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    ACLS Megacode Algorithm

    Uploaded by

    Peter Lee
    The document outlines guidelines for managing various cardiac arrhythmias during ACLS megacode testing. It discusses the roles and responsibilities of the team leader and performing high-quality CPR. Bradycardia, tachycardia, ventricular fibrillation, pulseless ventricular tachycardia, PEA, and asystole are each addressed with steps for recognition, treatment, and management, including appropriate drug administration and defibrillation when indicated. Post-cardiac arrest care procedures are also summarized.

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    ACLS Megacode Algorithm

    Uploaded by

    Peter Lee
    124 views2 pages
    The document outlines guidelines for managing various cardiac arrhythmias during ACLS megacode testing. It discusses the roles and responsibilities of the team leader and performing high-quality CPR. Bradycardia, tachycardia, ventricular fibrillation, pulseless ventricular tachycardia, PEA, and asystole are each addressed with steps for recognition, treatment, and management, including appropriate drug administration and defibrillation when indicated. Post-cardiac arrest care procedures are also summarized.

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    ACLS megacode algorithm

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    ACLS Megacode algorithm

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    The document outlines guidelines for managing various cardiac arrhythmias during ACLS megacode testing. It discusses the roles and responsibilities of the team leader and performing high-quality CPR. Bradycardia, tachycardia, ventricular fibrillation, pulseless ventricular tachycardia, PEA, and asystole are each addressed with steps for recognition, treatment, and management, including appropriate drug administration and defibrillation when indicated. Post-cardiac arrest care procedures are also summarized.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    124 views2 pages

    ACLS Megacode Algorithm

    Uploaded by

    Peter Lee
    The document outlines guidelines for managing various cardiac arrhythmias during ACLS megacode testing. It discusses the roles and responsibilities of the team leader and performing high-quality CPR. Bradycardia, tachycardia, ventricular fibrillation, pulseless ventricular tachycardia, PEA, and asystole are each addressed with steps for recognition, treatment, and management, including appropriate drug administration and defibrillation when indicated. Post-cardiac arrest care procedures are also summarized.

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    ACLS Megacode testing

    - Team leader duties


    (i) assign team member roles
    (ii) ensure HQ CPR
    - compression rate 100-120/min
    - compression depth >= 5cm
    - CCF >= 80%
    (iii) ensure team member communicate well

    - Bradycardia Mx
    (i) recognize bradycardia
    (ii) connect (instruct to connect) monitor, set up IV, ensure O2 access
    (iii) ensure monitors placed in correct position
    (iv) initiate mx (if stable, observe; if unstable, atropine)
    1mg bolus, repeat every 3-5 mins, max 3mg
    (v) prepare for 2nd mx
    - consider possible hypoxic and toxicologic causes
    - transcutaneous pacing
    - dopamine infusion (usual rate: 5-20 mcg/kg/min)
    - adrenaline (2-10 mcg/min)
    if pacing doesn’t work, jz try dopamine/adrenaline

    - Tachycardia Mx
    (i) recognize tachycardia (pattern, pulse rate)
    (ii) connect monitor, set up IV access, monitor O2 (and give O2 if
    dyspnea/palpitations)
    (iii) ensure that the monitor is correctly placed
    (iv) recognize any sx due to unstable tachy/no sx due to stable tachy
    (v) initiate tx (unstable  synchronized DCCV
    stable and narrow complex  vagal maneuver/carotid massage/beta-blocker/CCB
    stable and wide complex  adenosine (regular and monomorphic)
    first give 6mg bolus flush with NS; then give 12mg as second time
    otherwise/if refractory, give amiodarone (150 mg over 10 mins, then followed by
    1mg/min over the next 6 hrs)
    consider increase dosage of cardioversion (unstable)
    underlying causes
    expert consultation
    - VF Management
    (i) recognize VF
    (ii) clear, charge the defibrillator, and then shock the patient with clearance
    (iii) resume CPR immediately after shock
    (iv) ensure airway management
    (v) drug-rhythm cycle
    (vi) appropriate drug administration
    (recognition, clear + charge + shock, resume CPR, airway mx (after multiple bagging,
    intubation), drug-rhythm cycle, appropriate drugs)

    - pVT management
    same as VF
    (recognize VF, start CPR, clear + charge + shock, resume CPR immediately, adequate
    airway management (tubing after bagging), drug-rhythm cycle, appropriate drug and
    dosage)

    - PEA/asystole
    (i) recognize PEA/asystole
    (ii) assess for the 5H and 5T reversible causes
    (Hypothermia, Hypoxia, Hypovolemia, Hypo/HyperK, Acidosis/Tension
    pneumothorax, cardiac tamponade, toxin (check pupil size), pulmonary/cardiac
    embolism)
    (iii) administer correct drug/dosage
    (iv) resume CPR after rhythm check in 10 mins
    (recognition, 5H5T, appropriate drug/dosage, resume CPR)

    - Post-cardiac arrest care


    (i) identify ROSC
    (ii) verbalize connection of O2 monitoring, 12-lead ECG, when have pulse check BP,
    +/- ETT/waveform capnography, investigations (as indicated)
    (iii) TTM (32-36 degrees Celsius)

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