ACLS Megacode 1 In-Hospital

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You are an internist at a local hospital. One of your patients is a 25-year-old male who was admitted yesterday evening for chronic abdominal pain and a history of gastrointestinal ulcers. You arrive in their hospital room to discuss their lab results when you find them in bed unresponsive. There is a half-eaten sandwich on the table next to the bed, so you assume they were eating shortly beforehand. A rapid initial assessment reveals the following:

Vital signs
  • Pulse rate: Unobtainable
  • Blood pressure: Unobtainable
  • Respiratory rate: Unobtainable
  • Temperature: Unobtainable
Physiological systems
  • Integumentary: Moist, cool
  • Cardiovascular: No palpable pulse
  • Respiratory: No audible respirations, visible chest rising
  • Neurological: Unresponsive
1. Based on your initial assessment, you determine the patient is in cardiac arrest and activate the Code Team. IV access has already been established. A cardiac monitor is not attached to the patient at this time. What are your initial actions?*