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PODCAST

Pass ACLS Tip of the Day

I"m Paul from PassACLS.com and I"m here to help you pass ACLS. Like an audio flash card, this podcast is intended to aid any medical professional preparing for an Advanced Cardiovascular Life Support (ACLS) class. Each three-to-nine minute episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high performing team to deliver safe, evidence-based patient care. Listening to a tip a day for a few weeks prior to your ACLS class will help cement the core

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All Episodes

06:13

Benchmark Goals for Stroke Assessment & Treatment

Pass ACLS Tip of the Day ·

2026/10/05

Improved stroke outcomes have been shown when EMS transports to a stroke center and patients receive assessment, CT, & thrombolytics within these time frames.When treating patients having a stroke, more minutes equals more dead brain cells. Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI; to reestablish perfusion to the ischemic tissues. The steps in the Stroke Chain of Survival. Stroke benchmarks for door to:assessment;completing a

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07:53

Medication Review: Adenosine

Pass ACLS Tip of the Day ·

2026/09/30

Review the indications, dosing, & administration of Adenosine for patients in supraventricular tachycardia (SVT) following ACLS's Tachycardia algorithm.Common causes of tachycardia.Symptoms indicating a stable vs unstable patient.Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers.Cardiac effects of Adenosine. Indications for use in the ACLS Tachycardia algorithm.Considerations and contraindications. Dosing

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08:53

Second-Degree AV Blocks

Pass ACLS Tip of the Day ·

2026/09/28

Identifying the characteristics of second-degree AV blocks on an ECG and the treatment of unstable bradycardia patients with them.To pass the written ACLS exam and mega code, students need to be able to identify basic ECG dysrhythmias, including the two types of second-degree heart block.One method of ECG rhythm identification. ECG characteristics of a second-degree Mobitz type I (Wenckebach).ECG characteristics of a second-degree Mobitz type II.Identification of unstable bradycardia and treatment

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08:06

Oxygen Administration and SpO2 Monitoring

Pass ACLS Tip of the Day ·

2026/09/23

Review the indications for oxygen administration and monitoring O2 saturation with pulse oximetry for patients in various ACLS algorithms. In the ACS algorithm, the O in MONA is Oxygen.When we should administer oxygen to ACS, bradycardia, & tachycardia patients.When O2 administration is unnecessary based on an accurate pulse ox.Monitoring patient's oxygen saturation (SpO2) using a pulse oximeter.Review two common ACLS pre-arrest mega code scenarios.Oxygen administration during CPR and post

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07:28

Objective Measures of Good CPR

Pass ACLS Tip of the Day ·

2026/09/21

Objective measures of high-quality CPR and how ACLS providers use waveform capnography and feedback devices to monitor effective chest compressions.Along with early defibrillation, high quality CPR with minimal interruptions is one of the two factors that has been shown to improve cardiac arrest outcomes.Objective measures of high-quality CPR.The role of the CPR Coach on the code team.The advantages and use of real-time feedback devices to monitor the rate, depth, and chest recoil of CPR

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07:00

Medication Review: Atropine & Dopamine for Unstable...

Pass ACLS Tip of the Day ·

2026/09/18

Review the 2025 ACLS guidelines for Atropine and Dopamine in the treatment of unstable bradycardia, including: dosing, administration, and precautions.When we should use the bradycardia algorithm. The signs & symptoms of unstable bradycardia. Atropine's dose and maximum for bradycardia. The use of atropine when a patient is in a second-degree type II or third-degree heart block.ECG changes that indicate subsequent doses of atropine are likely to be ineffective. The starting dose of Dopamine.The

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07:03

Oropharyngeal Airway (OPA)

Pass ACLS Tip of the Day ·

2026/09/16

Review the appropriate & safe use of an oropharyngeal airway (OPA) to keep an unresponsive patient's tongue from blocking their airway.The tongue is the most common airway obstruction in an unconscious patient.The oropharyngeal airway is sometimes called an OPA or simply an oral airway.Indications for using an oral airway.Contraindication for an oral airway and an alternative airway that can be used for patients with an intact gag reflex.Measuring an OPA and possible complications from inserting

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07:20

Hypoxia: An H&T Reversible Cause of Cardiac Arrest

Pass ACLS Tip of the Day ·

2026/09/14

Tips for ACLS providers to consider when evaluating hypoxia as a possible cause of cardiac arrest and what we should do to correct it.Determining hypoxia using a pulse oximeter or arterial blood gasses (ABGs).A goal of ACLS is to recognize signs of hypoxia and provide timely treatment to prevent an arrest.Examples of some things that might lead us to think of hypoxia as a cause of cardiac arrest.Why pulse ox doesn’t give accurate readings during CPR.Delivering ventilations with near 100% oxygen

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07:13

Sinus Tachycardia vs Supraventricular Tachycardia (SVT)

Pass ACLS Tip of the Day ·

2026/09/09

Review the ECG characteristics of sinus tachycardia & SVT and the treatment of unstable patients with cardioversion.Signs & symptoms that indicate a patient is unstable.Delivery of a synchronized shock for the treatment of unstable SVT using a biphasic vs monophasic defibrillator.Consideration for team safety while performing synchronized cardioversion.Actions to take immediately if an unstable patient we’ve cardioverted goes into a pulseless rhythm. For more free information on narrow

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05:54

Epinephrine Administration During Cardiac Arrest

Pass ACLS Tip of the Day ·

2026/09/02

When we give the first dose of epinephrine to a patient in cardiac arrest. Epi’s dose, route, repeat frequency, & maximum dose following ACLS's Adult Cardiac Arrest algorithm.Epinephrine is the first IV medication we administer to every patient in cardiac arrest. When we give the first dose of epinephrine depends on whether the patient is in a shockable or non-shockable rhythm.When to give the first dose of epinephrine and its frequency for patients in asystole or PEA following the right side

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06:24

Common Stroke Mimics

Pass ACLS Tip of the Day ·

2026/08/31

A brief review of some easily identifiable & treatable medical conditions that can mimic a stroke.If a person suddenly develops symptoms such as weakness, slurred or garbled speech, loss of balance, or a massive & severe headache; it’s possible they could be having a stroke.The Cincinnati Prehospital Stroke Scale.There are several conditions that can mimic a stroke.Identification & Treatment of hypoglycemia or hyperglycemia.Identification & Treatment of hypoxia.Some seizures,

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07:14

Alternative Routes for IV Medication Administration:...

Pass ACLS Tip of the Day ·

2026/08/28

The pros and cons of ACLS medication administration via the intraosseous (IO) vs endotracheal tube (ETT) route when IV access can’t be established.The locations we should place an IO when running a code.The ACLS medications that can be given intraosseous.Where you can find more information about intraosseous access during resuscitation efforts.In the absence of an IV or IO, some medications may be given down the endotracheal tube.The disadvantages of medication administration via ETT.Review of the

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06:33

Prehospital EMS Capabilities and Destination Protocols

Pass ACLS Tip of the Day ·

2026/08/26

Prehospital EMS capabilities and why paramedic-staffed ALS ambulances make a difference in the early identification & treatment of STEMI and stroke.The chain of survival for a cardiac emergency and stroke. ALS ambulances are staffed with paramedics who have training in ACLS skills. Why EMS Destination Protocols for suspected stroke and STEMI make a difference.ACLS’s timed benchmarks for:point of first medical contact to PCI for ST elevation MI;door to tPA or Tenecteplase for ischemic stroke;

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07:45

Automated External Defibrillator (AED) Use

Pass ACLS Tip of the Day ·

2026/08/24

Review the use of an AED including: indications & contraindications; connecting the device; administering a shock; and general safety considerations.Why we should use an AED.The general instructions for safe use of AED.Following the Adult Cardiac Arrest algorithm while using an AED.Contraindications to AED use.General safety considerations to remember.When we should discontinue resuscitation efforts and call the code.Links:Pass ACLS: Find ACLS classes near you and discover other podcasts with

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08:21

Asystole & Pulseless Electrical Activity (PEA)

Pass ACLS Tip of the Day ·

2026/08/21

Review the Asystole/PEA side of the Cardiac Arrest algorithm including: epinephrine administration, advanced airways, causes of PEA, and when to call the code.For apneic patients without a carotid pulse or patients with only gasping/agonal respirations, we will follow the Adult Cardiac Arrest algorithm. For pulseless patients that the AED doesn't advise a shock, the patient's ECG shows asystole, or a non-perfusing organized rhythm (PEA), we will follow the right side of the Adult Cardiac Arrest

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05:45

CPR Songs

Pass ACLS Tip of the Day ·

2026/08/19

Many CPR classes use songs like "Stayin Alive" to help compressors maintain an adequate rate. Advantages, disadvantages, and a selection of CPR songs from the American Heart Association’s play list.Providing good, high-quality CPR with minimal interruptions and early defibrillation are two key interventions shown to improved cardiac arrest outcomes.A training tool used in many CPR and ACLS classes is to use a song (or a song list) to help the person doing chest compressions maintain a rate of

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05:42

Obtaining a Medical History

Pass ACLS Tip of the Day ·

2026/08/17

Obtaining a medical history guides clinical decisions so we can provide the safest evidence-based care possible. The SAMPLE-PQRST format is explained.A patient’s medical history will help us identify things that may be causing (or contributing) to their current condition as well as guide our decisions so we provide the safest evidence-based care possible.Examples of information obtained in a medical history that will impact the treatment we provide.There are several mnemonics and memory aids that

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07:05

Medication Review: Magnesium and Procainamide

Pass ACLS Tip of the Day ·

2026/08/14

The indications and administration of ACLS antiarrhythmics Magnesium & Procainamide for treating Torsades de Pointes and stable tachycardias.Identification of Torsades on the ECG.Administration of a magnesium for stable patients with Torsades vs patients in cardiac arrest.Procainamide use for stable patients with a monomorphic wide-complex tachycardia.Procainamide dosing and when to stop the infusion. Tip for determining whether magnesium or Procainamide should be used when treating stable

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04:55

Hypovolemia: A H&T Reversable Cause of Cardiac Arrest

Pass ACLS Tip of the Day ·

2026/08/12

Review of hypovolemia as a H&T reversable cause of cardiac arrest including: causes, signs & symptoms, and treatment.When a patient loses excessive amounts of fluids, we say that they are in a state of hypovolemia.The most obvious cause of hypovolemia is from bleeding.Common conditions other than bleeding that can cause hypovolemia.Bleeding can be internal or external and caused by trauma, pathology, or iatrogenic.Classic signs & symptoms of hypovolemic shock.Volume replacement with

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07:02

ACLS Medication Review: Morphine & Fentanyl

Pass ACLS Tip of the Day ·

2026/08/10

Review the mechanism of action and safe administration of Morphine or Fentanyl for patients with myocardial ischemia in ACLS’s Acute Coronary Syndrome (ACS) algorithm. MONA is the acronym sometimes used to help us remember the interventions to consider for patients with Acute Coronary Syndrome.Morphine and Fentanyl's use in the Acute Coronary Syndrome (ACS) algorithm.Why Morphine or Fentanyl is helpful for patients with ACS.Contraindications and considerations for their safe administration.Common

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