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ACLS Memory Aids

Before you start anything ALS you should be thinking “oh my!” (O-M-I) O – Oxygen M – Monitor I – Intravenous cannulation

When your patient is asystole, check another lead, sit back, and have some tea! T – Transcutaneous pacing E – Epinephrine A – Atropine

When your patient is PEA, be a copycat and PEA! P – Possibilities (6 H’s and 6 T’s) E - Epinephrine A – Atropine (if bradycardic)

When dealing with a bradycardia you should be thinking that All Trained Dogs Eat Iams! A – Atropine T – Transcutaneous pacing D – Dopamine E – Epinephrine I - Isoproterenol

When preparing for synchronized cardioversion you should be thinking, “Oh, Say It Isn’t So!” O – Oxygen S – Suction equipment I – IV line I – Intubation equipment S – Sedation and analgesics

When dealing with the V-fib/V-tach algorithm you should say, Please Shock, Shock, Shock – EVerybody Shock – And Let’s Make Patients Better - SHOCK! P – Precordial thump S – Shock at 200J S – Shock at 300J S – Shock at 360J EV – Epinephrine/Vasopressin S – Shock at 360J A – Amiodarone L – Lidocaine M – Magnesium Sulfate P – Procainamide B – Bicarbonate S – Shock at 360J

After your three stacked shocks you should think, “Can I Intervene?” C – Continue CPR I – Intubate I – IV access