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NRP Megacode Scenario 6 Video
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Megacode at a Glance
- A 39-week infant is delivered not breathing and bradycardic at 56 bpm, prompting initial steps (warm, dry, stimulate, suction) and PPV with a T-piece.
- After 15 seconds of PPV, the heart rate climbs first to 80 bpm and then 102 bpm, allowing transfer to the NICU.
- NICU care focuses on potential respiratory issues and avoiding routine suctioning unless necessary to maintain oxygenation.
- If hypotension develops, positive inotropes may be used to improve cardiac output.
- Hypoglycemia is the most common postresuscitation electrolyte imbalance.
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