ACLS Megacode 6: Syncope/Pulseless Electrical ActivityHurry, don’t let time run out!Sorry, time is up!0 Hours 0 mins 0 secsStep 1 of 520%76 y/o F collapses and brought immediately to the emergency department by bystanders.On arrival, she is placed on monitor and the following rhythm is seen: You cannot palpate a pulse.1. What are the appropriate next steps in management?* Give atropine Check blood sugar Initiate CPR DefibrillateThe patient remains in the below rhythm and is without a pulse.You have performed round of CPR.2. What medication can be administered for further management?* Atropine Amiodarone Epinephrine VasopressinWhile you are continuing CPR/ACLS, staff asks you for possible causes of PEA arrest.3. Which of the following are considered possible causes of PEA arrest?* Thalassemia, Teratoma, Tuberculosis Hypervolemia, Alkalosis, Hypokalemia Tamponade, Trauma, Tension pneumothorax Hypocalemia, Hypernatremia, HyperthermiaOn the next rhythm check, the patient demonstrates the following rhythm: She now has a palpable pulse but is hypotensive, unresponsive, and hypoxic.4. What are the next appropriate steps in management?* Cardiovert, prepare to intubate Defibrillate, prepare to intubate Intubate and continue CPR Intubate and give amiodaroneAfter cardioverting and intubating, you get an EKG which demonstrates the following: You re-assess the patient and cannot palpate a pulse.5. What is the next step?* Epinephrine Cardiovert Defibrillate Amiodarone
