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ACLS Certification Online


How it works:
1. Choose the course(s) you need and pay for them
2. Receive the link to the Online Study materials and 50 Question test for each of the courses (in your email within 8 business hours)
3. Study the materials and pass the test 
4. Receive a completion card in your email within 8 business hours from when you completed the test.
5. Receive a Hard copy in regular mail within 10 business days.


Acute Coronary Syndromes
Acute coronary Syndromes (ACS) is a term used to categorize a spectrum of diseases that affects the heart, such as acute myocardial infarction (AMI) and unstable angina (UA)
 
Pathophysiology 
ACS develops through several symptoms, and it starts with the build- up of unstable plaque. Plaque is the most common cause of ACS. When excessive amounts of plaque build- up it can rupture, activating the coagulation system with thrombin generation.  If thrombus is partially occluded, it produces symptoms of ischemia and if it is periodically occluded it can cause myocardial necrosis leading to NSTEMI (Non-ST segment elevation Myocardial Infarction. Progression to a larger clot that completely blocks the thrombus will eventually result in STEMI (ST-segment elevation myocardial infarction).
 
Management Interventions
The goals of ACS therapy are to quickly identify patients with STEMI, perform rapid resuscitation therapy, relieve ischemic pain, prevent major adverse cardiac events (MACE) and treat life- threatening complications (unstable tachycardia, symptomatic bradycardia, VF/ pulseless VT). Successful and effective interventions need to occur within the first hour symptoms began Management begins with recognizing patient’s chest discomfort, which can suggest ischemia.  Healthcare providers should be looking for discomfort in the chest, which can progress to the shoulders and back, pressure or fullness causing discomfort, and sudden shortness of breaths are signs of ACS. Hopefully, EMS will be dispatched as quickly as possible. If they are authorized, they should recommend that the patient chew on aspirin (if not allergic or doesn’t have GI bleeding) as EMS team arrives.
 


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