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Here it is, the grand-daddy of them all: the megacode. And in this megacode scenario, a combined knowledge of procedures and treatments from all of the ACLS algorithms will be necessary. In our scenario youll be the ACLS team leader with a 45 year old male patient who appears to be unresponsive. A witness states that the person had a choking emergency where an object was removed. The patient was brought to advanced medical care because he was having a difficult time breathing afterwards. As you begin to talk to the patient he stops responding to all questions. Remember to use basic life support before we go to advanced life support. The patient should be checked for responsiveness. If unresponsive a code should be called. Then, you would check for a pulse and breathing. In our scenario the patient is in respiratory arrest. A basic airway, like an OPA or an NPA, should be inserted. Then, were gonna start rescue breathing with a bag valve mask at 15 liters of oxygen. Were gonna deliv