Signs and Symptoms
Left or Right
Codes
Brady
Tachy
100

This type of angina occurs at rest and is unpredictable.
 

Unstable angina

100

Dyspnea, orthopnea, and paroxysmal nocturnal dyspnea (PND) are hallmark respiratory symptoms of _____ -sided heart failure.

Left-sided heart failure.

100

After administering epinephrine during a cardiac arrest, this action is performed immediately.

Chest compressions

100

This drug is first-line for symptomatic bradycardia.


Atropine

100

 This intervention treats unstable tachycardia.

Synchronized cardioversion

200

 A sudden severe chest pain with a pulsatile mass suggests this vascular emergency.
 

Thoracic Aortic Aneurysm

200

This visible venous abnormality is a key sign of right-sided heart failure.

Jugular venous distension (JVD)

200

If a shockable rhythm is confirmed in a witnessed cardiac arrest, this intervention is performed immediately.

Defibrillation

200

The definitive treatment for unstable bradycardia if medications are ineffective.

Transcutaneous pacing

200

This clinical determination guides whether a tachycardic patient needs immediate synchronized cardioversion.

CASH

Chest pain, AMS, Short of Breath, Hypotension

300

Hypotension, JVD, and muffled heart sounds are components of this condition.
 

Beck’s triad

300

Peripheral edema and hepatomegaly occur in this type of heart failure.

Right-sided heart failure

300

This is the ROSC goal for SpO2

 Maintain 92–98%

300

After atropine fails, these two drugs can be used as infusions to treat bradycardia.

Dopamine and epinephrine

300

This is the drug of choice for torsades de pointes.

Magnesium sulfate

400

Positional angina while laying down and global ST-elevation indicates this condition.

Pericarditis

400

Pink, frothy sputum is a hallmark sign of this condition in left-sided heart failure.

Pulmonary edema

400

Monitoring this value provides real-time feedback on CPR quality and can indicate ROSC.

ETCO2 (end-tidal CO2)

400

The mechanism by which atropine treats bradycardia in the ACLS algorithm.

Blocking parasympathetic input to increase heart rate

400

Wide-complex monomorphic tachycardia with a pulse can be treated with this medication before considering synchronized cardioversion.

Amiodarone (150 mg IV over 10 minutes)

Lidocaine (1-1.5mg/kg IV push)

500

 Fever, dyspnea, and a pericardial friction rub may indicate this inflammatory condition.
 

Pericarditits

500

This symptom differentiates right-sided heart failure due to systemic congestion and involves abdominal fluid accumulation.


Ascites

500

These are the reversible causes of cardiac arrest (H's and T's)

  1. Hypoxia
  2. Hypovolemia
  3. Hydrogen Ion (Acidosis)
  4. Hyperkalemia/Hypokalemia
  5. Hypothermia
  6. Tension Pneumothorax
  7. Tamponade (Cardiac)
  8. Toxins
  9. Thrombosis (Pulmonary - PE)
  10. Thrombosis (Cardiac - MI)
500

This heart block rhythm is unlikely to respond to atropine in the bradycardia algorithm.

2nd-degree Type II heart block and 3rd-degree (complete) heart block

500

This is why synchronized cardioversion is preferred over unsynchronized defibrillation in patients with tachycardia and a pulse.

Avoiding the risk of inducing ventricular fibrillation by delivering a shock during the vulnerable phase of the T wave