Critical Care Training & Education - CPR Classes in San Diego

ACLS Course Outline

At the end of the course the student will be able to:

1. Understand the science behind the new 2010 ECC Guidelines for ACLS
2. Recognize the importance of maintaining high quality CPR throughout the resuscitation for ACLS to be effective
3. Perform high quality CPR using the key concepts of pushing hard, pushing fast and allowing the chest to fully recoil
4. Integrate the BLS primary survey and ACLS secondary survey
5. Use the appropriate algorithm to effectively manage a patient before, during, and immediately after cardiac arrest
6. Apply effective resuscitation team concepts which are:

Close loop communication, Clear messages, Clear roles and responsibilities, Knowing one’s limitations, Knowledge sharing, Constructive intervention, Reevalutaion and summaring, and Mutual respect

7. Recognize the signs and symptoms of the two most common causes of pre hospital emergencies which are Acute Coronary Syndromes and Stroke
8. Understand the use of technologies for intervention in the ACLS core cases which include the use of AED’s for defibrillation, manual defibrillation using monophasic and biphasic methods, cardioversion and transcutaneous pacing
9. Be familiar with advanced airway to manage respiratory arrest which include: the use of an esophageal-tracheal Combitube, the Laryngeal Mask airway, and the Endotracheal tube
10. Demonstrate proficiency in managing unconscious patients using the Head-Tilt Chin-Lift, placing an Oropharyngeal airway, or a Nasopharyngeal airway
11. Recognize and avoid hyperventilation when managing respiratory arrest
12. Be familiar with and understand the Intraosseous route of drug administration
13. Make a differential diagnosis by searching for, finding and treating reversible cause and contributing factors of non-shockable cardiac rhythms which are known as the H’s and T’s : Hypovolemia, Hypoxia, Hydrogen Ion (Acidosis), Hyper/Hypokalemia, Hypothermia, Hypoglycemia, Tablets, Tamponade, Tension Pneumothorax, Thrombosis in the heart and lungs
14. Recognize the two rhythms that are shockable which are Ventricular fibrillation and pulseless Ventricular Tachycardia
15. Recognize ST-segment elevation which suggests STEMI and intervene using the mnemonics MONA: Morphine, Oxygen, Nitroglycerine and Aspirin
16. Recognize symptomatic bradycardia, its signs and symptoms, causes, and treatment
17. Follow the ACLS Tachycardia algorithm to manage stable and unstable tachycardias
18. Be familiar with the use of the Cincinnati Stroke Scale and the Los Angeles Pre Hospital Stroke Screen (LAPPS Scale)
19. Demonstrate the team leader role in a Megacode

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Advanced Cardiac Life Support Recertification Course

ACLS Course Outline

At the end of the course the student will be able to:

1. Understand the science behind the new 2010 ECC Guidelines for ACLS
2. Recognize the importance of maintaining high quality CPR throughout the resuscitation for ACLS to be effective
3. Perform high quality CPR using the key concepts of pushing hard, pushing fast and allowing the chest to fully recoil
4. Integrate the BLS primary survey and ACLS secondary survey
5. Use the appropriate algorithm to effectively manage a patient before, during, and immediately after cardiac arrest
6. Apply effective resuscitation team concepts which are:

Close loop communication, Clear messages, Clear roles and responsibilities, Knowing one’s limitations, Knowledge sharing, Constructive intervention, Reevalutaion and summaring, and Mutual respect

7. Recognize the signs and symptoms of the two most common causes of pre hospital emergencies which are Acute Coronary Syndromes and Stroke
8. Understand the use of technologies for intervention in the ACLS core cases which include the use of AED’s for defibrillation, manual defibrillation using monophasic and biphasic methods, cardioversion and transcutaneous pacing
9. Be familiar with advanced airway to manage respiratory arrest which include: the use of an esophageal-tracheal Combitube, the Laryngeal Mask airway, and the Endotracheal tube
10. Demonstrate proficiency in managing unconscious patients using the Head-Tilt Chin-Lift, placing an Oropharyngeal airway, or a Nasopharyngeal airway
11. Recognize and avoid hyperventilation when managing respiratory arrest
12. Be familiar with and understand the Intraosseous route of drug administration
13. Make a differential diagnosis by searching for, finding and treating reversible cause and contributing factors of non-shockable cardiac rhythms which are known as the H’s and T’s : Hypovolemia, Hypoxia, Hydrogen Ion (Acidosis), Hyper/Hypokalemia, Hypothermia, Hypoglycemia, Tablets, Tamponade, Tension Pneumothorax, Thrombosis in the heart and lungs
14. Recognize the two rhythms that are shockable which are Ventricular fibrillation and pulseless Ventricular Tachycardia
15. Recognize ST-segment elevation which suggests STEMI and intervene using the mnemonics MONA: Morphine, Oxygen, Nitroglycerine and Aspirin
16. Recognize symptomatic bradycardia, its signs and symptoms, causes, and treatment
17. Follow the ACLS Tachycardia algorithm to manage stable and unstable tachycardias
18. Be familiar with the use of the Cincinnati Stroke Scale and the Los Angeles Pre Hospital Stroke Screen (LAPPS Scale)
19. Demonstrate the team leader role in a Megacode

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Basic ECG and Pharmacology ACLS/PALS Prep Course

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Basic First Aid & CPR

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Basic Life Support for Healthcare Providers

BLS Course Outline

Approximate Course Duration: 4 Hours 20 Minutes
(Student-Instructor Ratio 6:1,Student-Manikin Ratio 1:1)

Lesson	Course Event	Time Estimate (in minutes)
HCP 1	Course Introductuion	5
HCP 2	COR Basics for Adults	3
HCP 3	Chest Compressions	6
HCP 4	Cleaning the Manikin	4
HCP 5	Airway and Breathing	7
HCP 6	Breaths with Masks	7
HCP 7	Compressions and Breaths	5
HCP 8	Assessment	5
HCP 9	1-Rescuer CPR demo	2
HCP 10	Adult 1- Rescuer CPR Practice Session	11
HCP 11	Child CPR Sequence	3
HCP 12	Child 1- Rescuer CPR Practice Session	11
Part 1
HCP 13	Adult Rescue Breathing with Bag Mask	7
HCP 14	2-Rescuer CPR Demo	2
HCP 15	AED Introduction and AED Use	2
HCP 16	Using the AED Trainer	5
HCP 17	2-Rescuer CPR with AED Demo	5
HCP 18	2-Rescuer CPR with AED Practice and Skills Test Session	15
HCP 19	AED Special Situations and Safety	3
HCP 20	Advanced Airway and 2-Rescuer CPR	2
HCP 21	Advanced Airway and 2-Rescuer CPR Practice Session	8
HCP 22	Introduction to Infant CPR	1
HCP 23	Infant Chest Compressions	5
HCP 24	Infant 1-Rescuer CPR Demo	2
HCP 25	Infant 1-Rescuer CPR Practice Session	15
HCP 26	Infant Rescue Breathing with Bag Mask	5
HCP 27	2-Rescuer Infant CPR Demo	2
HCP 28	2-Rescuer Infant CPR Practice Session	10
HCP 29	1-and 2- Rescuer Infant CPR Skills Test	15
HCP 30	Adult/Child Choking (Responsive)	3
HCP 31	Adult /Child Choking (Unresponsive)	1
HCP 32	Infant Choking (Responsive)	6
HCP 33	Infant Choking (Unresponsive)	1
HCP 34	Special Considerations	7
HCP 35	Course Summary and Closure	1
HCP 36	Written Test	25
HCP 37	Adult/Child 1-Rescuer CPR Skills Test	25
HCP 38	Remediation

Neonatal Resuscitation Program Provider Course

NRP Course Outline

PRE-REQUISITE: All students are required to take the onine test before coming in for your skills check off.

Please review the link below from the AAP:

http://www2.aap.org/nrp/pdf/NRPexam.pdf

At the end of the course the learner will be able to:

1. Integrate the major changes in the 2020 AAP/AHA Emergency Cardiovascular Care Guidelines for NRP in their own clinical practice
2. Recognize that the most important concept in NRP is the ventilation of the neonates lungs
3. Follow the NRP algorithm using the primary and secondary assessment using the systematic ABCD method which are opening the Airway, checking for Breathing, Checking for circulation, and administration of Drugs
4. Recognize the difference between primary and secondary apnea
5. Use the Apgar score concept without waiting for the first minute and determine the need for immediate resuscitation
6. Identify newborns that are high risk and as such would need to be resuscitated at birth which are pre-term newborns, Intra Uterine Growth Retardation , Large for Gestational Age, Meconium stained, Repeat C-Sections, complicated deliveries
7. Understand the physiologic changes that occur during the labor, birth and transition period of the newborn
8. Know the similarities and differences between the flow inflating bag and self-inflating bag and T-piece resuscitators for ventilation
9. Decide if resuscitation needs to be initiated and provide the initial steps
10. Decide when to give positive pressure breathing
11. Evaluate the success of PPV
12. Decide when chest compressions need to be initiated
13. Coordinate chest compression with PPV
14. Decide when to stop chest compressions
15. Assist in Endotracheal intubation
16. List the indications for Endotracheal intubation
17. Determine correct placement of Endotracheal Tube
18. Recognize the Laryngeal Mask Airway as an alternative to ET tube placement
19. List medications used during resuscitation
20. Recognize alternatives to IV access for administration of medications during resuscitation i.e., Intraosseous route
21. List the indication, dosage, route of administration of Epinephrine
22. Recognize special situations that complicate resuscitation i.e., Pulmonary Hypertension, Pneumonia, Metabolic Acidosis, Hypotension, Seizures or Apnea, Hypoglycemia, Hypothermia
23. Recognize the importance of post-resuscitation management
24. Identify the special precautions needed to take after resuscitating a premature baby
25. Recognize the ethical principles associated with initiation and termination of neonatal resuscitation
26. Provide end of life care to the newborn and family when resuscitation attempts are unsuccessful

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Pediatric Advanced Life Support Certification Course

Pediatric Advanced Life Support (PALS)
Course Outline

At the end of the course the learner will be able to:

1. Understand the science behind the new 2010 ECC Guidelines pertaining to PALS
2. Recognize the danger of hyperventilation especially during resuscitation
3. Understand the essestial concepts of CPR i.e., pushing hard, pushing fast, and allowing the chest to fully recoil in infant and child 1 to 2 rescuer CPR
4. Perform child CPR and incorporate the use of an AED in a simulated pulseless arrest scenario
5. Demonstrate advanced airway skills within their scope of practice i.e., insertion of an Oropharyngeal and Nasopharyngeal Airway, Endotracheal Tube
6. Recognize proper placement of advanced airway adjuncts by physical examination and and use of a CO2 detection device
7. Demonstrate effective bag-mask ventilation
8. Demonstrate competency in rhythm identification
9. Identify the rhythms that require defibrillation i.e., Ventricular Fibrillation and pulseless Ventricular Tachycardia
10. Identify the rhythms that require synchronized cardioversion i.e., Supraventricular Tachycardia and Ventricular Tachycardia
11. Summarize securing an Intravenous access using an Intraosseous Device
12. Understand the systematic approach to pediatric assessment including the general primary, secondary and tertiary assessments
13. Use the Assess-Categorize-Decide-Act approach to decision making in the management of an injured or seriously ill child or infant
14. Recognize and manage a child and infant in respiratory distress or failure using the Pediatric Assessment approach flowchart in evaluating respiratory problems
15. Recognize and manage a child and infant in compensated or hypotensive shock using the Pediatric Assessment approach flowchart in evaluating shock and Septic shock algorithm
16. Recognize and manage a child with Bradycardias, Tachycardias, or cardiac arrest
17. List the components of effective team dynamics during resuscitation i.e., Closed Loop Communication, Clear Messages, Clear Roles and Responsibilities, Knowing one’s Limitations, Knowledge Sharing, Constructive Intervention, Reevaluation and Summarizing, Mutual Respect
18. Participate in a simulated megacode as a team leader and team member role i.e., Airway/Ventilator, Compressor, IV/IO access for medication administration, Monitor/Defibrillator, Recorder/Timer
19. Summarize the links in the Pediatric Chain of Survival i.e., Prevention of Injuries, Early CPR, Activation of EMS, and Advanced Care
20. Apply the use of a length-based/color-coded resuscitation tape in a simulated scenario
21. List the appropriate drugs during CPR for treatment of pulseless arrest rhythms i.e., VF and pulseless VT, Asystole and Pulseless Electrical Activity
22. Classify and manage arrythmias with a pulse i.e., Bradycardias: sinus origin, atrio-ventricular blocks , Tachycardias: sinus, Supraventricular , and ventricular origins
23. List the appropriate drugs to treat tachycardias i.e., Adenosine, Amiodarone, Lidocaine, Procainamide,, and Sodium Bicarb
24. Categorize respiratory emergencies by severity i.e., respiratory distress versus respiratory failure
25. Categorize respiratory problems by type i.e., Upper airway obstruction, Lower airway obstruction, Lung tissue disease, Disordered control of breathing
26. List the appropriate drugs for managing respiratory emergencies i.e., Albuterol, Corticosteroids, Diphenhydramine, Epi, Ipratromium Bromide, Magnesium Sulfate, Oxygen, and Terbutaline
27. Categorize shock by severity i.e., Compensated and Hypotensive
28. Categorize shock by type i.e., Hypovolemic, Distributive, Cardiogenic, and Obstructive.

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Pediatric Advanced Life Support Recertification Course

Pediatric Advanced Life Support (PALS)
Course Outline

At the end of the course the learner will be able to:

1. Understand the science behind the new 2010 ECC Guidelines pertaining to PALS
2. Recognize the danger of hyperventilation especially during resuscitation
3. Understand the essestial concepts of CPR i.e., pushing hard, pushing fast, and allowing the chest to fully recoil in infant and child 1 to 2 rescuer CPR
4. Perform child CPR and incorporate the use of an AED in a simulated pulseless arrest scenario
5. Demonstrate advanced airway skills within their scope of practice i.e., insertion of an Oropharyngeal and Nasopharyngeal Airway, Endotracheal Tube
6. Recognize proper placement of advanced airway adjuncts by physical examination and and use of a CO2 detection device
7. Demonstrate effective bag-mask ventilation
8. Demonstrate competency in rhythm identification
9. Identify the rhythms that require defibrillation i.e., Ventricular Fibrillation and pulseless Ventricular Tachycardia
10. Identify the rhythms that require synchronized cardioversion i.e., Supraventricular Tachycardia and Ventricular Tachycardia
11. Summarize securing an Intravenous access using an Intraosseous Device
12. Understand the systematic approach to pediatric assessment including the general primary, secondary and tertiary assessments
13. Use the Assess-Categorize-Decide-Act approach to decision making in the management of an injured or seriously ill child or infant
14. Recognize and manage a child and infant in respiratory distress or failure using the Pediatric Assessment approach flowchart in evaluating respiratory problems
15. Recognize and manage a child and infant in compensated or hypotensive shock using the Pediatric Assessment approach flowchart in evaluating shock and Septic shock algorithm
16. Recognize and manage a child with Bradycardias, Tachycardias, or cardiac arrest
17. List the components of effective team dynamics during resuscitation i.e., Closed Loop Communication, Clear Messages, Clear Roles and Responsibilities, Knowing one’s Limitations, Knowledge Sharing, Constructive Intervention, Reevaluation and Summarizing, Mutual Respect
18. Participate in a simulated megacode as a team leader and team member role i.e., Airway/Ventilator, Compressor, IV/IO access for medication administration, Monitor/Defibrillator, Recorder/Timer
19. Summarize the links in the Pediatric Chain of Survival i.e., Prevention of Injuries, Early CPR, Activation of EMS, and Advanced Care
20. Apply the use of a length-based/color-coded resuscitation tape in a simulated scenario
21. List the appropriate drugs during CPR for treatment of pulseless arrest rhythms i.e., VF and pulseless VT, Asystole and Pulseless Electrical Activity
22. Classify and manage arrythmias with a pulse i.e., Bradycardias: sinus origin, atrio-ventricular blocks , Tachycardias: sinus, Supraventricular , and ventricular origins
23. List the appropriate drugs to treat tachycardias i.e., Adenosine, Amiodarone, Lidocaine, Procainamide,, and Sodium Bicarb
24. Categorize respiratory emergencies by severity i.e., respiratory distress versus respiratory failure
25. Categorize respiratory problems by type i.e., Upper airway obstruction, Lower airway obstruction, Lung tissue disease, Disordered control of breathing
26. List the appropriate drugs for managing respiratory emergencies i.e., Albuterol, Corticosteroids, Diphenhydramine, Epi, Ipratromium Bromide, Magnesium Sulfate, Oxygen, and Terbutaline
27. Categorize shock by severity i.e., Compensated and Hypotensive
28. Categorize shock by type i.e., Hypovolemic, Distributive, Cardiogenic, and Obstructive.

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