Advanced Life Support (ALS)
In spite of active research, the effectiveness of ALS care compared to BLS has been questioned - Olli-Pekka Ryynänen
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image by: B.C. HEROS
HWN Suggests
Is advanced life support better than basic life support in prehospital care? A systematic review
ALS seems to improve survival in patients with myocardial infarction and BLS seems to be the proper level of care for patients with penetrating injuries. Some studies indicate a beneficial effect of ALS among patients with blunt head injuries or multiple injuries. There is also some evidence in favour of ALS among patients with epileptic seizures as well as those with a respiratory distress.
Resources
Adult Advanced Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations
Systematic reviews addressed higher-priority topics, and included double-sequential defibrillation, intravenous versus intraosseous route for drug administration during cardiac arrest, point-of-care echocardiography for intra-arrest prognostication, cardiac arrest caused by pulmonary embolism, postresuscitation oxygenation and ventilation, prophylactic antibiotics after resuscitation, postresuscitation seizure prophylaxis and treatment, and neuroprognostication.
Advanced Life Support vs. Basic Life Support for Patients With Trauma in Prehospital Settings: A Systematic Review and Meta-Analysis
In prehospital settings, the present study showed no advantages of ALS on the outcomes in patients with trauma compared to BLS.
An Intro to Advanced Life Support
Multiple forms of advanced life support exist, including Pediatric Advanced Life Support (PALS), Advanced Cardiac Life Support (ACLS), and even the opioid algorithm.
Doing More for Patients Often Does No Good
We’ve assumed, for the most part, that advanced life support is better than basic life support — so much so that in most areas where both options are available, advanced life support is almost always used. But a recent study in JAMA Internal Medicine brings this assumption into question.
Is prehospital advanced life support really necessary?
In a word, yes. However the more detailed answer is "it depends", and sometimes to "scoop and run" is probably better than to "stay and play".
Is advanced life support better than basic life support in prehospital care? A systematic review
ALS seems to improve survival in patients with myocardial infarction and BLS seems to be the proper level of care for patients with penetrating injuries. Some studies indicate a beneficial effect of ALS among patients with blunt head injuries or multiple injuries. There is also some evidence in favour of ALS among patients with epileptic seizures as well as those with a respiratory distress.
Life in the Fastlane
Adenosine is an option for unstable, undifferentiated, wide-complex tachycardia.
Advanced Life Support in Obstetrics
Advanced Life Support in Obstetrics (ALSO) is an evidence-based, interprofessional, and multidisciplinary training program that equips the entire maternity care team with skills to effectively manage obstetric emergencies.
Wilderness Advanced Life Support
This program’s primary goal is to apply current medical knowledge and critical thinking for use in remote/resource challenged patient care settings. It is targeted toward advanced care medical practitioners.
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