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 CPRGive atropineCheck blood sugarDefibrillate 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?*AtropineEpinephrineAmiodaroneVasopressin 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?*Thalassemia, Teratoma, TuberculosisHypervolemia, Alkalosis, HypokalemiaTamponade, Trauma, Tension pneumothoraxHypocalemia, Hypernatremia, Hyperthermia 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 give amiodaroneDefibrillate, prepare to intubateIntubate and continue CPRCardiovert, prepare to intubate 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?*AmiodaroneCardiovertEpinephrineDefibrillate
