PALS Megacode 4 In-Hospital

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You are a healthcare provider working in a pediatric intensive care unit. You are called to the bedside of a 5-month-old female infant with copious amounts of purulent nasal secretions and increased lethargy after being admitted two days ago for bronchiolitis. Cardiac monitoring, IV maintenance fluids, and supplemental oxygen at 4 L/min via NC are being provided. The infant is receiving nebulized albuterol treatments every 4 hrs with no change in condition; the last treatment was 2 hrs ago. A recent chest x-ray revealed extensive pulmonary hyperinflation with no infiltrates or consolidation. You enter the room and conduct a rapid initial impression (ABCs) which reveals the following:

  • Appearance: Irritable
  • Breathing: Tachypneic, increased effort, wheezing
  • Circulation: Pink
1. ALS algorithms allow healthcare providers to systematically evaluate and subsequently treat critically ill patients. What is the name of the primary algorithm used in PALS?*