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PALS Megacode Scenario 3 Video
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Megacode at a Glance
- A 10-year-old arrives with no pulse, prompting immediate high-quality CPR.
- The initial rhythm check shows ventricular fibrillation.
- Defibrillation at 2 J/kg is performed, followed by immediate CPR.
- Subsequent checks reveal pulseless ventricular tachycardia, requiring higher-energy defibrillation and administration of epinephrine.
- Additional defibrillations, antiarrhythmic therapy, and investigation of reversible causes are provided.
- The child converts to a perfusing sinus tachycardia and is managed under ROSC protocol before transfer to the pediatric ICU.
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