ACLS Megacode 3 In-Hospital

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You are a healthcare provider working in a surgical recovery unit. One of your patients is a 63-year-old male who is 4-hrs post-op from an unremarkable ACL reconstruction surgery. They are receiving supplemental oxygen via NC at 6 L/min. Upon entering their recovery room, you find the patient unconscious with the NC on the floor beside the bed. A rapid initial assessment reveals the following:

Vital signs
  • Pulse rate: 25/min
  • Blood pressure: Unobtainable
  • Respiratory rate: 6/min
  • Temperature: Not taken
Physiological systems
  • Integumentary: Warm, diaphoretic
  • Cardiovascular: Faintly palpable central pulses bilaterally
  • Respiratory: Labored, shallow
  • Neurological: Unresponsive
1. A rhythm check reveals sinus bradycardia at 25/min. You have activated the Code Team. What are your initial actions?*