Talk:Advanced cardiac life support

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Revision as of 13:05, 12 April 2009 by imported>Howard C. Berkowitz
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 Definition The use of methods and equipment, beyond the level of cardiopulmonary resuscitation but less than surgical or interventional cardiology, to treat cardiopulmonary arrest. [d] [e]
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 Subgroup categories:  Cardiology and Emergency medicine
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I wonder if people who don't hear ACLS a lot read this title and think bypass

if I just read the title and didn't already know it meant the physician version of CPR (with drugs and defib etc), I think I might think it was referring to bypass. Tom Kelly 16:23, 12 April 2009 (UTC)

Now, in fairness, I do know what it means, and indeed we might want a higher-level article of cardiovascular interventions ranging from bystander CPR and AED, through BLS and ACLS, into emergent cardiac support through interventional radiology, CABG, LVAD/IABP and other ICU measures, etc. This would be a "see also" at the top.
It hadn't occurred to me that the two might be confused, but I'm open to the idea. Indeed, there's a level between the far end of ACLS even in an ER and especially in the field, and additional measures that might be taken by a cardiologist or emergency physician. For example, the 2005 AHA ACLS that comes to hand recognizes electrocardioversion in semi-stable tachycardia, but recommends calling an expert. My recollection is that there's a trend away from cardioversion and more toward adenosine.
Just as an example, I did start respiratory emergencies targeted at the emergency medicine level, but it could do with a similar spectrum ranging from the field to the ICU and definitive interventions. (rolls eyes at some of the arguments about different field airway techniques on some of my mailing lists)
I did revise the definition. Howard C. Berkowitz 18:03, 12 April 2009 (UTC)