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ACLS 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
- This scenario follows an 80-year-old patient presenting with sinus bradycardia.
- It is first managed initially with atropine but deteriorates into pulseless rhythms.
- Ventricular fibrillation (VF) requires immediate defibrillation, while pulseless electrical activity (PEA) demands continuous CPR and IV epinephrine every 3–5 minutes.
- Advanced airway placement and waveform capnography help optimize ventilation and track resuscitation efforts.
- Successful defibrillation transitions VF into sinus tachycardia, indicating the rhythm has been restored.
- Return of Spontaneous Circulation (ROSC) is achieved once the patient has a palpable pulse and measurable blood pressure.
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