To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.
The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
abosuyonov says
Thank you .
Just a question .
Do procainamide and sotalol have any place in the Pulseless Vtach/VFIB algorithm?
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聽These might be considered for use within the tachycardia algorithm or the post arrest algorithm. 聽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.聽
Sotalol is a class IIb antiarrhythmic聽within ACLS and there is not enough research to support its use or including it within the ACLS guidelines.
Kind regards,
Jeff
fernsberg says
I subscribed the 3 months unlimited ($17.99), how come I could not view the entire Megacode Videos????
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
Bwtkach says
Hi Jeff,
Was wondering if there is any questions on written exam with regards to the Opioid Algorithm??
Jeff with admin. says
To my knowledge the opioid algorithm is not covered in the provider manual and it is not covered in the provider course.
Kind regards,
Jeff
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鈥檓 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
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
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?
Jeff with admin. says
I have a lot of Canadian health care providers that use this site and none of them have every complained or stated that they saw conflicts with what was learned in class.
Kind regards,
Jeff
Leizel says
I passed my ACLS re-certification today! thank you! Second time availing your course and it is all worth it!
#grateful???
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
Leizel says
Congrats! ??
And congrats to team Al qua’a!
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.
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
Nelis Sanchez says
Hi. Do you have PALS preparation videos?
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
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!
Jeff with admin. says
Thanks for letting me know how things went. At this time, I do not have any material covering just CPR scenarios. Kind regards, Jeff
nursemomo13 says
I passed yesterday and got a 98% on the written exam portion! Thank you! 馃檪
Jeff with admin. says
You are welcome! Great Job. Kind regards, Jeff
Drhisham37 says
Hi Jeff’
Why 8 megacodes jeffo?i thought I have subscribed for 14 megacodes.
Jeff with admin. says
You will find the 14 multiple-choice megacode scenarios in the left navigation under the box titled “quizzes and scenarios.” Kind regards, Jeff
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.
Jeff with admin. says
Thank you for the encouragement and feedback at the website. I’m so glad that the site has been helpful for you. Kind regards,
Jeff
Jeff with admin. says
Hi
Thank you for the encouragement and feedback at the website. I’m so glad that the site has been helpful for you. Kind regards,
Jeff