Each ACLS Megacode Scenario within the simulator will take you through situations that you will experience when you perform your ACLS Megacode Skills Station.
After you have completed the scenario, the ACLS simulator will grade your test, and you will receive instant feedback. This will help reinforce the ACLS Algorithm and improve your ability to respond in emergency situations. Go through each megacode scenario as many times as you need to achieve mastery of the ACLS Algorithms.
After you have completed these multiple-choice megacode scenarios, move on to the megacode series videos which will take you one step further in your mastery of the ACLS algorithms.
The ACLS megacode simulator is compliant with the 2020-2025 AHA ACLS guidelines.
Kbatte says
When taking the practice quizzes and simulations what percentage should we be “ok” with. Ie: >90% is a high likelihood you pass…
Jeff with admin. says
I would say you should get a 90%
And you should understand why you missed the questions you missed. I would take the megacode scenarios and practice tests several times.
Kind regards,
Jeff
zkx6221 says
Hi Jeff. Thank you so much!!! Great website! I passed my ACLS recert today without any difficulties. Best review of megacode and practice test questions. Best regards.
Blonde4fun says
If you have a patient in VT/VF and there is already and established IV, can you give go ahead and give Epi or Vasopressin after the 1st shock? Many thanks!
Jeff with admin. says
Here is what the AHA ACLS Advanced Provider Manual pg. 68 states: “Because defibrillation is the definitive therapy for VF, vasopressors and antiarrhythmic agents should be given ONLY when defibrillation and CPR are ineffective and VF or Pulseless VT persists.”
Personally, if the administration of epinephrine or vasopressin does not slow the ability to defibrillate and perform CPR then, I would give it. I have not found any good reason in the literature that would contraindicate its use if it does not slow defibrillation and CPR.
Kind regards,
Jeff
K. Cunningham says
Thanks to this site I passed ACLS yesterday and had a lot less stress. The Mega code videos are very helpful.
Maria says
This is great website! I’m a returning customer and I have recommended this to all of my friends who are about to take ACLS . They all are passing with flying colors. Thanks again.
Rienette says
Thank you this is really good learning site, I have gained a lot of knowlegde
Sadhna Hussain says
Excellent website! Learning heaps from it. Thanks so much.
Dr Zainab says
Thank u so much.Excellent website
theresalovasik says
A nagging question in my mind;
I understand the AHA/physiological explanation for not defibrillating Pulsness VF (simply too disorganized), but other than an answer like “because we haven’t found it to be effective”, why is V Tach not ‘organized enough’ to be defibrillated? (is there something other than just being multifocal in origin) –No rush on the answer Jeff.
Jeff with admin. says
VF is a pulseless rhythm and you should use high energy unsynchronized shocks (defibrillation) . There is no way to sync in this case.
VT without a pulse should be defibrillated. High energy unsynchronized shocks (defibrillation).
The main reason according to AHA materials is that with pulseless VT and VF the monitor will not be able to sync with the rhythm and deliver the shock at the appropriate time.
Kind regards,
Jeff
Esther says
This website was so helpful and I thank you for the efforts in creating it! I systematically reviewed as you advised and used the planning/review sheet to track my progress and finally it made much more sense. The format was very helpful. My recertification was today and I felt confident going in to the test and passed it, but more importantly I feel better able and more competent to function in the real situation! This website decreased my stress!
God has gifted you to help others! Thank you!
Jeff with admin. says
Thank you for the feedback. I am so glad that the site was helpful for you in your preparation for ACLS. Anything that I am and have has comes from God and belongs to Him. I appreciate the chance to be able to help others.
Kind regards,
Jeff
Ni Collins says
I am so thankful for the website, I am going to do recertification for ACLS soon. I was so confused before I find this website. I read the handbook from American Heart Association, it was not helping at all. It was so boring, repetition and doesnt help at all. THank you So MUCH..
tim says
Wonderful site. As an ACLS instructor, this is a great site to review content before putting on a class.
barbara basalyga says
Jeff, I paid for the 2 week cram course and have visited this site daily since. I’m not sure why, but the “light” has been getting much brighter! The ACLS book puts me to sleep ZZzzz..but this site is great and I like to take the “written” tests over and over so I can improve my score..I recommend it to ANYone! Thank you for such a helpful, well layed out site.
micahrnrogers says
This has been invaluable. It is so appreciated, and well worth the money to use this. My thanks to you for your work in developing this program. Would / Have you consider(ed) the same type of format and program for assisting in TNCC and ENPC? Would be phenomenal. Blessings to you, Jeff, and your entire team.
kossia963 says
In SVT you performed the vagal maneuvers, gave adenosine (x2), performed syn. cardioversion, and the patient still remains in SVT, what is the next intervention?
Jeff with admin. says
The next step would be catheter ablation.
A very high percentage of patients will convert with adenosine or cardioversion. Very few actually need catheter ablation.
Kind regards,
Jeff
kathya says
IS TRANSCUTANEOUS PACING AND DEFIBRILLATION THE SAME THING?
Jeff with admin. says
No transcutaneous pacing (TCP) and defibrillation are two quite different things. The only similarity is they both use an electrical charge. TCP uses a very small electrical charge (only milliamps) to lightly stimulate the heart and cause contraction of the myocardial tissues. Defibrillation on the other hand is a very high energy electrical shock that stuns the heart and causes it to temporarily stop. The heart cells then (most of the time) reset and start firing in a normal pattern which results in cessation of an arrhythmia like ventricular fibrillation or ventricular tachycardia.
Kind regards,
Jeff