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ACLS Primary Survey

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Overview

The primary objective of the ACLS Primary Survey is to assess the airway, breathing, and circulation of the patient who is unresponsive or in cardiopulmonary distress.

Objectives

Recognize the need to proceed from the BLS Survey to more advanced management.

ACLS Survey

Introduction

This algorithm exercise makes some underlying assumptions before you start.

  1. The scene is safe and secured.
  2. Protective equipment is utilized.
  3. No sign of death is obvious

ACLS Survey

Advanced Airways

During the ACLS resuscitation, if bag-valve mask ventilation is inadequate, placement of an advanced airway, including a Combitube, LMA, or endotracheal intubation should be considered. Compressions should not be interrupted. Weigh the consideration of interruption of CPR against the benefit of an advanced airway, and consider waiting until patient has not responded to CPR and defibrillation.