------------------------------------------------------------------ --> | | I just got a copy of the new guidelines for ACLS there are some pretty interesting changes. Amiodrone is now considered a class IIb and is recommended as a FIRST line antiarrhythmic instead of Lidocaine in shock refractory V-Fib and pulsless V-Tach. It is also stated that Vasopressin may be more effective pressor agent than Epinephrine for promoting the return of spontaneous circulation. The algorhythm for cardiac arrest has Epi. 1mg q every 3-5 minutes OR Vasopressin 40 U IV single dose. ( I don't know if Epi can or should be given after the dose of Vassopressin if circulation does not return) Studies have shown that cardiac arrest survivors who received high dose Epi. have more post resuscitation complications then those who received the standard dose therefore high dose Epi. is no longer recommended do to the potential harm. In Monomorphic V-Tach with normal cardiac function FIRST line is now Procainamide or Sotalol Amiodrone and Lidocaine are exceptable but not preferred. If cardiac function is impaired Amidrone 150mg IV bolus or Lidocaine ..5 to .75mg/kg. I would like to here some feed back on these changes this is the most dramatic changes I have seen to ACLS in quit awhile and will most definitely affect EMS care. The initiation of Amiodrone to the ACLS guidelines will effect quit a few services just do to the price of it alone. | | Frieze><> | | | | Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2000 Report Share Posted September 1, 2000 : Where can we get a copy of the new ACLS guidelines? Searching the AHA home page didn't do any good. Thanks for the help. Steve Lemming Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 2, 2000 Report Share Posted September 2, 2000 Good advice from a wise physician.... Thanks ! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 2, 2000 Report Share Posted September 2, 2000 So, if we have ACLS classes before December, we should stick to what we've been doing? Gene G. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 2, 2000 Report Share Posted September 2, 2000 A little word to the wise... Do not put all your faith in the new ACLS guidelines. The ACLS Manual will be published in December. It is not at all uncommon for the ACLS Guidelines as published in " Circulation " to change or deviate when the ACLS Manual is published. They have done this each year and sometimes the changes are significant. I would not change protocols or practice patterns until I see the ACLS manual in December. Otherwise, your personnel may have to re-learn algorithms and such when the ACLS Manual is published. Bledsoe, DO Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 3, 2000 Report Share Posted September 3, 2000 AEMT will be holding classes for AHA instructors to help all who need the updates for BLS, PALS, and ACLS. In San call 805-9102. Outside S.A. call and ask for at ext. 211 for details. Jessie RE: [texasems-L] New ACLS guidelines My Groups | Main Page | Start a new group! : Where can we get a copy of the new ACLS guidelines? Searching the AHA home page didn't do any good. Thanks for the help. Steve Lemming Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 3, 2000 Report Share Posted September 3, 2000 Yes. Rodney F. Re: [texasems-L] New ACLS guidelines So, if we have ACLS classes before December, we should stick to what we've been doing? Gene G. Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.