Coding Patient

  • Recent sternotomy within 10 days, prepare for CALS

  • Always assess for epicardial pacing wires and functionality

  • Always strip chest tubes to help relieve potential tamponade

  • VA ECMO candidate? Call physician on call and notify ES ( 214-818-5951 )

  • ACLS!

H's and T's: Can you fix a reversible cause?

Cardiac Advanced Life Support (CALS) Protocol

Shocks delivered at 150J

Patient w/ LVAD

  • Can you decrease speeds by 200 RPMs and give volume to achieve flow?

  • Concern for RV failure? Epi push or gtt to help facilitate flow right to left

  • Notify HF attending

  • Initiate ACLS, CALS, VA ECMO as necessary

  • LVAD Quick Reference Guide

Patient w/ Impella

  • Can you decrease the P level by 2 and give volume to achieve flow?

  • Concern for RV failure? Epi push or gtt to help facilitate flow right to left

  • Notify HF attending

  • Initiate ACLS, CALS, VA ECMO as necessary

  • Impella Troubleshooting Guide

Patient w/ IABP

  • Notify HF attending

  • Initiate ACLS, CALS, VA ECMO as necessary

  • IABP Resources

AHA Protocols: ACLS, Tachycardia, Bradycardia

ECPR Inclusion/Exclusion Criteria

ECPR Criteria.pdf