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PALS Megacode Scenario 4 Video
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Megacode at a Glance
- A 6-year-old boy with vomiting and diarrhea arrives.
- He has rapid breathing, pale/cool skin, and tachycardia with a narrow QRS—suggesting sinus tachycardia.
- The clinical signs point toward hypovolemic shock.
- Because multiple IV attempts fail, an intraosseous line is placed to administer isotonic crystalloid fluids.
- Initial fluid boluses are repeated until signs of improved perfusion are observed.
- The child stabilizes after fluid resuscitation and is prepared for transfer to pediatric inpatient care.
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