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PALS Megacode Scenario 2 Video
ACLS Certification Association videos have been peer-reviewed for medical accuracy by the ACA medical review board.
Megacode at a Glance
- A 9-year-old with severe bradycardia is showing signs of inadequate perfusion.
- After establishing adequate ventilation, CPR is started when the heart rate remains below 60 bpm.
- Epinephrine is administered at 0.1 mL/kg of 1:10,000 solution every 3–5 minutes.
- Reversible causes are explored before considering atropine and transcutaneous pacing.
- The case emphasizes continuing resuscitation efforts and evaluating additional treatment options.
- The child is prepared for transcutaneous pacing and transfer to the PICU for expert cardiology management.
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