Megacode

• TEAM LEADER

  • Assigns team member roles.

  • Ensures high quality CPR at all times

  • Ensures that team members perform well.
• Step 2: Performs primary assessment: Assesses airway, breathing and circulation.

  Step 3: Implements appropriate initial interventions: Maintain airway, supplemental Oxygen if needed, connect to cardiac Monitor, check for V/S and starts IV. Step 4: Correctly Identifies cardiac rhythm.
• TACHYCARDIA MANAGEMENT

  Recognizes stable or unstable tachycardia. If stable monitor and observe.

  Verbalizes signs and symptoms of unstable tachycardia (hypotension, altered mental status, signs of shock, ischemic chest pain, and acute heart failure).

  Performs vagal maneuvers if stable tachycardia.

  Administers adenosine and identifies correct doses.

  Performs Synchronized Cardioversion if patient is not responding to medications and becomes unstable.

  Assess for pulse and breathing.
• BRADYCARDIA MANAGEMENT

  Recognizes symptomatic bradycardia (hypotension, altered mental status, signs of shock, ischemic chest pain, acute heart failure). If stable monitor and observe.

  Administers correct dose of Atropine.

  Performs transcutaneous pacing if not responding to medications or patient is symptomatic.

  Assess for pulse and breathing
• POST CARDIAC ARREST CARE

  • Identifies ROSC post-arrest care: Ensure BP and 12 lead ECG are performed, O2 saturation is monitored, verbalizes need for endotracheal intubation and waveform capnography, treat hypotension (fluids/inotropes) and orders laboratory test.
  • Considers early PCI for STEMI patients.
  • Considers targeted temperature management.
• PULSELESS VT/VENTRICULAR FIBRILLATION MANAGEMENT

  Recognizes shockable rhythms; VF and pVT.

  Clears before analyze and shock.

  Immediately resumes CPR after shocks.

  Appropriate cycles of drug- ( Epinephrine 1 mg every 3-5 mins ) rhythm check every 2 mins , shock- CPR.

  Consider Amiodarone or Lidocaine for refractory VF.
• ASYSTOLE/PEA

  • Recognizes non shockable rhythm.
  • Immediately start CPR.
  • Administer Epinephrine 1 mg ASAP every 3-5 mins.
  • Immediately resumes CPR after rhythm and pulse checks.
  • Verbalizes potential reversible causes (H’s and T’s).
• POST CARDIAC ARREST CARE

  • Identifies ROSC post-arrest care: Ensures BP and 12 lead ECG are performed, O2 saturation is monitored, verbalizes need for endotracheal intubation and waveform capnography, treat hypotension (fluids/inotropes) and orders laboratory test.
  • Considers early PCI for STEMI patients.
  • Considers targeted temperature management.