Testing Scenario 1: Unstable Bradycardia→ PVT → Asystole → PCAC

ACLS Provider Course

ACLS Provider Course: Testing Scenario 1: Unstable Bradycardia > PVT > Asystole > PCAC

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Testing Scenario 1: Unstable Bradycardia→ PVT → Asystole → PCAC

MM slash DD slash YYYY

Lead in scenario:

You are caring for a 65-year-old male; he is 2 days post-op from a total hip replacement with 6L/min by nasal cannula. When you enter the patient's room, he appears to be unconscious, and you note that his nasal cannula is removed and is beside his bed. What is your initial assessment?

Team Actions

Performs initial impression*
Teamwork and Communication*
Performs primary assessment (ABCDE)*
Provides supplemental O2 by non-rebreather mask*
Recognizes unstable Performs sinus bradycardia*
Obtain IV access and administer atropine 1 mg IVP and verbalize to repeat the dose every 3-5 min. maximum total dose of 3mg.*
Prepare /connect TCP /epinephrine infusion at 2- 10μg/min/dopamine infusion at 5-20 μg/min*
Recognizes Ventricular Tachycardia (pulseless)*
Assess for responsiveness, breathing and pulse*
Initiates high-quality CPR while charging defibrillator*
Defibrillates at appropriate energy (1st shock)*
Immediately resumes chest compressions*
Checks pulse (VT) after 2 minutes*
Defibrillates at appropriate energy (2nd shock)*
Administers correct dose of epinephrine*
Considers advanced airway and capnography*
Prepares 300 mg amiodarone*
Identifies and treats Hs and Ts*
Recognizes asystole*
Immediately resumes chest compressions*
Administers correct dose of epinephrine*
Continue to discuss the Hs and Ts*
Recognizes ROSC*
Reassess patient: ABC*
Consider Advance airway with capnography*
Maintain SPO2 of 94% above*
Manages Hemodynamics*
Consider Targeted Temperature management*
Verbalize the need for CT scan, ECG, laboratory*
Verbalize the need for CT scan, ECG, laboratory*

Result*
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