ACLS Megacode 2 Out-of-Hospital

You are a healthcare provider working on an ALS ambulance. You receive a call from dispatch advising you that an individual witnessed their 70-year-old female neighbour collapse outside their home. The bystander has begun providing CPR. Your response time to the scene is 4 min. A rapid initial assessment reveals the following:

Vital signs

• Pulse rate: Unobtainable
• Blood pressure: Unobtainable
• Respiratory rate: Unobtainable
• Temperature: Unobtainable

Physiological systems

• Integumentary: Cold, cyanotic
• Cardiovascular: No palpable pulse
• Respiratory: No audible respiration, no visible chest rising
• Neurological: Unresponsive