ACLS Megacode 6: Syncope/Pulseless Electrical Activity Hurry, don’t let time run out! Sorry, time is up! 0 Hours 0 mins 0 secs Step 1 of 5 20% 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?* Initiate CPR Give atropine Defibrillate Check blood sugar The 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?* Epinephrine Vasopressin Amiodarone Atropine While 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?* Tamponade, Trauma, Tension pneumothorax Hypocalemia, Hypernatremia, Hyperthermia Thalassemia, Teratoma, Tuberculosis Hypervolemia, Alkalosis, Hypokalemia On 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?* Intubate and continue CPR Cardiovert, prepare to intubate Defibrillate, prepare to intubate Intubate and give amiodarone After 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?* Amiodarone Defibrillate Cardiovert Epinephrine
