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ACLS Megacode Scenario 4 Video
ACLS Certification Association videos have been peer-reviewed for medical accuracy by the ACA medical review board.
Megacode at a Glance
- A 52-year-old woman presents with chest pain and shortness of breath, initially showing normal sinus rhythm with occasional PVCs.
- After a 12-lead ECG is obtained, she deteriorates into ventricular fibrillation, prompting immediate defibrillation and subsequent cycles of CPR.
- Persistent VF calls for repeated defibrillation, epinephrine every 3–5 minutes, and eventually antiarrhythmic medications (amiodarone or lidocaine).
- When the rhythm transitions to asystole, continued CPR and repeat doses of epinephrine are essential.
- Return of Spontaneous Circulation (ROSC) is achieved.
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