ACLS megacode simulator | ACLS-Algorithms.com

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  1. kdelaigle says

    Great site passed with 2 week cram course (yes, I do tend to procrastinate). Thanks for the easy to understand information and excellent megacode videos. Keep up the good work. I will definitely recommend your site. Great price too!

  2. Dricci says

    This site is the best study guide for ACLS. I went in today feeling confident and did great! Money well spent. Thank you!!!!

  3. rannie says

    Hi Jeff,
    there was this question in the ACLS pre-test which says, “you are monitoring a patient with Mobitz type 2 heart block, she has dizziness and BP is 80/40mmHg. She has an IV in place, what is your next action?
    a)start transcutaneous pacing
    b)give IV atropine 0.5mg
    c)start Dopamine infusion at 2-10 mcg/kg/min and then titrate
    d)administer sedation & bein immediate transcutaneous pacing at 80/min
    e)give atropine 1mg IV
    I chose start transcutaneous pacing, as it is stated in ACLS manual “donot rely on atropine for Mobitz 2 and 3degree heart blocks”. But again it also says that 1st line of treatment is Atropine.
    The answer in the pre test was to give IV atropine 0.5mg.
    Can u pls explain the rational for the answer.
    Thanks.

    • Jeff with admin. says

      This was a tricky one given the information given on Pg. 111. Which says “Do not rely on atropine in Mobitz type 2 second or third-degree AV block or in patients with third-degree AV block with a new wide QRS complex.
      The rational I believe would be “don’t rely on it.” This does not mean that it cannot be given, but it should not be relied upon. I was not sure because I know that in some situations with where 2nd degree or 3rd degree heart block is being caused by an ongoing MI.

      I asked by brother who has more experience with these types of situations in the ER and this is what he stated:
      I know just the question she is referring to. The AHA ACLS book states that Atopine should be administered first. I believe the rational is that it takes a bit of time to set up the transcutaneous pacemaker. In the meantime give the pt. 0.5 mg of atropine. In general I agree with this and would not hesitate to administer atropine 0.5 mg first. I attached a nice research study that describes the effects of atropine when given to Pt’s with acute MI.

      So it sounds like it is ok to give atropine in these situations, but don’t rely on it and move to TCP as soon as you can.

  4. medic29841 says

    Another satisfied customer, This site is all I used to study. I will recommend this to everyone,
    Megacode simulator was invaluable for re-cert.

    Thanks, see you in two years!

  5. clffgfr says

    Dear ACLS Algorithm team (Jeff)

    Thank you for this website. I passed my ACLS today. I did not receive my ACLS handbook till the day before but thanks to this course I was ready with knowledge of the most important points. The night before I just did the megacodes and pretest prep and it covered all the main points from the handbook.

    Thank you again for taking the time and initiative to design this website.

    It’s not about passing a test – it’s about saving lives. After this website I feel I actually know what I can do to not just help someone but actually SAVE their life.

    With Best Wishes

    – Christina (Ob-Gyn resident – NY)

  6. Susan Husband says

    This is a wonderful site! I have recommended to my co-workers. This site fits my style of studying! You have done a great job! Thanks!

  7. SPIES says

    Fun learning, hopefully I will be able to pass the written exam, thanks for providing this service I will continue untill it sinks in…..

  8. Keren Holmes says

    I passed! Thanks for the questions/site. I saw many of the same questions on the written test and the megacode simulators helped.

  9. sally jewell says

    Thank you so much, I kept falling asleep trying to study the book. This keeps my attention so I can actually learn and hopefully pass. You can only read an algorithm so many times before the information just does not stick.

  10. Jonathan says

    hi. i really appreciate this site its helpful and fantastic… great job for the creator and its contributors.. hope you can make other things related to this field.. thanks so much keep up the good work. God Bless and More power

  11. vivian Anyanaso says

    I just took my ACLS exams and thanks to your site it was a very smooth ride for me both the megacode scenarios and the written exam. I will definitely post your site on my FB page and tell
    My coworkers about this wonderful site. Pls Jeff I’m planning to take the PCCN certification exam this year. Can you refer some sites just as great as yours to help me with my studies and text books that could help. Thx so much for this site.

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