ACLS Megacode

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ACLS Megacode:
Initial Assessment:
- Check for responsiveness, breathing, and pulse.
- If unresponsive, call for help and initiate CPR.
- Attach defibrillator pads and monitor.
CPR:
- Perform chest compressions at a rate of 100-120/min, allowing full chest recoil.
- Provide rescue breaths at a ratio of 30:2.
- Continue CPR until ROSC is achieved or until medical help arrives.
Defibrillation:
- If VF/VT is present, deliver a defibrillation shock of 360 joules biphasic or 360 joules monophasic.
- If unsuccessful, increase the energy level to 400 joules biphasic or 400 joules monophasic and repeat.
- Continue defibrillation attempts until ROSC is achieved or until medical help arrives.
Emergency Medications:
- Epinephrine: 1 mg IV/IO every 3-5 minutes.
- Vasopressin: 40 units IV/IO every 3-5 minutes (if refractory to epinephrine).
- Amiodarone: 300 mg IV/IO over 20 minutes (if refractory to defibrillation).
- Lidocaine: 1 mg/kg IV/IO (if refractory to defibrillation).
- Sodium bicarbonate: 1 mEq/kg IV/IO (if metabolic acidosis).
- Calcium chloride: 10 mg/kg IV/IO (if hyperkalemia or calcium channel blocker overdose).
Advanced Airway Management:
- Intubate the patient if CPR is ineffective or if the patient is unable to maintain a patent airway.
- Consider cricothyrotomy if intubation is unsuccessful.
Post-ROSC Care:
- Monitor vital signs closely.
- Provide supportive care, including oxygen therapy, fluid resuscitation, and antibiotics.
- Address any underlying medical conditions that may have contributed to the arrest.

[@nancygiardina6849]

Per the ACLS guidelines ,the patient needs to be defibrillated x 2 if they're in Vfib/ pulseless v-tach BEFORE the first dose of epinephrine 1mg is given

[@jackcfchong]

Agree. Thanks for your feedback.

[@susanchristineknisely3546]

Thank you! I was like WTF is this guy doing?

[@jackcfchong]

​@@susanchristineknisely3546 😂🎉 please share with your friends and colleagues. 😊

[@pelbriones7017]

Nice quick video guide also for review.
Please create more basic scenario plus some possible complicated situation .
Thank U.

[@jackcfchong]

I will try my best. Thanks.

[@jackcfchong]

Please share with your colleagues.

[@AllenZhang-g3d]

Cool!! Love this kind of teaching content. Thanks. ❤❤👍

[@jackcfchong]

Please share.

[@kingcravit-sl9od]

😍🥰 Thank you

[@jackcfchong]

Please share.

[@azielapilus3173]

not clear at scene 6...wht aryhtmia?

[@jackcfchong]

The patient has just been defibrillated at scene 5 due to ventricular fibrillation, a deadly arrhythmia, so, amiodarone infusion should be given.

[@jojigeorge8695]

Vt

[@jackcfchong]

thanks

[@khaledrtemi1676]

TDP

[@jackcfchong]

Torsade de pointes is a distinctive form of polymorphic ventricular tachycardia (VT) characterized by a gradual change in the amplitude and twisting of the QRS complexes around the isoelectric line. Given the chaotic appearance of the ECG in this case, ventricular fibrillation is more likely.

[@jackcfchong]

Please join this channel to download PDF files. Download links are available in the Community tab.
ruclips.net/channel/UCf96NcByqoDlU5I3xvcgkwgjoin

[@kingcravit-sl9od]

Have to watch this video several times, because I am renewing my ACLS certification exam very soon. Thanks! 😁😁

[@jackcfchong]

Best of luck! You can do it!

[@jojigeorge8695]

Svt😊

[@jackcfchong]

thanks