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ACLS
MED
Megacode Sim V3
⬡ Clinical
🚨 MEGA CODES
📋 Code Summary
0
💊 Meds
🫁 CPR
🎵 Metronome
--:--:--
DOE, JOHN 62y M 84kg
⏸ Pause
▶ Resume
00:00
↺ Reset
Bed 4 — CCU
⏸ Paused
Instructor has paused the simulation
Press RESUME to continue
HR
—
bpm
ABP
●
—/—
mmHg
SpO₂
●
—
%
EtCO₂
●
—
mmHg
TEMP
●
—
°C
RR
●
—
/min
NBP
—/—
mmHg
ACLSMED Defibrillator
Megacode Sim — Monitor / Defib / Pacer
Power
⏻
AED
AED
Energy Select
−
200
Joules
+
Defibrillator
🔍 Analyze
⚡ Charge
⚡ SHOCK
Mode
Defib
Sync
Pacer
NBP Cuff
🔔 Alarm
Transcutaneous Pacing
Pacer OFF
Pacer ON
Rate
70
ppm
Output
0
mA
SYNC
LEAD: II
PWR
AED
PACE
🔋 92%
🚨 Mega Code Scenarios
✕
ACLS — Cardiac Arrest
01
Pulseless V-Tach
02
Refractory V-Fib
03
PEA — Hypovolemia
04
Asystole — Opioid OD
ACLS — Tachycardia
05
Stable V-Tach
06
Unstable V-Tach → Cardioversion
07
SVT — Adenosine
08
A-Fib with RVR
ACLS — Bradycardia
09
Symptomatic Bradycardia
10
Complete Heart Block — Pacing
BLS
11
Witnessed Arrest — AED
12
Drowning — Rescue Breathing
PALS
13
Pediatric V-Fib
14
Infant Bradycardia
Stroke
15
Acute Ischemic — tPA Window
16
Hemorrhagic — BP Management
📋 Code Summary — Real-Time Documentation
📄 Copy
🗑 Clear
✕
No events recorded. Start the scenario to begin documentation.
💊 Crash Cart Medications
✕
Cardiac Arrest — First Line
Epinephrine
1mg IV/IO push q3-5min
Amiodarone
300mg IV/IO (1st dose)
Amiodarone
150mg IV/IO (2nd dose)
Lidocaine
1-1.5mg/kg IV/IO
Vasopressors & Inotropes
Vasopressin
40 Units IV (one-time)
Dopamine
2-20 mcg/kg/min drip
Norepinephrine
0.1-0.5 mcg/kg/min
Dobutamine
2-20 mcg/kg/min
Tachycardia / SVT
Adenosine
6mg rapid IVP + flush
Adenosine
12mg rapid IVP (2nd)
Diltiazem
0.25 mg/kg IV over 2min
Metoprolol
5mg IV q5min (max 15mg)
Procainamide
20-50 mg/min IV
Bradycardia
Atropine
1mg IV q3-5min (max 3mg)
Electrolytes / Metabolic
Calcium Chloride
1g (10mL of 10%) IV slow
Sodium Bicarb
1 mEq/kg IV
Magnesium
2g IV over 5-20min
Dextrose 50%
25g (50mL) IV push
Reversal Agents
Naloxone
0.4-2mg IV/IM/IN
Flumazenil
0.2mg IV over 15sec
IV Fluids
Normal Saline
0.9% — 1L bolus
Lactated Ringers
1L bolus
Stroke / Thrombolytics
Alteplase (tPA)
0.9 mg/kg (max 90mg)
Nicardipine
5-15 mg/hr IV drip
✕
ACLS
MED
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6 sinus rhythms
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Full defibrillator
Crash cart medications
CPR with physiology
50+ cardiac rhythms
Mega Code scenarios
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Code summary & debrief
Sync & pacing modes
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AED mode
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⚙
INSTRUCTOR CONTROL PANEL
▲
Rhythm
Normal Sinus Rhythm (NSR)
Sinus Tachycardia
Sinus Bradycardia
Sinus Arrhythmia
Sinus Pause / Arrest
SA Exit Block
PACs (Premature Atrial Complexes)
Atrial Tachycardia
Multifocal Atrial Tachycardia (MAT)
Wandering Atrial Pacemaker
Atrial Fibrillation (A-Fib)
A-Fib with RVR
A-Fib (Controlled / Slow)
Atrial Flutter (Typical)
Atrial Flutter (Variable Block)
SVT (AVNRT)
AVRT (Orthodromic)
WPW (Pre-excitation)
WPW + A-Fib (Wide Irregular)
Junctional Rhythm
Accelerated Junctional
Junctional Tachycardia
PVCs — Unifocal
PVCs — Multifocal
PVC Bigeminy
PVC Trigeminy
PVC Couplets
PVC R-on-T
V-Tach — Monomorphic
V-Tach — Polymorphic (Torsades)
Ventricular Flutter
V-Fib (Coarse)
V-Fib (Fine)
Accelerated Idioventricular (AIVR)
Idioventricular Rhythm
Agonal Rhythm
1 AV Block
2 AV Block — Type I (Wenckebach)
2 AV Block — Type II (Mobitz)
2:1 AV Block
High-Grade AV Block
3 Complete Heart Block
Right Bundle Branch Block (RBBB)
Left Bundle Branch Block (LBBB)
STEMI (ST Elevation)
ST Depression (Ischemia)
Hyperacute T Waves
Wellens Syndrome
Ventricular Paced
AV Sequential (Dual) Paced
Failure to Capture
Failure to Sense
Hyperkalemia (Peaked T / Sine Wave)
Long QT Syndrome
Brugada Pattern
Hypothermia (Osborn J Waves)
Artifact / Interference
PEA (Pulseless Electrical Activity)
Asystole
Heart Rate
72
BP Systolic
120
BP Diastolic
68
SpO2 %
98
EtCO2
38
Temp C
36.8
Resp Rate
14
⚡ QUICK RHYTHM SELECT
NSR / ROSC
SINUS TACH
SINUS BRADY
SVT
A-FIB RVR
A-FLUTTER
V-TACH MONO
TORSADES
V-FIB COARSE
V-FIB FINE
V-FLUTTER
3 HEART BLOCK
PEA
ASYSTOLE
ACCOUNT
ACLSMED Megacode Sim V3ACLSMED Megacode Sim V3ACLSMED