Editing Advanced cardiac life support (section)

== Scope ==
ACLS algorithms include multiple, simultaneous treatment recommendations.  Some ACLS providers may be required to strictly adhere to these guidelines, however physicians may generally deviate to pursue different evidence-based treatment, especially if they are addressing an underlying cause of the arrest and/or unique aspects of a patient's care. ACLS algorithms are complex but the table, below, demonstrates common aspects of ACLS care.<ref name=":0">{{Cite web|title=Part 3: Adult Basic and Advanced Life Support|url=https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/adult-basic-and-advanced-life-support|access-date=2022-01-25|website=cpr.heart.org|language=en}}</ref> 
{| class="wikitable"
|+
!ACLS Component
!Possible Interventions
!Goals of care
|-
|Rhythm diagnosis
|EKG, clinical exam
|Diagnosis of malignant arrhythmia. 
|-
|CPR
|[[Cardiopulmonary resuscitation|Chest Compressions]], [[LUCAS device|mechanical CPR]]
|Perfusion of blood before [[Return of spontaneous circulation|ROSC]] is achieved. Note: chest compressions are not different in ACLS vs BLS, but continue to be a fundamental part of cardiac arrest care even when ACLS is being executed.
|-
|Electrotherapy
|Mono- or biphasic [[defibrillation]], double sequential defibrillation, [[transvenous pacing]], [[transcutaneous pacing]]
|Termination of shockable rhythms. Note: not all cardiac arrest rhythms can be treated with defibrillation.
|-
|Airway Management
|[[Tracheal intubation|Endotracheal intubation]], [[Airway management|supraglottic airway]] placement, [[Cricothyrotomy]], [[Capnography|waveform capnography]], tracheal suctioning, [[Nasopharyngeal airway|naso]]- or [[Oropharyngeal airway|oropharygeal airway]] placement
|Cleat and protect the airway to allow for adequate ventilation.
|-
|Ventillation
|[[Bag valve mask|Bag-valve-mask]], [[ventilator]] management, [[oxygen therapy]]
|Ventilate the lungs to allow for subsequent oxygenation of the blood.
|-
|Medications
|[[Adrenaline|Epinephrine]], [[norepinephrine]], [[vasopressin]], [[atropine]], [[amiodarone]], [[lidocaine]], [[procainamide]], [[sotalol]], [[Salbutamol|albuterol]], [[calcium chloride]], [[Magnesium chloride|magnesium]], [[Fluid replacement|crystalloid fluids]], [[Intraosseous infusion|intraosseous access]]
|Stabilizes arrhythmia, promote ROSC and increase perfusion.
|-
|Specialized Resuscitation Techniques
|[[Echocardiography]], [[Transesophageal echocardiogram|TEE]], [[Percutaneous coronary intervention|PCI]], [[Extracorporeal membrane oxygenation|ECMO]], [[Targeted temperature management|TTM]], [[Central venous catheter|central venous access]]
|Identification of underlying cause of cardiac arrest, augmentation of perfusion and/or treatment of [[Post-Cardiac Arrest Syndrome|PCAS]].
|}

<!-- Deleted image removed: [[File:ACLSalgorithm.png|border|none|thumb|237x237px|Example ACLS algorithm]] -->