ACLS Megacode 1 In-Hospital

You are an internist at a local hospital. One of your patients is a 25-year-old male who was admitted yesterday evening for chronic abdominal pain and a history of gastrointestinal ulcers. You arrive in their hospital room to discuss their lab results when you find them in bed unresponsive. There is a half-eaten sandwich on the table next to the bed, so you assume they were eating shortly beforehand. A rapid initial assessment reveals the following:

Vital signs

• Pulse rate: Unobtainable
• Blood pressure: Unobtainable
• Respiratory rate: Unobtainable
• Temperature: Unobtainable

Physiological systems

• Integumentary: Moist, cool
• Cardiovascular: No palpable pulse
• Respiratory: No audible respirations, visible chest rising
• Neurological: Unresponsive