Lesson 1Integration of reversible causes (Hs and Ts) into resuscitation and targeted diagnosticsThis lesson stresses spotting and treating reversible arrest causes via the Hs and Ts method, blending bedside tests, focused treatments, and ongoing checks to fix root issues and enhance resuscitation success.
Systematic review of Hs and Ts causesBedside clues to hypoxia and hypovolemiaRecognizing acidosis, hypo/hyperkalemiaIdentifying tension pneumothorax and tamponadeSuspecting toxins, thrombosis, and traumaUsing ultrasound and labs to guide treatmentLesson 2Defibrillation protocols: PAD, immediate analysis, shock intervals, energy settingsThis lesson covers safe, effective defibrillation, including public AED use, quick rhythm checks, shockable vs non-shockable calls, energy levels for single and dual-phase devices, shock timing, and reducing pauses before and after shocks.
Indications for defibrillation in cardiac arrestPAD setup, pad placement, and safety checksImmediate rhythm analysis and shock decisionsEnergy settings for biphasic and monophasicCoordinating shocks with ongoing compressionsPost-shock rhythm reassessment and actionsLesson 3Vascular access and medication delivery: IV/IO placement, drug selection, dosing, timing for epinephrine, amiodarone/lidocaineThis lesson explains setting up IV or IO lines in arrest, picking best sites and gear, choosing and dosing revival drugs, timing epinephrine and anti-arrhythmics, and ensuring precise, safe drug delivery with proper records.
Choosing IV versus IO access during arrestIV and IO insertion sites and techniquesEpinephrine dosing and timing by rhythmAmiodarone and lidocaine indicationsFlushing, infusion, and line patency checksMedication tracking and double-check systemsLesson 4Immediate scene management and 60-second primary actions (scene safety, call for help, BLS chain activation)This lesson details the first 60 seconds on scene, prioritising responder safety, fast cardiac arrest detection, BLS activation, early ambulance call, and instant life-saving steps to avoid CPR and shock delays.
Scene safety and personal protective equipmentRapid assessment of responsiveness and breathingActivating EMS and BLS response systemsPositioning patient and preparing for CPRCoordinating bystanders during first minuteLesson 5High-performance BLS: compression rate, depth, hand placement, minimizing interruptionsThis lesson targets high-quality BLS delivery, covering right compression speed, depth, chest recoil, hand position, cutting pauses, adding breaths, swapping compressors, and using devices for better blood flow in arrest.
Optimal compression rate and depth targetsCorrect hand placement and body mechanicsEnsuring full chest recoil and avoiding leaningMinimizing pauses and managing rhythm checksCoordinating compressions with ventilationsUsing CPR feedback devices and metronomesLesson 6Cardiac rhythm recognition and algorithm application: VF/VT, PEA, asystole decision pathwaysThis lesson trains on spotting main arrest rhythms like VF, pulseless VT, PEA, asystole, and using ACLS steps, blending rhythm checks, shock choices, drug timing, and reviews in a clear process.
ECG features of VF and pulseless VTIdentifying PEA and true asystoleShockable versus nonshockable pathwaysTiming rhythm checks with compressionsIntegrating drugs into rhythm algorithmsCommon rhythm interpretation pitfallsLesson 7Advanced airway management in ALS: indications, sequence (OPA/NPA, SAD, endotracheal intubation), confirmation and continuous waveform capnographyThis lesson handles advanced airway options in ALS, covering when to use, step-by-step OPA, NPA, supraglottic aids, intubation methods, capnography checks, and fixing airway issues.
Selecting basic versus advanced airway devicesOPA and NPA sizing, insertion, and pitfallsSupraglottic airway placement and fixationEndotracheal intubation steps and safetyWaveform capnography for tube confirmationManaging airway obstruction and dislodgementLesson 8Termination of resuscitation: criteria, documentation, family communication, and safe handover to emergency departmentThis lesson guides on stopping resuscitation, using clinical and legal standards, detailed records, kind family talks, and smooth handovers to emergency departments or other teams.
Field and in-hospital termination criteriaAssessing futility and likelihood of survivalRequired medical and legal documentationCommunicating death and prognosis to familiesCoordinating handover with emergency departmentLesson 9Team roles, closed-loop communication, leadership during resuscitation, task allocation and timingThis lesson builds strong resuscitation teams, stressing role clarity, closed-loop talks, leader actions, task order, intervention timing, and reviews to lift performance and patient results.
Assigning clear roles before and during arrestPrinciples of closed-loop communicationLeadership behaviors under high stressCoordinating tasks and intervention timingManaging conflicts and cognitive overloadStructured post-event debriefing methods
