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ACLS Megacode 1 In-Hospital

Hurry, don’t let time run out!

Vital signs

Physiological systems

You have started CPR and members of the Code Team begin arriving at the room.

Five cycles of CPR are completed, epinephrine 1.0 mg IVP is administered, and a cardiac monitor is attached to the patient. During CPR, a large bolus of food was dislodged from the patients’ airway. Following five cycles of CPR, a rhythm check reveals pulseless electrical activity.

CPR is resumed for another five cycles. Following five cycles of CPR, a rhythm check reveals unchanged pulseless electrical activity.

CPR is resumed for another five cycles. Following five cycles of CPR, a rhythm check reveals a conversion from pulseless electrical activity to ventricular tachycardia.

A single unsynchronized shock of 120 J is delivered, and CPR is resumed for another five cycles. Following five cycles of CPR, a rhythm check reveals unchanged ventricular tachycardia.

A single unsynchronized shock of 200 J is delivered, and CPR is resumed for another five cycles.

Epinephrine 1 mg IVP is administered while simultaneously continuing CPR.

CPR is resumed for another five cycles. Following five cycles of CPR, a rhythm check reveals unchanged ventricular tachycardia. A single unsynchronized shock of 300 Joules is delivered, and CPR is resumed for another five cycles.

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