ACLS Megacode 7 Out-of-Hospital

You are a healthcare provider working as part of an ALS-equipped medical team at a major sports venue. During a collegial basketball game, a security officer requests medical assistance for a 47-year-old female spectator that appears to be experiencing a syncopal episode. You and another team member arrive at their location in the stadium within 2 min, at which point the spectator has regained consciousness, but is now feeling nauseated and complaining of generalized weakness. A rapid initial assessment reveals the following:

Vital signs

• Pulse rate: 38/min
• Blood pressure: 81/52
• Respiratory rate: 16/min
• Temperature: 38.2 °C

Physiological systems

• Integumentary: Pale, dry
• Cardiovascular: Palpable peripheral pulses bilaterally
• Respiratory: Lungs CTA bilaterally
• Neurological: Alert, oriented