Why don’t you tell me what you believe it’s is, since your definition seems to differ from what the ACLS course teaches. I would say it involves good BLS plus airway management, managing arrhythmias, and of course trying to solve the issue which caused it in the first place. That’s going to change based on what’s going on. In labor and delivery that’s typically going to be PPH, so uterotonics, TXA, blood, volume expanders, plus the drugs from the ACLS algorithm.

Is EMS doing ACLS when they have a code in their truck? What about a flight nurse? You are getting too caught up in what happens after the initial steps of ACLS. I mean for gods sakes not every hospital is able to treat the root cause which led to the need to start ACLS, but that doesn’t mean they aren’t doing ACLS at all.