ACLS-U
2A
0:00
ACLS Science Overview
Resources
25:00
Large group, all students
• AV equipment
• ACLS Science Overview video
Your Role
Student Role
• Introduce video on overview of science
• Show video
• Answer questions and encourage discussion
• Watch the video
• Participate in a discussion
about ACLS science
Student Objectives
Reference
• Understand ACLS science
ACLS Provider Manual Part 5
ECC Handbook, pocket reference cards, or crash cart cards
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ACLS-U
3A
0:00
BLS and ACLS Surveys
Resources
20:00
Large group, all students
• BLS and ACLS Surveys video
• AV equipment
Student Role
• Watch the video
• Participate in discussion
Your Role
• Introduce video on the BLS and ACLS Surveys
• Show video
• Answer questions (use table on the next Lesson Map)
• Have students follow along in their ACLS Provider Manuals
Student Objectives
• Describe the BLS and ACLS
Surveys and critical interventions
• Describe specific assessment
and management of each step of
the systematic ACLS approach
• Describe how this approach can
be applied to almost all cardiopulmonary emergencies
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Reference
ACLS Provider Manual Part 2
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ACLS-U
BLS and ACLS Surveys
3B
Review
Answer students’ questions. Use the table below to guide your answers.
Review the new steps of the BLS Survey.
BLS Survey
ACLS Survey
1
Check for responsiveness
• Tap and shout, “Are you all right?”
• Scan the chest for movement
A
Airway
• Maintain airway patency by using OPA or NPA or an advanced
airway (supraglottic airway or endotracheal tube)
• If inserting an advanced airway such as an endotracheal tube, verify
correct placement with waveform capnography
2
Activate the emergency response system/get the AED
B
Breathing
• Give O2, use bag-mask with or without an advanced airway to
provide adequate ventilation
• Avoid excessive ventilation
3
Circulation
• Check carotid pulse (5-10 seconds)
• If no pulse, start chest compressions immediately
• Push hard, push fast
• Allow complete chest recoil between compressions
• Minimize interruptions in compressions (10 seconds or less)
• Switch providers about every 2 minutes
• Avoid excessive ventilation
C
Circulation
• Attach leads and monitor
• Obtain IV/IO access
• Give appropriate drugs
• Monitor CPR quality with waveform capnography and intra-arterial
relaxation pressure
4
Defibrillation
• Attach AED/defibrillator, analyze, and defibrillate if needed
D
Differential diagnosis
• Search for and treat reversible causes
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ACLS-U
4A
0:00
Testing Station:
Management of
Respiratory Arrest
Resources
• AV equipment (optional)
• Airway Management video (optional)
• Airway manikin
• OPAs, NPAs, bag-masks
• Case Scenarios (in Appendix A
of ACLS Instructor Manual or on
Instructor CD)
• Management of Respiratory Arrest
Bag-Mask Ventilation Testing
Checklist
Student Role
4
5
30:00
6 students, 1 instructor
Your Role
• Show Airway Management video (optional)
• Present cases
• Each student manages a complete airway case
• Test students on bag-mask ventilation for 1 minute
• Watch the video (optional)
• Demonstrate bag-mask ventilation
Student Objectives
• Demonstrate insertion of NPA or OPA
• Demonstrate oxygen delivery and
effective bag-mask ventilation
• Demonstrate effective management
of a simulated respiratory arrest
case, including a bag-mask ventilation skills test
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Reference
ACLS Instructor Manual/CD
ACLS Provider Manual Part 5
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ACLS-U
4B
Testing Station:
Management of Respiratory Arrest
Student Testing Details
Testing Session
• Present airway case
• Each student practices through the airway case (respiratory arrest with a pulse).
Student must — Perform full assessment, activate the emergency response system, and do a pulse check
— Begin ventilations without delay
— Insert NPA or OPA
— Connect bag-mask to oxygen and adjust flow rate to appropriate level
— Give bag-mask ventilations for 1 minute (skills test)
• Critique by using the Skills Station Checklist from ACLS Provider Manual or Instructor
Manual/CD
• Check off student’s Skills Station Checklist after each student demonstrates adequate
management of the airway case (Case Scenarios can be found in Appendix A of
ACLS Instructor Manual or on Instructor CD)
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ACLS-U
5A
0:00
CPR and AED Testing
Resources
• Adult manikins (at least 2)
• Pocket masks (1 per manikin)
• One-way valves (1 per student)
• AED trainers (2)
• AV equipment (optional)
• CPR and AED Skills video (optional)
• CPR and AED Testing Checklist
• Stopwatch
• Step stools
5
4
30:00
6 students, 1 instructor
Your Role
• Show CPR and AED Skills video (optional)
• Conduct CPR and AED competency testing
— Additional details about CPR competency testing are
included in the next Update Lesson Map
Student Role
• Rotate through the testing station for
1-rescuer adult CPR and AED skills
Student Objectives
• Demonstrate competency in
1-rescuer adult CPR and AED skills
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Reference
ACLS Instructor Manual/CD
ACLS Provider Manual Part 5
ECC Handbook, pocket reference cards, or crash cart cards
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ACLS-U
5B
Testing Station:
CPR and AED Testing
Testing Details
Test students one at a time
• Students not testing should practice on another manikin
• Test each student in a reasonably private environment
— Each student must demonstrate entire sequence of 1-rescuer CPR and AED (with pocket mask)
without instructor prompting
— Fill out the CPR and AED Testing Checklist for each student
• Carefully observe the student being tested
• If a student is unsuccessful, refer him or her for immediate remediation
— Each student may retest 1 additional time during this station
— If a student remains unsuccessful, refer for remediation at the end of the course
• Summarize the importance of high-quality CPR to patient survival
Describe the following testing scenario:
“This is a test of the 1-rescuer adult CPR and AED skills. The scene is safe and you are wearing protective
gloves. A man has collapsed in front of you, and there is no risk of a head or spinal cord injury. You are the
only healthcare provider on the scene. The emergency plan at the site is to activate the emergency response
system. You have a pocket mask, and an AED is available. No one else knows how to use the AED.”
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ACLS-U
7A
0:00
Putting It All Together
Resources
• AV equipment
• Megacode video
• Code cart or code kit
• Algorithms
• Monitor/manual defibrillator and
simulator
• Manikins for CPR and intubation/
ventilation
• Stopwatch and countdown timer
• Megacode Case Scenarios (in
Appendix A of ACLS Instructor
Manual or on Instructor CD)
• Step stools
85:00
2 stations of 6 students each,
1 instructor per station
Your Role
• Review team roles, responsibilities, and assignments for each
case (see Lesson Map 11D)
• Present a Megacode practice case for each student to manage
(see Lesson Map 11C)
• Students may use ECC Handbook, pocket reference cards,
or crash cart cards
• Perform structured debriefing
Student Role
• Practice as team leader for a
complete Megacode case
Student Objectives
• Demonstrate team leader role for a
complete Megacode case
• Clarify team roles and responsibilities
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Reference
ACLS Instructor Manual/CD
ACLS Provider Manual Parts 1-5
ECC Handbook, pocket reference cards, or crash cart cards
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ACLS-U
T6
0:00
Written Test
30:00
Resources
Your Role
• Written tests
• Answer sheets
• Answer key
• Annotated answer key
• Distribute the written test
• Proctor the test
• Collect and score each test
• Review the answers with the students
• Additional information about the written examination can be
found on Lesson Map T7
Student Role
• Take the written test
Student Objectives
• Successfully complete the
written test with a score of
84% or higher
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Reference
ACLS Instructor Manual/CD
ACLS Provider Manual Parts 1-5
ACLS 77
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