Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Practice Guideline
. 2017 Jul;58(7):360-372.
doi: 10.11622/smedj.2017064.

Advanced Cardiac Life Support: 2016 Singapore Guidelines

Chi Keong Ching  1 , Siew Hon Benjamin Leong  2 , Siang Jin Terrance Chua  1 , Swee Han Lim  3 , Kenneth Heng  4 , Sohil Pothiawala  3 , Venkataraman Anantharaman  3 ; National Resuscitation Council Singapore
Affiliations
Practice Guideline

Advanced Cardiac Life Support: 2016 Singapore Guidelines

Chi Keong Ching et al. Singapore Med J. 2017 Jul.

Abstract

The main areas of emphasis in the Advanced Cardiac Life Support (ACLS) guidelines are: early recognition of cardiac arrest and call for help; good-quality chest compressions; early defibrillation when applicable; early administration of drugs; appropriate airway management ensuring normoventilation; and delivery of appropriate post-resuscitation care to enhance survival. Of note, it is important to monitor the quality of the various care procedures. The resuscitation team needs to reduce unnecessary interruptions to chest compressions in order to maintain adequate coronary perfusion pressure during the ACLS drill. In addition, the team needs to continually look out for reversible causes of the cardiac arrest.

Keywords: advanced cardiac life support; cardiac arrest; cardiac drugs; cardiopulmonary resuscitation; reversible causes.

PubMed Disclaimer

Figures

Box 1
Box 1
The reversible causes of cardiac arrest:
Fig. 1
Fig. 1
Advance Cardiac Life Support algorithm.
Fig. 2
Fig. 2
Wide complex tachycardia (WCT) algorithm.
Fig. 3
Fig. 3
Regular narrow complex tachycardia (NCT) algorithm.
Fig. 4
Fig. 4
Irregular narrow complex tachycardia (NCT) algorithm.
Fig. 5
Fig. 5
Bradycardia algorithm.
See this image and copyright information in PMC

References

    1. Anantharaman V, Gunasegaran K. Advanced Cardiac Life Support guidelines 2011. Singapore Med J. 2011;52:548–55. quiz 556. - PubMed
    1. Harjanto S, Na MX, Hao Y, et al. PAROS study group. A before-after interventional trial of dispatcher assisted cardio-pulmonary resuscitation for out-of-hospital cardiac arrests in Singapore. Resuscitation. 2016;102:85–93. - PubMed
    1. Lai H, Choong CV, Fook-Chong S, et al. PAROS study group. Interventional strategies associated with improvements in survival for out-of-hospital cardiac arrests in Singapore over 10 years. Resuscitation. 2015;89:155–61. - PubMed
    1. Ong ME, Yan X, Lau G, et al. Out-of-hospital cardiac arrests occurring in primary health care facilities in Singapore. Resuscitation. 2007;74:38–43. - PubMed
    1. Larsen MP, Eisenberg MS, Cummins RO, Hallstrom AP. Predicting survival from out-of-hospital cardiac arrest:a graphic model. Ann Emerg Med. 1993;22:1652–8. - PubMed

Publication types

MeSH terms

LinkOut - more resources