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NRP Megacode Scenario 5 Video
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Megacode at a Glance
- A 39-week newborn weighing 3.6 kg is delivered without breathing or crying, with a heart rate of 56 bpm (normal ≥100 bpm).
- Despite PPV at 50 breaths per minute with 21% O₂, the heart rate remains below 60 bpm, prompting intubation and chest compressions.
- An umbilical venous catheter is placed, and epinephrine (0.02 mg/kg) is administered every 3–5 minutes.
- Possible reasons for persistent bradycardia include hypovolemia, pneumothorax, or a displaced ET tube.
- After repeated doses of epinephrine and continued CPR for another 60 seconds, the infant’s heart rate rises to 120 bpm.
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