What are the main focuses of ACLS and PALS classes despite the new 2015 guidelines and recommendations provided by the American Heart Association (AHA)?

About Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) Classes

As some of the AHA guidelines and recommendations have recently changed and been updated (i.e., in Basic Life Support, Advanced Cardiac Life Support and Pediatric Advanced Life Support), it should be noted that our exceptional PDRE instructors strive to always teach the most important concepts which advanced healthcare providers require in order to be competent and constantly ready just in case advanced cardiac life support is ever needed and necessary, especially while basic life support is being provided to a patient in cardiac and/or respiratory arrest. There have been numerous updated key issues and major changes as per the 2015 AHA guidelines and recommendations highlighting topics in vasopressor use during resuscitation, antiarrhythmic medications for shock-refractory VF or Pulseless VT, end-tidal carbon dioxide for determining the end of resuscitation attempts, atropine for endotracheal intubation, the use of extracorporeal CPR as an alternative to the standard CPR, post-cardiac arrest drug therapy, post-cardiac arrest fluids and inotropes, post-cardiac arrest PaO2 and PaCO2, coronary angiography, targeted temperature management, hemodynamic goals after resuscitation, prognostication after cardiac arrest, organ donation, pre-hospital ECG acquisition and interpretation, reperfusion techniques, cardiac enzyme(s) to identify patients who can be safely discharged from the emergency department, opioid overdose education and naloxone training and distribution, opioid overdose treatment, intravenous lipid emulsion, and cardiac arrest in pregnancy.

However, the fundamental foundation of all advanced CPR courses during respiratory and/or cardiac arrest in either adults or pediatric patients is, first and foremost, to ensure continuous and effective clinical acumen and psychomotor skills to evaluative, identify, and intervene.

Evaluation

Evaluation requires determination of an adult, child, or infant’s medical condition through cognitive knowledge by recognition and management of respiratory and/or circulatory emergencies, identification and treatment of rhythm disturbances, proper and up-to-date medication administration, and a thorough understanding of ACLS or PALS algorithms; systemic approach via an initial impression, primary/secondary assessments, and targeted diagnostic tests to rule out the etiology of the arrest; high-quality CPR that is determined by the prompt recognition of cardiac arrest, adequate compression and/or ventilation technique, and easy integration with advanced cardiac life support interventions; and finally, effective team dynamics through teamwork and communication by understanding all of the roles and potentially acting as a team leader in the Megacode resuscitation team.

Identification

Identification actually compels the advanced healthcare provider to detect early recognition and management of respiratory and circulatory emergencies, including respiratory distress, respiratory arrest/failure, or cardiac arrest and shock.

Intervention

Intervention is the last piece of the puzzle that encompasses all of the advanced CPR courses because it essentially ties in the clinical knowledge and psychomotor aptitudes in order to manage and treat many of the respiratory and/or cardiac cases in patients of all ages. However, it is also important to point out that although ACLS or PALS interventions are critical, there is no substitute for prompt and high-quality CPR and AED proficiencies since advanced evaluation, identification, and intervention are unlikely to be helpful in resuscitating someone in cardiopulmonary arrest without timely and superior basic life support.

What do we mean when we say prompt and high-quality CPR?

This means that there should be an initiation of CPR within seconds of recognizing cardiac arrest, and then following this up with high-quality compression techniques using the most adequate, up-to-date, and recommended compression rate, depth, and chest recoil while minimizing interruptions in addition to making the chest visibly rise during ventilation without also giving excessive aeration. Yes, it is very important to know advanced psychomotor skills like electrical therapy administration, airway management, intraosseous access, fluid medication delivery, and effective communication skills but it is more and more vital to really focus on the quality of compressions in that it is the central groundwork that advanced cardiac life support in adults and pediatric patients rely on for resuscitation and/or stabilization during respiratory arrest/failure or cardiac arrest and shock.  More often than not, it is the lack of prompt and high-quality CPR that decreases the survival rate of patients in cardiopulmonary arrest, even if advanced cardiac life support is started and employed.

In essence, the efficiency and success of advanced cardiac life support truly depends on basic CPR understanding, resourceful psychomotor skills, and the proper use of an AED even before the arrival of the “Code Team” or other advanced healthcare providers who may help in the resuscitation efforts in a patient who has cardiopulmonary arrest.

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Our AHA ACLS instructor, Dr. Nuqui, was very knowledgeable, experienced, supportive, and entertaining. Most of all, I really appreciated how well organized and engaging the initial provider course was conducted in a pleasant and comfortable learning environment. Not only was the training site facility brand-new but everything from the student materials, training AEDs, intubation equipment and manikins were up-to-date and in excellent condition.

William, MD

I was very impressed with how professional and enjoyable my ACLS and PALS renewal classes were at Palm Desert Resuscitation Education! As an emergency medicine registered nurse working at Desert Regional Medical Center in Palm Springs, I wanted to be educated with the most commonly seen cardiac arrhythmias and their treatment but also needed classes that were attention grabbing and fun. Palm Desert Resuscitation Education instructors definitely kept my attention during the lengthy courses by having a balanced sense of humor, pertinent and brilliant instructions, and excellent case scenario discussions.

Rickey, RN

I highly recommend this training facility as your go-to CPR certification site for your healthcare job because Dr. Nuqui is not only passionate about saving lives but is awesome when it comes to teaching you the proper techniques of resuscitation including compressions, airway management, and defibrillator use. He shares his medical and teaching experiences while making you feel relaxed, stimulated, and well informed with the current AHA guidelines. He taught me exactly what I needed to know to be ready when cardiac arrest happens.

Ashley, LVN
During my Basic Life Support (BLS) class, I was given all of the necessary skills to be confident and not be afraid if ever one of my patients or family members collapses due to a heart condition, such as a heart attack. PDRE’s instructors and staff provide a very friendly, informative, humorous, interesting, and stress-free class that makes me want to personally refer all of my friends and family to do their CPR training at PDRE. Do not hesitate to try the best American Heart Association courses in the Desert Cities!
Karina, medical assistant and phlebotomist
As an elementary teacher who needed to be responsible for many students, I wanted to learn first aid basics and CPR in case I encounter a time when one of my students may either be choking, bleeding, seizes, faints, breaks a bone, sprains a muscle, becomes allergic, passes out, and experiences other first aid emergencies. Palm Desert Resuscitation Education’s first aid basics and CPR classroom course, which were held in our elementary school, was the perfect out-of-site learning setting to practice first aid basics and CPR for medical and injury emergencies. All of the staff and school employees are truly thankful and now self-assured to be able to provide possible practical first aid basics and CPR to our students, associates, friends or relatives. From my experience, Palm Desert Resuscitation Education quite honestly has the greatest, most efficient and personable instructors teaching top-of-the-line healthcare certification courses.
Gary, elementary teacher
Dr. Nuqui and his staff were truly amazing when I needed my BLS certification for my personal training business. He was very efficient and thorough with all of the course content and materials including the new guideline changes so that we are all up-to-date when it comes to performing effective CPR and step-by-step use of an AED. It was very easy to listen to him because he is not only a great instructor but is outgoing and personable. He really made the class enjoyable and easy to understand. I would definitely go back here for my BLS recertification.
Roel, personal trainer
Being a member of an exclusive golf club in the Palm Springs area, I was surprised by how much I learned in adult CPR and AED use, first aid basics, medical emergencies, injury emergencies, and environmental emergencies during an exciting and educational course held by Dr. Nuqui and other instructors in our private Club House. You never know when someone needs help, especially when we are out in the golf course, and those minutes before the first responders get to our location can be vital. Thus, those important medical techniques that Dr. Nuqui presented to us clearly could possibly save one of our participant’s lives. I now feel very comfortable that our golf club members were trained the proper way and can respond to almost any medical emergency.
Pat, General Manager
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