A-ACLS: First Response to Circulatory Crisis in the OR

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Course Fee
Member price: $130.00
Non-member price: $169.00

Course Description

THIS IS AN ONLINE ACTIVITY. Hard copies are not available.

Member price: $130.00,  Non-member price: $169.00  |  Tutorial (non IE11) |  IE11 Tutorial

This course is based on "Anesthesia Advanced Circulatory Life Support," by doctors, Andrea Gabrielli, Vivek Moitra, Gerald Maccioli, and corresponding author Michael F. O'Connor.

The course includes multiple scenarios where participants have the opportunity to make "first response" decisions to cardiac situations in the OR. Like first responders in other professions, anesthesiologists are the first responders to cardiac arrest in the OR and patients rely on their ability to be prepared to identify and manage treatment, even though the incidents of life threatening conditions rarely occur.

The course is divided into five lessons. Completion of the course includes lessons one through four and two scenarios of your choice from lesson five. The course objectives are to help you explore and resolve OR scenarios that will improve your awareness, knowledge and skills in identifying signs and symptoms, and outlining appropriate measures for managing cardiac situations in the OR.

Please Note: This course is NOT part of ACLS Certification. 


Learn more about AACLS from course director and lead faculty advisor, Mark Nunnally, MD, FCCM, Associate Professor of Anesthesia & Critical Care at the University of Chicago. Watch the video now.


Learning Objectives:

Completion of this course will enable you to:  

  • Identify rare and complex,  pre-arrest, circulatory crises that require immediate response in the perioperative setting.

You'll be able to :

  • Manage various forms of shock, that may devolve into cardiac arrest. 
  • Apply principles of monitoring and management of ventilation, gas trapping, and resuscitation to hemodynamic instability and cardiac arrest
  • Outline treatment for common tachy- and bradydysrhythmias, including pump shock, airway management and hypovolemia  
  • Manage special cases of cardiac arrest including anaphylaxis, gas embolism, and malignant hyperthermia

Faculty & Credentials:

Disclosures: The faculty and planning committee members have indicated that they have no relationships with industry to disclose relative to the content of this CME activity.

Course Director/Lead Faculty:
Mark Nunnally, MD, FCCM
Associate Professor of Anesthesia & Critical Care
University of Chicago

Andrea Gabrielli, MD, FCCM
Professor of Anesthiesiology
University of Florida College of Medicine

Vivek Moitra, MD
Assistant Professor of Anesthesiology
Columbia University, College of Physicians and Surgeons

Gerald A Maccioli, MD, FCCM
Director of Critical Care Medicine, Chair Quality Assurance & Performance Measures Committee
American Anesthesiology of North Carolina/MEDNAX

Michael F O'Connor, MD, FCCM
Professor and Section Head, Critical Care Medicine
University of Chicago

ASA Staff: Employees involved in planning have no financial relationships with commercial interests.

Resolutions of Conflicts of Interest

In accordance with the ACCME Standards for Commercial Support of CME, the American Society of Anesthesiologists will implement mechanisms, prior to the planning and implementation of this CME activity, to identify and resolve conflicts of interest for all individuals in a position to control content of this CME activity.


The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

Core Competencies:

Medical knowledge

Target Audience:


CME Credit:

5.75 AMA PRA Category 1 Credit™

The American Society of Anesthesiologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Society of Anesthesiologists designates this enduring material for a maximum of 5.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

5.75 Non-physician Credit

Non-physicians may receive a Certificate of Completion stating that this activity was designated for 5.75 AMA PRA Category 1 Credit(s)™.


Completion of the course includes lessons one through four and two scenarios of your choice from lesson five, take the exam and print the CME certificate.

Required Hardware / Software:

Internet connection, Web browser version must have been released within the last three years, (HTML5-compliant), Flash Player and Adobe Acrobat Reader. NOTE: This program is NOT supported on iPad and iPhone.

Activity Release Date:

04/22/2013 (All day)

Activity Expiration Date:

04/21/2016 (All day)

Estimated Time to Complete:

5.75 hours