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NRP Megacode Scenario 3 Video

ACLS Certification Association videos have been peer-reviewed for medical accuracy by the ACA medical review board.

Megacode at a Glance

  • A term newborn arrives with no spontaneous respirations.
  • Despite PPV at 40–60 breaths/min, heart rate remains below 100 bpm, prompting advanced airway management (LMA) and further assessment.
  • The baby exhibits sinus bradycardia (HR <60 bpm), necessitating chest compressions alongside synchronized PPV at 100% oxygen.
  • An endotracheal tube replaces the LMA, while chest compressions and PPV continue until heart rate rises above 100 bpm.
  • Once stabilized with a heart rate of 128 bpm, the infant is transferred to the neonatal ICU for post-resuscitation care.

ACLS Certification Association (ACA) uses only high-quality medical resources and peer-reviewed studies to support the facts within our articles. Explore our editorial process to learn how our content reflects clinical accuracy and the latest best practices in medicine. As an ACA Authorized Training Center, all content is reviewed for medical accuracy by the ACA Medical Review Board.

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