Coding Patient

• Recent sternotomy within 10 days, prepare for CALS

• Always assess for epicardial pacing wires and functionality

• Always strip chest tubes to help relieve potential tamponade

• VA ECMO candidate? Call physician on call and notify ES ( 214-818-5951 )

• ACLS!

H's and T's: Can you fix a reversible cause?

Cardiac Advanced Life Support (CALS) Protocol

Patient w/ LVAD

• Can you decrease speeds by 200 RPMs and give volume to achieve flow?

• Concern for RV failure? Epi push or gtt to help facilitate flow right to left

• Notify HF attending

• Initiate ACLS, CALS, VA ECMO as necessary

• LVAD Quick Reference Guide

Patient w/ Impella

• Can you decrease the P level by 2 and give volume to achieve flow?

• Concern for RV failure? Epi push or gtt to help facilitate flow right to left

• Notify HF attending

• Initiate ACLS, CALS, VA ECMO as necessary

• Impella Troubleshooting Guide

Patient w/ IABP

• Notify HF attending

• Initiate ACLS, CALS, VA ECMO as necessary

• IABP Resources

AHA Protocols: ACLS, Tachycardia, Bradycardia

ECPR Inclusion/Exclusion Criteria

ECMO Resources