ACLS constitutes foundational knowledge for EMS clinicians and anyone else managing patients with life threatening cardiovascular emergencies. That being said, its actual application is more limited than most people realize. ACLS provides great guidance for managing cardiac complaints that have a purely cardiac etiology. What if the bradycardia your patient is experiencing isn’t from a primary conduction system problem? What do I do if the unstable tachycardia won’t respond to chemical and electrical cardioversion? This presentation will provide various case scenarios for discussion where traditional ACLS won’t help (and could worsen) the patient’s outcomes. After the presentation, learners will be able to think more critically about management of cardiac dysrhythmias when approaching them in the future.
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1. Utilizing history/physical exam findings to determine the cause of cardiac dysrhythmia.
2. Identify common causes of tachy and brady dysrhythmias.
3. Implement non-ACLS treatments for these common causes of dysrhythmia.
4. Describe scenarios where tachy/brady dysrhythmias are often caused by an issue beyond primary cardiac illness.