Megacode Teaching (ACLS Algorithms)

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To be successful in a megacode scenario, an ACLS provider must know the appropriate therapies, drugs, and doses used in the ACLS algorithms and when to use which drug based on the situation. One must also be able to identify and interpret basic arrest and pre-arrest cardiac rhythms. Remember that providing good ACLS always begins with good High-Quality BLS skills. Taking advantage of the training resources provided by ProACLS will provide one with a solid knowledge base to become proficient with skills in order to be ready to handle a life-threatening emergency.
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[@nadavshoua9671]

For all of you that are watching this: According to AHA guidelines you DO NOT check for pulse or the monitor after defibrillation!!! You resume chest compressions imidiatley!

[@XJarhead360]

True. CPR immediately after defib AND epinephrine not administered until after the 2nd defib. DO NOT STOP COMPRESSIONS TO ADMINISTER MEDS.

[@SouthernGospelMusic]

Some medics I know still do compressions during shocks.

[@sezi-h2969]

صلو علي خير الأنام💐

[@XJarhead360]

360 Joules, wow. Wonder how many institutions and ALS rigs have monophasic defibrillators.

[@wcrotts]

Biphasics like LP15 still use 200, 300, 360j markings though biphasic

[@ST-hc9bu]

Wil intubation be kept off for so long. Shud it not hav been done biy earlyy

[@kumarasinghefami]

Why we should

[@quadruplelatte]

Why would you check for pulse in vfib? Straight to compressions I’d think?

[@pipervibe3427]

if vfib and no pulse you should shock immediately and then immediately begin compressions.

[@tn1149]

You're going to get on the radio and call a code after checking responsiveness but BEFORE checking for a pulse?? Why? You don't need additional resources for an unresponsive.

[@jbuccilli1]

so you dont need additional resources for someone who is unresponsive? so youre good enough to manage head injuries and other possible trauma related, diabetic emergencies, overdoses, respiratory arrest (with possible cardiac shortly to follow). just curious as to what level of training you are certified at and what accredited agency taught you that mentality???

[@jbuccilli1]

forgot to also add PD intervention if assault or suicide attempt related as "additional resource"

[@XJarhead360]

@TN and jbooch: WHOA, this is a Mega Code per ACLS guidelines. At an unwitnessed unresponsive patient you call for help and activate the emergency response system, then BLS. It's called the Out of Hospital Chain of Survival. Page 15 in the AHA ACLS manual. As for PD intervention, that's not part of AHA ACLS. You follow the ACLS guidelines so you can keep your job.

[@rounendiaye5344]

Now is 1 ventilation every 6 second

[@user-eb4zu7wj6r]

Nice clear video but now out of date folks. Things have changed...

[@MrYoungangler]

Super out of date, stay on the chest for more than 50% of the damn time and your ROSC percentage would increase significantly

[@XJarhead360]

Yep, ROSC diminishes 10% per minute w/o chest compressions or defib. See p. 97 of the 2015 AHA ACLS Provider Manual.

[@durveshmaraj4898]

Please stop sharing wrong information, ask and I will tell u