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5 Critical Pulse Points: Circulation Assessment in Unstable Patients
5 Key Signals: Decoding General Impression and Mental Status in Sports Emergencies
6 Crucial Breath Checks: Navigating Airway and Breathing Challenges in Sports Injuries
AED Usage and Special Considerations
Advanced Cardiac Life Support (ACLS)
Airway Management of the Equipment-Laden Athlete
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Airway Assessment and Management
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Artificial Ventilation Techniques
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Case Report Reviews: EAP Gaps Revealed in Sudden Cardiac Arrest (SCA) in Athletics
Critical Checks: Overlooking Nothing in Vital Signs Assessment
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Critical Decision Points 2.0: Interactive Case on Managing A Referee In Cardiac Arrest
Critical Decision Points 2.0: Interactive Case on Managing A Swimmer Drowning
Critical Decision Points 2.0: Interactive Case in Managing Uncontrolled Bleeding In A Baseball Player
Critical Decision Points 2.0: Navigating Initial Presentations of Generalized Abdominal Pain and Altered Mental Status
Clinical Decision-Making and Ongoing Assessment
Critical Decision Points 2.0: Navigating Initial Presentations of Head Pain and Chest Pain in Athletes
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Follow-up Considerations In The Aftermath Of An Athlete Psychiatric Emergency and Return-To-Play
Fundamentals of Ventilation and Respiration
Hand It Over: Giving Report To EMS In A Clear, Concise Manner
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On the Field, Across the World: Emergency Care for Traveling Sports Teams
On Your Mark, Get Set, Respond: Emergency Preparedness for Large-Scale Track & Field Meets
Oxygen Handling and Delivery
Patient Re-evaluation and Efficient Handoff Reporting to EMS
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Respiratory Conditions and Underlying Mechanisms
Respiratory Medications and Diverse Populations
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Shock and Compensatory Mechanisms
Shock Waves: Quick Dive Into Understanding Decompensation and Shock
Sideline Concussion Management: What's Going On In That Tent?
Sports Emergency Preparedness for Equestrian Competitions
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The Medical TimeOut
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Understanding The Respiratory System and Assessment
Understanding Psychiatric Emergencies in Athletic Settings
What Is An Organization's Responsibility For Establishing Scope of Practice for Coaches and Healthcare Providers?
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Advanced Cardiac Life Support (ACLS)
General Course Information
Course Info (BOC Domains of Athletic Training; Presentation Description; Learning Objectives; Clinical Practice Gap Statement; Clinical Bottom Line; Summary Conclusions)
About the Presenters
Continuing Education Credits / Course Disclaimers and Conflicts of Interest / Refund Policy
Learning Material
48:00
48:00
Presentation (Video)
Completed
Complete
Advanced Cardiac Life Support (ACLS)
›
Learning Material
Presentation (Video)
Updated Jan 22, 2024
Bookmarks
00:11
Steve Hilton is a firefighter engineer, also paramedic for the city of Cambridge, Ohio. He's a former EMS instructor and currently serves as EMS coordinator for his department. He is an American Heart Association of Basic Life Support ACLS and p PALS instructor.
04:06
AEDs have been able to cardiovert. I thought, wouldn't it be nice if we could have an app on our phone that could detect ventricular fibrillation and shock it. So maybe in the near future, the next 5 or 10 years, you'll see a cell phone defibrillator.
07:27
Early on in his career, we used to get called all the time for someone having a seizure, and we would get there and that patient will be in complete arrest. So I shocked the guy one time, and he immediately woke up. And his response to me was, so that's what it feels like to have a heart attack. And my response back to him was because I was so shocked.
10:31
AJ: Logistics and benchmarks are probably the most important part when it comes to to ACLS. AHA says they want at least 60%, preferably 80% in order for to have survivability of your victim. We don't move the victim until we've got everything done for the most part.
13:45
In Ohio, if we put an advanced airway in anyone, we have to attach capnography. Capnography can do a few things. It's kind of an indirect number or indication of our cardiac output.
16:46
Crazy crazy thing that happened. And I got there, and, of course, we started CPR on him. But because he's a little cross country guy, He wasn't very big. He literally probably had the body mass of a ten year old. And what we found was that CPR device kept moving around on his chest, and we kept have and so I I moved it once after the second time.
19:57
Early CPR, immediate defibrillation, establish an IV or IO. 20% of cardiac arrest outside of the hospital have PEA as their initial rhythm. Most common causes are hypoglycemia and hypoxia.
23:01
The goal is to fix the simple and fastest first. Nonchocable rhythms. Under your keys, a couple that we can fix right away.
26:09
Every one of these people here is under the age of twenty four. They range it range anywhere from 13 to 24. Powell tells us that roughly 15% of pediatric cardiac arrest are cardiac related.
29:20
The goal is just to get them back. The goal is to have them functional as they were before once we do. So targeted temperature management or induced hypothermia, they say that's the only treatment post arrest that's shown to improve neurologic outcomes.
32:23
I don't know if that's something that you guys get to do very often or even get to see, but understanding that if we don't have something to work with and we get there such as V fib or V TAC, then everything else probably is gonna be a tougher road to hoe trying to get people back when they're an asy sleep or PEA. We're gonna give them a 100%, but that'sSomething all those things are things that need to be considered. And and I you know, even in my career, I feel like our basic EMTs and every basic E MT should go through an ACLS class.
35:36
It's just another tool to measure the effectiveness of what you're doing. If I'm looking at my waveform capography and I'm less than 10, that tells me immediately something's wrong.
39:10
The quicker I can accomplish all my goals and get the benchmarks met, then we can move them. As long as we can continue high quality CPR when we do so. If you're not doing any CPR during that time, then you might as well not Google it all.
42:28
The theory is that the COVID has basically invaded their nerves and is now causing their periphery to not quite clamp down like it should. So it's causing posture or orthostasis, so they may pass out, but they may have persistent tachycardia. You can treat it somewhat effectively with good compression stockings, but you have to wear them up to the groin.
45:59
I think you've seen some of it now with a 14 point cardiac exam, president of college, athletics requires that some some uni some at this high school level started to get that. I think we're gonna continue to see more of that. And I think the unfortunate side the fortunate but unfortunate side of it are cases like, you know, Demar Hamlin.
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