ACLS Megacode Series - Learn & Master ACLS/PALS

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    • Jeff with admin. says

      No. Procainamide and sotalol do not have any place in the cardiac arrest algorithm. There have been some studies but none have shown any benefit These might be considered for use within the tachycardia algorithm or the post arrest algorithm.  They are not first-line medications however.

      In conscious patients, procainamide can be given only as a controlled infusion (20 mg/min) because of its hypotensive effects and risk of QT prolongation, making it difficult to use during cardiac arrest. 

      Sotalol is a class IIb antiarrhythmic within ACLS and there is not enough research to support its use or including it within the ACLS guidelines.

      Kind regards,
      Jeff

    • Jeff with admin. says

      Please call the technical support line and we can help you troubleshoot this problem. If you were viewing the nonmember preview, this video is not a complete video. You need to make sure that you are viewing videos 1-8 not the nonmember preview.

      Technical support line: 316-243-7096

      Kind regards,
      Jeff

  1. Bwtkach says

    Hi Jeff,
    Was wondering if there is any questions on written exam with regards to the Opioid Algorithm??

  2. Robert Green says

    Hi Jeff-
    Just knocked another ACLS outta the park thanks to your great website! I noted with interest that the instructors wanted us to defibrillate using only 120-200J—no escalating voltages! (Phoenix Estrella Hospital, 3-23-16) Certainly made it easier to remember, but I wasn’t aware that it was part of the new protocols! Thanks again for your service—-and your service!
    Robert (go Navy 1962-67) Green

    • Jeff with admin. says

      Thanks for letting me know how things went. I’m so glad that the site is helpful for you. Thank you for your military service as well.

      It sounds like you have defibrillators that do not have voltage delivery greater than 200 J. There are some out there that do not. There are some that go up to 360 J.

      Kind regards,
      Jeff

  3. nurseratt says

    Hi jeff, my question is why did you jump straight to epinephrine infusion instead of atropine? When the first med to use is atropine in the algorithm?

    Thanks Kim.

    • Jeff with admin. says

      There is really only one type of situation that you will want to do this. If the patient has any type of UNSTABLE Bradycarida (ie. Compromised perfusion) and the administration of atropine would delay the use of transcutaneous or chemical pacing.

      Kind regards,
      Jeff

  4. loewena13 says

    I’m from Canada. Just wondering if I study through this site if there are any differences between the American and Canadian guidelines?

  5. Leizel says

    I passed my ACLS re-certification today! thank you! Second time availing your course and it is all worth it!
    #grateful???

  6. rocel0217 says

    Hey Guys!

    I just finished my ACLS course here in Abu dhabi yesterday and passed it with flying colors!
    I even have recommendation as “instructor potential” and would start training as an instructor soon.
    your site has helped me a lot. paid for a 2 week course and it was all worth it. thanks again!

    Rocel

  7. Regina Letkowski says

    Passed my ACLS today with flying colors!!! Thanks for a great site for refreshing for the second time around…. Will definitely recommend to others.

  8. gracy says

    Jeff, why shock the pt. with 200J in video 8 and not 120 at the onset of v-fib. In the other videos they started with 120 J @ onset of v-fib?
    thanks, Opal

    • Jeff with admin. says

      There are a number of factors (i.e. Increased electrical impedance) that can affect the decision about shock dose. The recommended dose delivery for the first shock is 120-200 J. Many times a provider will start with the higher setting at an attempt to ensure first time conversion. In this scenario, I just decided to set the first shock for this administration at 200 J.

      Kind regards,
      Jeff

    • Jeff with admin. says

      At this time, I do not have any PALS content. I have looked around the web for something that I can recommend, but I have not found anything worth recommending. Your best resource at this time will be the AHA PALS Provider Manual.

      Kind regards,
      Jeff

  9. rasquito says

    Hi Jeff,

    just letting you know that you helped me so much. I passed ACLS ( megacode and test) because of your excellent acls review program.
    Do you have the same review for CPR scenarios and tests preparation? If so, where do I register?
    Thanks a million!

  10. Christy Jones says

    Hi Jeff,

    I want to thank you for compiling this wonderful web site. Reviewing the megacodes and practicing the online tests helped me and gave me more confidence than I have ever had since starting ACLS in the 1990’s. I took ACLS today and passed. Keep up the good work.

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