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NRP Megacode Scenario 1 Video
ACLS Certification Association videos have been peer-reviewed for medical accuracy by the ACA medical review board.
Megacode at a Glance
- A 39-week infant is born flaccid and apneic, with a heart rate of 80 bpm.
- Despite stimulation, the baby remains unresponsive, leading to PPV at 40–60 breaths per minute.
- The heart rate drops to 56 bpm, indicating the need for advanced airway management.
- A 3.5 mm ET tube is inserted, chest compressions are administered at a 3:1 ratio, and 100% oxygen is provided.
- Epinephrine is given when HR remains low, eventually increasing it to 120 bpm.
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