ACLS Megacode Checklist
ACLS Megacode Checklist
General Items
- Document all interventions and responses
- Communicate with incoming medical team
- Ensure continuous monitoring of patient
Initial Assessment
- Ensure scene safety
- Assess responsiveness (AVPU)
- Call for help / Activate emergency response
- Check for breathing and pulse
Cardiac Arrest Protocol
- Begin CPR if no pulse
- Call for AED (Automated External Defibrillator) if available
- Attach AED as soon as possible
- Follow AED prompts for shock delivery
CPR Management
- Provide high-quality chest compressions (at least 100/min)
- Allow full chest recoil
- Minimize interruptions in compressions
- Provide rescue breaths if trained (30:2 ratio)
Defibrillation
- Ensure everyone is clear before delivering a shock
- Administer shock if advised by AED
- Immediately resume CPR for 2 min after shock
Post-Resuscitation Care
- Monitor vital signs
- Administer oxygen as needed
- Prepare for advanced airway management if necessary
- Consider reversible causes (H's and T's)
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