2017 Advances Cardiac Life Support (ACLS) Shock 
The Skeptics' Guide to EM
DECEMBER 7, 2018
A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation. He is unsuccessfully shocked. Background: The AHA has five steps in the Chain-of-Survival for out-of-hospital cardiac arrest (OHCA). It demonstrated better ROSC with ACLS but not better survival to hospital discharge ( SGEM#189 ).
EMDocs
APRIL 22, 2024
Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). However, as shock resolved and hemodynamic stability improved, RV strain and underfilling of the LV remained apparent 30 minutes after ROSC (Vid 4).
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