A look at the Megacode The Megacode station in an advanced cardiac life support ACLS class provides a rehearsal to help team members organize their roles when involved in a real code situation. A case study approach is used to present a realistic picture of what occurs during a code. Each student takes a turn at each of the four roles: team leader team member in charge of airway management team member in charge of cardiopulmonary resuscitation CPR team member in charge of I. Team member roles During the Megacode, the team leader serves as the director of care activities and delegates responsibilities to the other team members accordingly.
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A look at the Megacode The Megacode station in an advanced cardiac life support ACLS class provides a rehearsal to help team members organize their roles when involved in a real code situation.
A case study approach is used to present a realistic picture of what occurs during a code. Each student takes a turn at each of the four roles: team leader team member in charge of airway management team member in charge of cardiopulmonary resuscitation CPR team member in charge of I. Team member roles During the Megacode, the team leader serves as the director of care activities and delegates responsibilities to the other team members accordingly.
The team leader assesses and manages circulation, airway, breathing, and defibrillation. Other components of the team leader role include: monitoring the quality of CPR being performed long-term objectives such as controlling rescuers and bystanders on the scene investigating the existence of advance directives deciding when to stop resuscitation incorporating family needs and concerns during and after the resuscitation process providing opportunities to conduct an objective critique of the resuscitation event.
Team members who respond to code situations frequently can quickly and smoothly work through algorithms because they need infrequent prompting from the team leader to perform appropriately to achieve a positive outcome. Algorithms Within the Megacode, algorithms serve as guides to patient care, pointing the team in a unified direction.
Remember that research findings may alter the current recommendations, so team members must keep up-to-date and be aware of changes in standards of practice. These stations typically include any equipment the situation demands. For example, if the student is a critical care nurse, the patient situation may take place in an intensive care setting.
If the student is employed in a free-standing surgical center, the situation may occur there. Raise your hand When presented with the patient situation, you may find that you need additional information to take an action or make a sound decision. If you ordered an arterial blood gas analysis, you might need to ask if the results have arrived.
This information is helpful if you need to make adjustments in oxygenation. For example, she may ask you if an alternative medication could be given or remind you that an I. A seasoned instructor can differentiate an unprepared student from a nervous one and will provide guidance to redirect you back to the algorithm.
Line up! It may be helpful to line up the equipment as you intend to use it or in an order you find most comfortable. You may also use the equipment to remind yourself about what has occurred during the testing scenario. Remember to only look at each scenario from the perspective of one team member at a time because trying to think about every single responsibility may prove overwhelming.
Oxygen is in place by nasal cannula. A diagnosis of stable VT is made. There is no change in rhythm. I would select the synchronize mode on the defibrillator and perform synchronized cardioversion at joules. I would monitor the quality of the compressions and the bag-mask ventilations. I would have the team intubate the patient in less than 10 seconds or insert a supraglottic advanced airway based on their skill level, and administer epinephrine 1 mg by I. Epinephrine is administered and CPR is in progress.
I would then have to team immediately resume chest compressions, making sure team members switch performing compressions every 2 minutes. I would administer amiodarone mg by rapid I. Only gold members can continue reading.
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ACLS Megacode Scenario Simulations
This is synonymous with atrial depolarization and usually corresponds with atrial contraction. The QRS complex corresponds to the depolarization of the left and right ventricles. It generally corresponds to the contraction of the ventricles. The T wave corresponds to a repolarization of the ventricles. Sinus Bradycardia Sinus bradycardia is a sinus rhythm with a rate less than 60 per minute in an adult.
As a free resource for our visitors, this page contains links to sample algorithms for the main AHA Advanced Cardiac Life Support cases. See our website terms. Compatible part number: , We now sell laminated pocket sized algorithm cards. Purchase Cardiac Arrest Algorithm This case presents the recommended assessment, intervention, and management options for a patient in respiratory arrest.