AUSTRALIAN RESUSCITATION COUNCIL
Advanced Life Support
Level 2
DEVELOP THE KNOWLEDGE TO RECOGNISE DETERIORATION EARLY || BUILD THE SKILLS TO RESPOND WITH PURPOSE AND PRECISION || CONFIDENTLY CONTRIBUTE IN ANY EMERGENCY RESPONSE || LEAD COMPLEX RESUSCITATION WITH CONFIDENCE, CLARITY AND CONTROL
Course Description
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Course Information
Course Content
Lecture: Causes & Prevention of Cardiorespiratory Arrest
This session introduces a structured approach to recognising and responding to the deteriorating patient before cardiac arrest occurs.
Participants will explore:
The focus is on preventing arrest through early recognition, prioritisation, and decisive action.
Participants will explore:
- The physiological basis of deterioration
- Early warning signs and red flags
- A systematic ABCDE assessment framework
- Escalation pathways and timely intervention
The focus is on preventing arrest through early recognition, prioritisation, and decisive action.
Skills Station: Application of the ABCDE Approach
This hands-on station provides guided practice in performing a structured ABCDE assessment in simulated clinical scenarios.
The focus includes:
Emphasis is placed on clinical reasoning, clear communication, and safe escalation.
The focus includes:
- Performing rapid, prioritised assessments
- Identifying life-threatening findings
- Initiating immediate interventions
- Communicating findings clearly using structured language
Emphasis is placed on clinical reasoning, clear communication, and safe escalation.
Lecture: Cardiac Causes of Arrest
This session explores the underlying cardiac pathologies that precipitate cardiac arrest, with a strong focus on acute coronary syndromes (ACS).
Participants will:
The session emphasises early recognition, risk stratification and rapid activation of definitive treatment pathways.
Participants will:
- Review the spectrum of ACS: unstable angina, NSTEMI and STEMI
- Understand plaque rupture, thrombus formation and coronary occlusion
- Interpret ECG patterns associated with myocardial infarction
- Apply the ABCDE approach in suspected ACS
- Initiate appropriate immediate management including antiplatelet therapy and reperfusion strategies
The session emphasises early recognition, risk stratification and rapid activation of definitive treatment pathways.
Skills Station: Rhythm Recognition
This workshop develops confidence in structured ECG rhythm interpretation.
Participants will:
This station builds the analytical foundation required for safe peri-arrest management.
Participants will:
- Use the 6-stage approach to rhythm analysis
- Determine rate, regularity and QRS width
- Identify atrial activity and AV relationships
- Recognise ECG patterns of acute myocardial infarction
- Correlate ECG findings with clinical context
This station builds the analytical foundation required for safe peri-arrest management.
Skills Station: Peri-Arrest Arrhythmias
This station integrates bradycardia and tachycardia management within the ALS clinical framework.
Participants will:
The emphasis is on recognising instability early and intervening decisively.
Participants will:
- Assess tachycardias by regularity and QRS width
- Apply the Tachycardia Algorithm (with pulse)
- Perform synchronised cardioversion safely
- Recognise symptomatic bradycardia and degrees of heart block
- Initiate appropriate pharmacological treatment
- Practise transcutaneous pacing
The emphasis is on recognising instability early and intervening decisively.
Lecture: The ARC ALS Algorithm
This session explores the management of cardiac arrest following the ARC ALS Algorithm.
Participants will explore:
The session connects physiology to protocol, ensuring participants understand not just what to do, but the why.
Participants will explore:
- The rationale behind key algorithm steps
- Shockable and non-shockable rhythms
- Medication timing and priorities
- The reversible causes of cardiac arrest
The session connects physiology to protocol, ensuring participants understand not just what to do, but the why.
Skills Station: Associated Resuscitation Skills
This station builds upon the technical skills required to support high-performance resuscitation teams.
The focus includes:
However, there may also be opportunity for participants to practise:
The focus includes:
- Advanced airway positioning, manoeuvres and adjuncts
- Supraglottic airway insertion
- Optimising ventilation and oxygenation
- Introduction to waveform capnography
However, there may also be opportunity for participants to practise:
- Establishing IV or IO access
Skills Station: Basic Life Support
Focused practical training in high-quality CPR and early defibrillation.
The focus includes:
Our focus is typically on manual mode defibrillation, however will discussion AED use and demonstrate key differences in application.
The focus includes:
- Optimising compression depth, rate, and recoil
- Minimising pauses
- Safe rhythm recognition and shock delivery
- Clear communication during defibrillation sequences
Our focus is typically on manual mode defibrillation, however will discussion AED use and demonstrate key differences in application.
Skills Station: Cardiac Arrest Scenarios
This is where participants integrate their learning and apply it in structured, team-based cardiac arrest simulations.
Scenarios are designed to challenge clinical reasoning, communication, and performance under time pressure.
The focus includes:
Each scenario concludes with a facilitated debrief, providing structured feedback to reinforce strengths, clarify clinical reasoning, and identify opportunities for growth in a safe learning environment.
The focus includes:
- Applying the ARC ALS Algorithm in real time
- Role allocation and leadership within the resuscitation team
- Clear, structured communication
- Decision-making under pressure
Each scenario concludes with a facilitated debrief, providing structured feedback to reinforce strengths, clarify clinical reasoning, and identify opportunities for growth in a safe learning environment.
Lecture: Cardiac Arrest in Special Circumstances
Cardiac arrest doesn't always follow the rules.
This session explores how management deviates in special clinical situations including:
Participants will examine how the ALS algorithm adapts when underlying pathophysiology changes, strengthening clinical flexibility and judgement.
This session explores how management deviates in special clinical situations including:
- Pregnancy
- Anaphylaxis
- Asthma
- Electrolyte disturbances
- Hypothermia
- Toxicological cases
Participants will examine how the ALS algorithm adapts when underlying pathophysiology changes, strengthening clinical flexibility and judgement.
Lecture: Blood Gas Interpretation
This interactive workshop develops a structured approach to interpreting arterial blood gases in critically unwell patients.
Participants will:
The focus is practical interpretation, linking numbers to physiology and clinical action.
Participants will:
- Understand normal ABG parameters and acid-base terminology
- Apply a structured 5-step interpretation method
- Identify respiratory vs metabolic disturbances
- Recognise mixed acid-base disorders
- Analyse ABGs in real cardiac arrest and peri-arrest case scenarios
The focus is practical interpretation, linking numbers to physiology and clinical action.
Lecture: Post Resus Care
Return of spontaneous circulation (ROSC) is only the beginning. This session explores post-cardiac arrest syndrome and ongoing organ support strategies.
Participants will:
This session shifts focus from “resuscitation” to “optimising survival and neurological outcome.”
Participants will:
- Understand post-cardiac arrest brain injury and myocardial dysfunction
- Optimise airway, ventilation and oxygenation
- Manage haemodynamics and organ perfusion
- Explore Targeted Temperature Management (TTM)
- Consider safe transfer and delayed prognostication
This session shifts focus from “resuscitation” to “optimising survival and neurological outcome.”
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