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NO PULSE @$";::2900}) 2905) "@& INTUBATE @$ if possible") 2910) 2920) 12000) N:"No pulse?":"repeat @& EPINEPHRINE @$ every 5 minutes"(ectromechanical dissociation @$"::"Electromechanical dissociation is"(_ "usually due to an underlying cause,":"either physical or chemical.":(d 2900::2905::"@& INTUBATE @$ if possible":12000(g N:2920::29155)i :"aggressively seek undN:"if hypotensive or unconscious,":"proceed as per V-fib protocol with":"@& BRETYLIUM @$ 5 MG/KG"'P :"otherwise, @& PROCAINAMIDE @$ 20 MG every":"minute, up to 1000 MG."'U :2915::"Keep trying to @& CARDIOVERT @$"'X :850:G(Z N:" @& ElY&7 :"no change? @& CARDIOVERT @$ 100 JOULES":"no change? @& CARDIOVERT @$ 200 JOULES"&< "no change? @& CARDIOVERT @$ 360 JOULES"&A :"recurrent or no change?":"@& LIDOCAINE @$ 1 MG/KG IV BOLUS"&F "@& CARDIOVERT @$ 360 JOULES"&I 12000d'K 850:=%( N:" @& V-tach with pulse, but unstable @$":2925n%- :"@& I.V. @$ (oxygen on, backboard ready)"%0 "@& CARDIOVERT @$ 50 JOULES"%2 " (when hypotension or unconscious-":" ness is present, non-synchronized":" shocks are recommended)"child 4 J/KG)"@$ "no change? @&BRETYLIUM@$ 10 MG/KG IV PUSH";s$ "@& DEFIB @$ 360 JOULES (child 4 J/KG)":2915$ "repeat @& LIDOCAINE @$ or @& BRETYLIUM @$":"repeat @& EPINEPHRINE @$ every 5 minutes"$ :"Keep trying to @& DEFIBRILLATE @$"% @$ 360 J (child 4 J/KG)"I# "no change?@& LIDOCAINE @$ 1 MG/KG IV PUSH"q# "@& DEFIB @$ 360 J (child 4 J/KG)"# "no change?@& BRETYLIUM @$ 5 MG/KG IV PUSH";:" or @& LIDOCAINE @$ 0.5 MG/KG"# 12000# 2920$ "@& DEFIB @$ 360 JOULES (less V-tach @$"::"Witnessed? give PRECORDIAL THUMP":" "@& DEFIB @$, 200 JOULES (child 2 J/KG)":"no change?@& DEFIB @$, 200-300 J."" "no change?@& DEFIB @$ 360 J (child 4 J/KG)";" 2900" 2905# "@& INTUBATE @$ if possible":"@& DEFIB se give dose for bolus.":295B!DSDSDS((UN62)99(UN61)19)H!!E0,120,279,191:1:14:HN$;"Mix lidocaine drip.":MN$;"How many milligrams per":"minute?"!11000! "@& MILLIGRAMS:@$ ";:DS:216,0:8" N:" @& Rhythm V-fib or pulse125( DSDSDS((UN60)(UN62)49):M UN62DS50DS:AD70DSDS0.2\ UN60290b w UN61DS10DS}  DSDSDS((UN62)0.5(UN61)0.9): DSDSDS((UN62)499(UN61)49): AD72ı RT542075!DS0ĺMN$;"Pleaygen on.":295=PA292ĺHN$;"CPR done automatically!":295VZA295A296ACA2:f_A2971385d:N:CT2500,2600,2700,2750,2800,2850,2875,2650:110i"Please enter the exact dose, except":"you just name the drug for infusions." n850::HN$;"The IV's running.":"Perhaps I misunderstood!":295LAD721200XET0ıHN$;"The ET's in place.":"Perhaps I misunderstood!":295AC10ĺ"No intracardiac drugs, no special":"I.V.'s in this program.":295FA291ĺHN$;"100% ox1120,1120,1120,1120,11202[RT491200,1120,12508`]t:HN$;"Ineffective route.":295y:HN$;"Not by E.T. tube!":295AD72ĺHN$;"You're kidding!":295IV0ıIV0.5ĺMN$;"Gimme a break!":"I'll tell you when the IV's in.":295<΍΍΍΍΍΍΍΍΍΍΍"The program cannot find a needed":"file. Either an incorrect disk is":"inserted or the teaching program":"disk is damaged.":P#X6X8ĺ"Unanticipated error! System problem?":Z#2:19:"Press @& RETURN @$ to return to menu:";;d#A$:A$(13)":9DUN$(I):I&9D$"CLOSE DONE",9:9(#24576:Ne9*#5:1:"@V5@&@4 WHOOPS! @$@V4@1":1:792#"'ACLS Protocols' requires that the":"program disk remain in the drive."9<#X8ĺ"The disk drive is not responding.":"Please check it.":F#X6OAP OPERA WATCHER":"VERTEBRATE":"VEGETABLE"Q8RANK5(MI2):RANK17RANK1785:RANK:"-->":7:19:"Hit @& RETURN, @$ please:";8A$:A$(13)70708D$"DELETE DONE,S6,D1":D$"OPEN DONE":D$"WRITE DONE"9I111:DUN$(I)" "DUN$(I)"N71257pE0,140,279,191:+7X RANKQ7bN:6:1:"@3@C1YOUR RATING@1@C3"7v9:5:"E.R. DOC":"RESIDENT":"INTERN":"HEAD NURSE":"STAFF NURSE"7"PRACTICAL NURSE":"MED STUDENT":"WARD CLERK":"CLEANING PERSONNEL":"HOSPITAL VISITOR"-8"SXX2:Y25:X,Y:XXSL:Y22:X,Y:XX2:X,Y:b6 X3,Y5X6,Y7X9,Y6:XX14:Y30:X,Y:6 XX4:YY4:X,Y:XX5:YY2:X,Y:XX6:YY2:X,Y:XX5:Y30:X,Y:6X1,Y3X3,Y5X4,Y5X6,Y3X8,Y:XXPR7:X,Y:650106::X,Y:XX2((1)2):YY5((1)3):X,YN5& XX5:YY3((1)4):X,Y:5 XX3:YY20:X,Y:XX2:YY4((1)5):X,Y:XX2:YY8:X,Y5 XX3:YY53((1)5):X,Y:XX2:YY8:X,Y:5 XX4:Y30:X,Y:XXSL:Y28((1)4):X,Y:06\ ransvenous pacemaker"4 P4 " BICARBONATE 1 MEQ/KG":" Get Blood Gases":4 XX2:YY20((1)4):X,Y:XX3:YY63((1)5):X,Y:4 YY12((1)3):X2,Y:YY25((1)6):X4,Y:YY34((1)5):XX7:X,Y:,5 XX4:YY42((1)5)/KG"::Y3m "(with pain, infarction, dyspnea,":"congestive failure, or hypotension)":3| "@& EXTERNAL PACER @$":" or":"@& ISOPROTERENOL DRIP @$ 0.3 mic/kg/min"4 :"if good rhythm obtained only after":"pacer or isoproterenol, prepare for":"t MG/KG)":" give by E.T. tube if no I.V.!":z2^ "@& ATROPINE @$ 1 MG IV (child .01 MG/KG)":" may also be given E.T.":2c "@& BLOOD GAS @$ or @& ELECTROLYTE @$ abnor-":" mality?":3h "@& IF @$ unwitnessed, consider:":" @& BICARBONATE @$ 1 MEQ 1: :850:D1; N:2:4:"@& BICARBONATE THERAPY FOR ACIDOSIS @$"1> 1:7:"@& acute dosage: @$"::"DOSE = 0.1 x (-base ex.) x (kg weight)"1E :::850:1T "Start @& I.V.@$ (consider @&INTUBATION@$ now)":,2Y "@& EPI @$ 0.5-1 MG IV (child .01$ 5 MG IV"H01 :"no change in 15 minutes?":"@& VERAPAMIL @$ 10 MG IV"06 :"no change in 15 min? consider:":" @& DIGOXIN @$ 0.25 increasing to 1 mg IV"18 " @& PROPANOLOL @$ 1 MG per min up to 5 mg":" @& CARDIOVERSION @$":" @& OVERDRIVE PACER @$""@& CARDIOVERT @$ 100 JOULES":"no change? @& CARDIOVERT @$ 200 JOULES"}/' "no change? @& CARDIOVERT @$ 360 JOULES"::2915/* :"@& VERAPAMIL @$ 5 MG, CARDIOVERT":12000 0, N:"@& STABLE: @$"::"vagal maneuvers":"start @& I.V. @$":"@& VERAPAMIL @th procainamide?":" procainamide drip 1-4 mg/min"p. :"resolved with bretylium?":" bretylium drip 2 mg/min"}. :850:." N:"@& P.A.T. (parox.supraventr. tachyc.) @$"::"@& STABLE PATIENT? @$ SEE NEXT PAGE".# :"@& UNSTABLE: @$":2925G/$ :0 MG per":" minute up to 1000 mg."S- :"continuing? @& BRETYLIUM @$ 5-10 MG/kg"^- 12000- N:"resolved with lidocaine?":" 1 mg/kg total: drip 2 mg/min"- " 1-2 mg/kg total: drip 3 mg/min":" 2-3 mg/kg total: drip 4 mg/min"2. :"resolved wi΍΍΍΍΍΍΍΍΍΍΍΍΍΍΍΍΍΍΍΍Ǣ àϢ àĢ à¢ à͢ à͢ à ̢ à¢ à̢ àŢ à΢ àŢ àŢ àĢ àТ àҢ ààŢ àŢ àŢ àǢ à΢ àϢ à͢ à͢ àâ àɠ΢ à΢ à̢ àŢ à̢ àŢ à΢ àխ̢ àխƢ  à΢ àҢ àîЮҢ à٢ àԢ àТ àԢ àӢ àآ àŢ  àŢ àĢ àТ àŢ àע àŢ à΢ àĢ àҢ àԢ àͮӮàԢ àҢ àŢ àâ àĮâ àįâ àТ àĢ à̢ àϢ à̢ à΢΍΍΍΍΍΍΍΍΍΍΍ave you":"done?"@Z#2:19:"Press @& RETURN @$ to try again:"Xd#A$:A$(13)9060fn#FIX:970 rive"G<#X8ĺ"The disk drive is not responding.":"Please check it."F#X6ĺ"The program cannot find a needed":"file. Either an incorrect disk is":"inserted or the teaching program":"disk is damaged."P#X6X8ĺ"Unanticipated error! What h$"RUN PROTOCOL.BAS"]5:1,180278,180:X40,181:"@C3Hit @X2@C1RETURN@1@C3 to continue:";uA$:A$(13)1010{(#N:5:1:"@V5@4@& WHOOPS! @$@V4@1":1:7-#X(222)2#"'ACLS Protocols' requires that the":"program disk remnain in the dtions change.":"These may be purchased for a small":"fee by writing:":" Mad Scientist Software":" 2063 North 820 West"" Pleasant Grove, UT 84062"1000:NX5,50:"@3@C2RETURNING TO":"PROGRAM MENU..."9000D OUND+<'I14:848,YES%(I):849,35:850:1<$'H<*: TRAP FROM 2076l<.1:0,175279,175279,1760,176<.3:8:19:"Press @& RETURN @$ for more:";<.A$:A$(13)12020<.N: ded":"file. Either an incorrect disk is":"inserted or the teaching program":"disk is damaged.";P#X6X8ĺ"Unanticipated error! System problem?";Z#2:19:"Press @& RETURN @$ to return to menu:";;d#A$:A$(13)9060;n#FIX:500<' YES SE DONE" ::(#24576:NF:*#5:1:"@V5@&@4 WHOOPS! @$@V4@1":1:7:2#"'ACLS Protocols' requires that the":"program disk remain in the drive.":<#X8ĺ"The disk drive is not responding.":"Please check it."b;F#X6ĺ"The program cannot find a nee":"VEGETABLE"29RANK5(MI2):RANK17RANK17k95:RANK:"-->":7:19:"Hit @& RETURN, @$ please:";9A$:A$(13)70709D$"DELETE DONE,S6,D1":D$"OPEN DONE":D$"WRITE DONE"9I111:DUN$(I)" "DUN$(I)"N":9DUN$(I):I:D$"CLOS 8X RANK28bN:6:1:"@3@C1YOUR RATING@1@C3"{8v9:5:"E.R. DOC":"RESIDENT":"INTERN":"HEAD NURSE":"STAFF NURSE"8"PRACTICAL NURSE":"MED STUDENT":"WARD CLERK":"CLEANING PERSONNEL":"HOSPITAL VISITOR"9"SOAP OPERA WATCHER":"VERTEBRATE3,Y5X4,Y5X6,Y3X8,Y:XXPR7:X,Y:775010?7:H7125Z7|D$(13)(4)s7D$"OPEN DONE,S6,D1"7D$"DELETE DONE,S6,D1"7D$"OPEN DONE,S6,D1"7D$"WRITE DONE"7I111:"N":I7D$"CLOSE DONE"78pE0,140,279,191::X,Y:;6 XX4:Y30:X,Y:XXSL:Y28((1)4):X,Y:p6\ XX2:Y25:X,Y:XXSL:Y22:X,Y:XX2:X,Y:6 X3,Y5X6,Y7X9,Y6:XX14:Y30:X,Y:6 XX4:YY4:X,Y:XX5:YY2:X,Y:XX6:YY2:X,Y:XX5:Y30:X,Y:,7X1,Y3XX4,Y:YY34((1)5):XX7:X,Y:l5 XX4:YY42((1)5):X,Y:XX2((1)2):YY5((1)3):X,Y5& XX5:YY3((1)4):X,Y:5 XX3:YY20:X,Y:XX2:YY4((1)5):X,Y:XX2:YY8:X,Y6 XX3:YY53((1)5):X,Y:XX2:YY8 obtained only after":"pacer or isoproterenol, prepare for":"transvenous pacemaker"[4 4 " BICARBONATE 1 MEQ/KG":" Get Blood Gases":4 XX2:YY20((1)4):X,Y:XX3:YY63((1)5):X,Y:%5 YY12((1)3):X2,Y:YY25((1)6):h "@& IF @$ unwitnessed, consider:":" @& BICARBONATE @$ 1 MEQ/KG"::3m "(with pain, infarction, dyspnea,":"congestive failure, or hypotension)":3| "@& EXTERNAL PACER @$":" or":"@& ISOPROTERENOL DRIP @$ 0.3 mic/kg/min"U4 :"if good rhythmer @&INTUBATION@$ now)":l2Y "@& EPI @$ 0.5-1 MG IV (child .01 MG/KG)":" give by E.T. tube if no I.V.!":2^ "@& ATROPINE @$ 1 MG IV (child .01 MG/KG)":" may also be given E.T.":2c "@& BLOOD GAS @$ or @& ELECTROLYTE @$ abnor-":" mality?":H3in up to 5 mg":" @& CARDIOVERSION @$":" @& OVERDRIVE PACER @$"M1: :850:1; N:2:4:"@& BICARBONATE THERAPY FOR ACIDOSIS @$"1> 1:7:"@& acute dosage: @$"::"DOSE = 0.1 x (-base ex.) x (kg weight)"1E :::850:2T "Start @& I.V.@$ (considE: @$"::"vagal maneuvers":"start @& I.V. @$":"@& VERAPAMIL @$ 5 MG IV"01 :"no change in 15 minutes?":"@& VERAPAMIL @$ 10 MG IV"06 :"no change in 15 min? consider:":" @& DIGOXIN @$ 0.25 increasing to 1 mg IV"@18 " @& PROPANOLOL @$ 1 MG per mATIENT? @$ SEE NEXT PAGE"8/# :"@& UNSTABLE: @$":2925/$ :"@& CARDIOVERT @$ 100 JOULES":"no change? @& CARDIOVERT @$ 200 JOULES"/' "no change? @& CARDIOVERT @$ 360 JOULES"::2915/* :"@& VERAPAMIL @$ 5 MG, CARDIOVERT":12000J0, N:"@& STABL3 mg/min":" 2-3 mg/kg total: drip 4 mg/min"r. :"resolved with procainamide?":" procainamide drip 1-4 mg/min". :"resolved with bretylium?":" bretylium drip 2 mg/min". :850:/" N:"@& P.A.T. (parox.supraventr. tachyc.) @$"::"@& STABLE Pkg up to 3 MG/kg total"c- :"continuing? @& PROCAINAMIDE @$ 20 MG per":" minute up to 1000 mg."- :"continuing? @& BRETYLIUM @$ 5-10 MG/kg"- 12000- N:"resolved with lidocaine?":" 1 mg/kg total: drip 2 mg/min",. " 1-2 mg/kg total: drip inuing PVS's (ventricular ectopy)@$":v, "rule/out treatable cause (drugs,":"bradycardia, electrolytes, acidosis)", :"@& LIDOCAINE@$ 1 MG/kg BOLUS":"continuing? @& LIDOCAINE@$ .5 MG/kg BOLUS"- :"continuing? repeat @& LIDOCAINE @$":" 0.5 MG//KG)"::"unstable factors continue?"l+ "repeat @& ATROPINE @$ (to 2 MG)"::"unstable factors continue?"+ "consider @& EPINEPHRINE@$ 0.5 MG or @& DRIP@$":" (drip dose 0.1 mic/kg/min)"+ 12000+ N:2915::2940+ :850:&, N:"@&Cont* N:"No pulse?":"repeat @& EPINEPHRINE @$ every 5 minutes"h* "repeat @& ATROPINE @$ in 5 minutes"* 2915::"No pulse?"* 2940* :850:* N:"@& Bradycardia with pulse but unstable @$":2925:%+ "@& ATROPINE @$ 0.5-1 MG (child .01 MGsible":12000")g N:2920::2915u)i :"aggressively seek underlying cause"::"@& EPI @$ 1 MG every 5 min":850:) N:"@& Asystole, or bradycardia w. NO PULSE @$";::2900) 2905) "@& INTUBATE @$ if possible") 2910) 2920) 12000>"Keep trying to @& CARDIOVERT @$"/(X :850:(Z N:" @& Electromechanical dissociation @$"::"Electromechanical dissociation is"(_ "usually due to an underlying cause,":"either physical or chemical.": )d 2900::2905::"@& INTUBATE @$ if posKG IV BOLUS"/'F "@& CARDIOVERT @$ 360 JOULES":'I 12000'K N:"if hypotensive or unconscious,":"proceed as per V-fib protocol with":"@& BRETYLIUM @$ 5 MG/KG"'P :"otherwise, @& PROCAINAMIDE @$ 20 MG every":"minute, up to 1000 MG.""(U :2915:: D$(13)(4), D$"OPEN DONE,S6,D1"GD$"DELETE DONE,S6,D1"`D$"OPEN DONE,S6,D1"tD$"WRITE DONE"(I111:"N":I2D$"CLOSE DONE"$ ness is present, non-synchronized":" shocks are recommended)"&7 :"no change? @& CARDIOVERT @$ 100 JOULES":"no change? @& CARDIOVERT @$ 200 JOULES"&< "no change? @& CARDIOVERT @$ 360 JOULES" 'A :"recurrent or no change?":"@& LIDOCAINE @$ 1 MG/every 5 minutes";% :"Keep trying to @& DEFIBRILLATE @$"F% 850:}%( N:" @& V-tach with pulse, but unstable @$":2925%- :"@& I.V. @$ (oxygen on, backboard ready)"%0 "@& CARDIOVERT @$ 50 JOULES"?&2 " (when hypotension or unconscious-":" $ 0.5 MG/KG"$ 12000!$ 2920N$ "@& DEFIB @$ 360 JOULES (child 4 J/KG)"$ "no change? @&BRETYLIUM@$ 10 MG/KG IV PUSH";$ "@& DEFIB @$ 360 JOULES (child 4 J/KG)":2915% "repeat @& LIDOCAINE @$ or @& BRETYLIUM @$":"repeat @& EPINEPHRINE @$ # 2900# 2905X# "@& INTUBATE @$ if possible":"@& DEFIB @$ 360 J (child 4 J/KG)"# "no change?@& LIDOCAINE @$ 1 MG/KG IV PUSH"# "@& DEFIB @$ 360 J (child 4 J/KG)" $ "no change?@& BRETYLIUM @$ 5 MG/KG IV PUSH";:" or @& LIDOCAINE @ILLIGRAMS:@$ ";:DS:216,0:x" N:" @& Rhythm V-fib or pulseless V-tach @$"::"Witnessed? give PRECORDIAL THUMP":" "@& DEFIB @$, 200 JOULES (child 2 J/KG)":"no change?@& DEFIB @$, 200-300 J."" "no change?@& DEFIB @$ 360 J (child 4 J/KG)";(UN61)49):!AD72ı+! RT542075]!DS0ĺMN$;"Please give dose for bolus.":295!DSDSDS((UN62)99(UN61)19)!!E0,120,279,191:1:14:HN$;"Mix lidocaine drip.":MN$;"How many milligrams per":"minute?"!11000" "@& Mse, except":"you just name the drug for infusions."D n850::125h DSDSDS((UN60)(UN62)49): UN62DS50DS:AD70DSDS0.2 UN60290  UN61DS10DS  DSDSDS((UN62)0.5(UN61)0.9):!DSDSDS((UN62)499pecial":"I.V.'s in this program.":295NFA291ĺHN$;"100% oxygen on.":295}PA292ĺHN$;"CPR done automatically!":295ZA295A296ACA2:_A2971385d:N:CT2500,2600,2700,2750,2800,2850,2875,2650:1104 i"Please enter the exact doĺMN$;"Gimme a break!":"I'll tell you when the IV's in.":295|HN$;"The IV's running.":"Perhaps I misunderstood!":295AD721200ET0ıHN$;"The ET's in place.":"Perhaps I misunderstood!":295'AC10ĺ"No intracardiac drugs, no s0,1120,1120,1120,1120XXDRUG30ĴDRUG302055,1120,1120,1120,1120,1120,1120,1120,1120r[RT491200,1120,1250x`t:HN$;"Ineffective route.":295y:HN$;"Not by E.T. tube!":295AD72ĺHN$;"You're kidding!":295IV0ı>IV0.5145LAC4ġ:500!MAC0ı9NUN63DRUG11290PODRUG0RT561140yPRT53DRUG0DRUG37DRUG381140QDRUG01115RRT52DRUG12DRUG31DRUG14DRUG151145VDRUG31ĴDRUG101689,1710,1770,1725,1785,1120,1120,1120,146QRS:ST:T:XX4:X,Y:830R6:0,181279,181279,1820,182:3:X0,184:"@& ESCAPE @$ to exit, @& RETURN @$ to continue:"WA$:A(A$):A13A27855\A27ĬaE0,180,279,191f"Sorry, the correct order would be:":TX$(3):850:Y:C0CC1:RA4000(XD)#782:X((1)RR):X,YY PW0XX12PR:X,Y:805a"Px%DX:QRS:ST:T(XXRR:Y29((1)3):X,Y:CXD:PW0XX12PR:X,Y:810)P*BXD:RA4000(2B):XXC:Y29((1)4):X,Y:800>XX1((1)C):Y30:X,Y'7001QRSKDX:XX3:YY3:X,YeXX3:Y30:X,Y:722XX15((1)12):Y29((1)4):X,Y:742XX((1)RR):X,Y:C0:DXPW0XX12PR:X,Y:786PQRS:ST:TXXRR:X,(13)645"TX$(I)TX$(I)A$:640)IL(13)(4)"CLOSE PROT."(F%)Y49384,0kX(0):216,0t100C6:D10XX2((1)C):YY2((1)D):X,YXX3((1)C):YY1((1)D):X,YXX2((1)C):YY2((1)D):X,Y(4)"OPEN PROT."(F%)$<RN%RN%20Q?(13)(4)"POSITION PROT."(F%)",R"RN%rD(13)(4)"READ PROT."(F%)K49385,0X DATA LOAD]9000bA1:D1:R1:LD:HD:R:PR:QRS:ST:SL:T:RR:CT:WT:IV:ETvI03:TX$(I)""A$:A$X56,184:"@X2@Y1PRESS A LETTER:",X(0)MA$:F%(A$):F%96F%F%32r!(F%65F%76)F%27F%88540&E4,22,277,178:12:9:"@1@C3@& STAND BY... @$"+9000-F%8855000F%27ĺD$"RUN INSTRUCT.BAS"5MI0:RN%20:(13). Paroxysmal Supraventr. Tach""I. Symptomatic bradycardia,PVC Rx":"J. EMD, V-fib, acidosis Rx":"K. Neonatal asystole, ET drugs":" X = erase 'done' file":" ESC = read instructions"I111:X9,2610I:"@X2@C5"DUN$(I):I!0,2X26,36"@1@C7A. Witnessed V-fib, bretylium use":"B. Asystole, child":"C. Unstable V-tach":"D. Unwitnessed V-fib, PVC Rx" "E. Pulseless V-tach, unwitnessed":"F. Asystole, endotracheal drugs":"G. V-fib, child, ET drugs, acidosis":"H0:TRY2900?:"NOT WHAT I HAD IN MIND, SORRY":D1.8:125V:MIMI3TRY:900nTRYTRY1:MIMI1:420:TRY2900"RIGHT IDEA, NEED CORRECT DOSAGE":D1.8:125 MENUN:X28,0:"@2@C1A.C.L.S. PROTOCOLS"6:B1,20,278,18der it, please.":295TMN$;"Please re-order that":"with the proper units.":295MN$;"I only have that in":"regular strength.":295"MN$;"I don't know how to":"measure it that way."'850::125^10:2:"@3@C2NO EKG@1@C3":125 42DR0DS0260,DR10DS0UN0270PAD70DR11DR15DR16280VMN$;"I can't compute the dose.":HN$;"Simplify, please.":295HN$;"One step orders only!":295HN$;"No IV started yet.":295MN$;"What dose?":"Re-or54ĭIV1DR0DR36DR37DR38250=VW1Y1Q1223\DR12(AD72RT54)DR40DR30RTRT4(DR34)(RT50):(UN65DR20)(UN66DR19DR22)(UN63DR11)290AD72(DR0(AC0AC6)A292)ĺMN$;"I don't get it.":295NF0:NCD:X((IN$,N,1)):X46(X48X57)NF1FN:NF1222bDS((IN$,C,DC1))WTDR0AC0RT0A20ĺHN$;"What?":295AC0DR0RT0RT50RT52DR0ET0ĺHN$;"There's no ET tube.":295AC9A2901300'RT50RT,1)):I$35327:X(251):X01992WD$;" ";IX11ACX:VWVW1eX10X50DRX:VWVW1yRT52X52199X49X60RTX:X54QQ1X59X70UNX:YY1X69X90ADXX89A2X:VWVW1BN2:178:C020551,1)"/"BN2:" ";:178/ ONERR GOTO 150E AN:N(IN$)182p (IN$,N1,1)" "(IN$,N1,1)"/"182w N 200 M$(IN$,A,1):M$"."M$","M$"?"M$"!"AA1:182WD$(IN$,B,AB1):250,(WD$):I1(WD$):35403I,128((WD$,I 1:"Processing orders..."W N1(IN$):M$(IN$,N,1):M$" "M$"/"BN1:178r (M$)48(M$)57174 C0170 CN:C1ĭ(IN$,N1,1)"."CN1:"."; DN:M$;:N(IN$)178 (IN$,N1,1)"."ĺ"."; (IN$,N1,1)" "(IN$,N:19:"@X2@C1THINKING...@1@*":570i DR0:AD0:AC0:RT0:UN0:DS0:A20:C0:D0:B1:VW0:Y0:Q0:1:12 X(0):IN$"":"@& ORDERS: @$ ":R:ZL%40:I (ZA$)0410 I1(ZA$):M((ZA$,I,1)):M97IN$IN$(M) M96IN$IN$(M32) I6,816,830,350 {R10ČFIX' |5000e }24576:E0,80,279,191:1:9:"@$";TX$(0):TX$(1):TX$(2) A199DUN$(F%64)"*":850:7000 150:1100 ACA1DRD1RTR1400 DSLDDSHD450 :"@& CORRECT! @$";:10000 9000" 12D$"OPEN DONE":D$"READ DONE":I111:DUN$(I):DUN$(I)"N"DUN$(I)" "_ #I:D$"CLOSE DONE" (I14:YES%(I):I: 153,136,120,114 KPW1:P3870:500 dTRY0 nN:"@C3@V0"; r123 sX1:Y30:X,Y u768 xR700,722,742,750,762,776,794' PROTOCOL.BAS FOR ACLS PROTOCOLS237263TD$(13)(4):D$"MAXFILES 2"_9000 D$"CLOSE":D$"BLOAD PARSER.OBJ,S6,D1":D$ D$(13)(4):HN$"@& HEAD NURSE:@$ ":MN$"@& MED NURSE:@$ ":FIX3288:RN%0TX$(3),YES%(4),DUN$(11)H                                  '<'I14:848,YES%(I):849,35:850:-<$'D<*: TRAP FROM 2076h<.1:0,175279,175279,1760,176<.3:8:19:"Press @& RETURN @$ for more:";<.A$:A$(13)12020<.N: _ _ __ _ _ ___`aaaaaaa\]]^^ ^_ __ ___ _ __ խ_ խ_ __ __ ____@@AABBBB FFFFGGGHĮHįHHHHHIIJJJJJJJKKZͮӮZ[\î889999ǧ99: : : : ; ;< < <=î=ç== = =>>>>???@$ҧ$%%&&&&' 'ɮ2224Ů4 444 45ή5 566666 88ɮ888Ю8      !!" "ů#ŭ#ί#έ#$ή$$   ɮ        ة`멊L` ȱ`qiĠҠҠ       àӢ àТ àӢ àӢ àŢ àѢ àӢ àԢ à΢ àŢ àآ àˢ àǢ à͢ àӢ àâ àîâ àçӢ à̢ àҢ à̢ àӢ àǢ àӢ àӢ àǧӢ àȢ àӢ àŢ àӢ à٢à΢ àТ àâ àТ àҢ à͢ àɮ͢ àȢ àϢ àЮϢ à٢ àԢ àŮԢ à̢ àŢ à٢ à΢ àǢ àήǢ àâ àŢ  à͢ àǢ àĢ àǢ àŢ à̢ à̢ à͢ àɮ֢ à֢ à΢  àů΢ àŭ΢ àίŢ àέŢ àŢ àήӢ àӢ àӢ àҧӢ̢ à̢ àŢ àŢ àŢ àآ àŢ à΢ à̢ à̢΢ àŢ àŢ àԢ àŢ à΢ à̢ à΢ à΢ à͢ à àɢ àŢ àŢ à͢ à̢ àŢ à΢ àŢ à΢ àĢ àҢ àҢ àâ àɮâ àâ à΢ àҢ à΢ à¢ àŬàŢ àȢ àǢ àԢ àԢ àТ àŢ àŢ à΢ àǠàà΍ԠӠǠ à¢ àŢ àԢ à΢ àˢ à΢ àҢ àԢ ٠΍Šĩ٠ٍРĩٍŠčŠō٠΍ٍĩ٠ӍӍĠà٠čàĩ٠čàñàīñàčàčàòàīòԠƠĠՠ ĠՠčΠՠӠՠǠčǍčǍīԍčԍīΠ٠ĩٍŠ̍ӍӍ̠РΠŠč            y purchased."1000:Ng"@C3 Mad Scientist Software dis-":"tribues 'ACLS Protocols' and its""manual strictly on an as-is basis.""No guarantee of medical correctness":"is made. Periodic updates will be"G"made as ACLS recommenda@$":X0,30:" 'ACLS Protocols' and the 'ACLS""Protocols' manual are copyrighted":"by Bruce Argyle, MD. All rights to""programs, data, and text are":"reserved by the author. Additional" "copies of the manual or disk must":"be legall"@C3 You can 'give up' simply by":"pressing @& RETURN @$ without entering an""order. From here, you go on, or you":"can exit back to the menu by""pressing the @& ESC @$ key."1000:N0X12:"@&@C3 COPYRIGHT NOTICE AND DISCLAIMER gnized":"by the program's vocabulary search.":}u" As you resuscitate the patient,":"you can call up the appropriate"z"protocol chart by typing @& 'HELP.'@$":"This option is NOT available on the""CARDIAC ARREST! disk."1000:NQ failure to":"leave a space between the @& NUMERIC @$"f"dose and the @& UNITS @$ (MG, CC, AMPS).":"Watch as the program analyzes your"k"order to see what it recognizes.":"Any words which the program doesn't"0p"echo back to you are NOT recoams, you":"must specify the defibrillator"y "setting every time you order defib-":"rillation. This is done: 1) to""annoy you, and 2) to help you learn."1000:N\"@C3 The most common cause of problems"7a"is misspelled orders, orll you there isn't":"an I.V. yet. Remember: one step."E1000:N"@C3 Brand names, generic names, and":"slang terms are usually recognized""by the program. Further information":"is found in the manual."+:" In the PROTOCOL progr tries to keep you from":"accidentally entering odd orders,""but if you try to give two orders":"at the same time, strange things may""happen. For example, if you type":(34);"START I.V. AND GIVE 2 AMPS BICARB";(34)8"the nurse will te"numbers you use must be entered as"V"@& DIGITS, @$ not words. For example, say"(34);"GIVE 1 MG EPI,";(34);" not ";(34);"ONE MG EPI.";(34):" Unlike the average nurse, the":"simulator can only remember one step"="at a time. Itthe nurse what drug infusion":"you want set up. You will be asked" "for the rate of infusion later.":"This is used for saline or ringer's" "as well as for drug ";(34);"drips.";(34) 1000:N$"@C3 Another picky detail is that any": means"W "drug name, dose, units, and route":"(if not I.V.). If the order is not" "complete, the nurse will tell you":"what is missing, but you must enter" "the @& COMPLETE @$ order again."::" With infusions, however, just"D "tell tep. It":"expects a fairly strict following of" "protocols. The patients presented":"will be nowhere near the complexity" "of those in CARDIAC ARREST!" :1000:N "@C3 Orders for bolus (one injection)":"drugs must be complete--thiscomputer thinks is the appropriate"t "answer. Unlike the CARDIAC ARREST!":"simulator, this program forces you" "to choose the correct step each":"time." 1000:N "@C3 The program is often somewhat"0 "arbitrary about the correct sn"Q q"is presented, a brief sample rhythm":"strip is shown, and the computer" t"asks for orders. You type in your":"order in plain English, then hit" v"@& RETURN.@$"::" Your order is scanned for"# {"meaning and compared to what the":"h' INSTRUCT.BAS FOR ACLS PROTOCOLS235326DD$(13)(4)KN]X INSTRUCTIONg"@C3 The 'ACLS Protocols' program is":"designed to teach the user a step" l"by step approach to various abnormal":"heart rhythms. A patient situatio        :"file. Either an incorrect disk is":"inserted or the teaching program":"disk is damaged.";P#X6X8ĺ"Unanticipated error! System problem?";Z#2:19:"Press @& RETURN @$ to return to menu:";;d#A$:A$(13)9060;n#FIX:500<' YES SOUNDNE" ::(#24576:NB:*#5:1:"@V5@&@4 WHOOPS! @$@V4@1":1:7:2#"'ACLS Protocols' requires that the":"program disk remain in the drive.":<#X8ĺ"The disk drive is not responding.":"Please check it."^;F#X6ĺ"The program cannot find a needed"VEGETABLE".9RANK5(MI2):RANK17RANK17g95:RANK:"-->":7:19:"Hit @& RETURN, @$ please:";9A$:A$(13)70709D$"DELETE DONE,S6,D1":D$"OPEN DONE":D$"WRITE DONE"9I111:DUN$(I)" "DUN$(I)"N":9DUN$(I):I:D$"CLOSE DO RANK.8bN:6:1:"@3@C1YOUR RATING@1@C3"w8v9:5:"E.R. DOC":"RESIDENT":"INTERN":"HEAD NURSE":"STAFF NURSE"8"PRACTICAL NURSE":"MED STUDENT":"WARD CLERK":"CLEANING PERSONNEL":"HOSPITAL VISITOR" 9"SOAP OPERA WATCHER":"VERTEBRATE":"5X4,Y5X6,Y3X8,Y:XXPR7:X,Y:375010;7:D7125V7|D$(13)(4)o7D$"OPEN DONE,S6,D1"7D$"DELETE DONE,S6,D1"7D$"OPEN DONE,S6,D1"7D$"WRITE DONE"7I111:"N":I7D$"CLOSE DONE"77pE0,140,279,191:8X,Y:76 XX4:Y30:X,Y:XXSL:Y28((1)4):X,Y:l6\ XX2:Y25:X,Y:XXSL:Y22:X,Y:XX2:X,Y:6 X3,Y5X6,Y7X9,Y6:XX14:Y30:X,Y:6 XX4:YY4:X,Y:XX5:YY2:X,Y:XX6:YY2:X,Y:XX5:Y30:X,Y:(7X1,Y3X3,Y,Y:YY34((1)5):XX7:X,Y:h5 XX4:YY42((1)5):X,Y:XX2((1)2):YY5((1)3):X,Y5& XX5:YY3((1)4):X,Y:5 XX3:YY20:X,Y:XX2:YY4((1)5):X,Y:XX2:YY8:X,Y6 XX3:YY53((1)5):X,Y:XX2:YY8:Xained only after":"pacer or isoproterenol, prepare for":"transvenous pacemaker"W4 4 " BICARBONATE 1 MEQ/KG":" Get Blood Gases":4 XX2:YY20((1)4):X,Y:XX3:YY63((1)5):X,Y:!5 YY12((1)3):X2,Y:YY25((1)6):X4@& IF @$ unwitnessed, consider:":" @& BICARBONATE @$ 1 MEQ/KG"::3m "(with pain, infarction, dyspnea,":"congestive failure, or hypotension)":3| "@& EXTERNAL PACER @$":" or":"@& ISOPROTERENOL DRIP @$ 0.3 mic/kg/min"Q4 :"if good rhythm obt&INTUBATION@$ now)":h2Y "@& EPI @$ 0.5-1 MG IV (child .01 MG/KG)":" give by E.T. tube if no I.V.!":2^ "@& ATROPINE @$ 1 MG IV (child .01 MG/KG)":" may also be given E.T.":2c "@& BLOOD GAS @$ or @& ELECTROLYTE @$ abnor-":" mality?":D3h "p to 5 mg":" @& CARDIOVERSION @$":" @& OVERDRIVE PACER @$"I1: :850:1; N:2:4:"@& BICARBONATE THERAPY FOR ACIDOSIS @$"1> 1:7:"@& acute dosage: @$"::"DOSE = 0.1 x (-base ex.) x (kg weight)"1E :::850:2T "Start @& I.V.@$ (consider @$"::"vagal maneuvers":"start @& I.V. @$":"@& VERAPAMIL @$ 5 MG IV"01 :"no change in 15 minutes?":"@& VERAPAMIL @$ 10 MG IV"06 :"no change in 15 min? consider:":" @& DIGOXIN @$ 0.25 increasing to 1 mg IV"<18 " @& PROPANOLOL @$ 1 MG per min uNT? @$ SEE NEXT PAGE"4/# :"@& UNSTABLE: @$":2925/$ :"@& CARDIOVERT @$ 100 JOULES":"no change? @& CARDIOVERT @$ 200 JOULES"/' "no change? @& CARDIOVERT @$ 360 JOULES"::2915/* :"@& VERAPAMIL @$ 5 MG, CARDIOVERT":12000F0, N:"@& STABLE: @/min":" 2-3 mg/kg total: drip 4 mg/min"n. :"resolved with procainamide?":" procainamide drip 1-4 mg/min". :"resolved with bretylium?":" bretylium drip 2 mg/min". :850:/" N:"@& P.A.T. (parox.supraventr. tachyc.) @$"::"@& STABLE PATIEp to 3 MG/kg total"_- :"continuing? @& PROCAINAMIDE @$ 20 MG per":" minute up to 1000 mg."- :"continuing? @& BRETYLIUM @$ 5-10 MG/kg"- 12000- N:"resolved with lidocaine?":" 1 mg/kg total: drip 2 mg/min"(. " 1-2 mg/kg total: drip 3 mgng PVS's (ventricular ectopy)@$":r, "rule/out treatable cause (drugs,":"bradycardia, electrolytes, acidosis)", :"@& LIDOCAINE@$ 1 MG/kg BOLUS":"continuing? @& LIDOCAINE@$ .5 MG/kg BOLUS"- :"continuing? repeat @& LIDOCAINE @$":" 0.5 MG/kg u"::"unstable factors continue?"h+ "repeat @& ATROPINE @$ (to 2 MG)"::"unstable factors continue?"+ "consider @& EPINEPHRINE@$ 0.5 MG or @& DRIP@$":" (drip dose 0.1 mic/kg/min)"+ 12000+ N:2915::2940+ :850:", N:"@&ContinuiN:"No pulse?":"repeat @& EPINEPHRINE @$ every 5 minutes"d* "repeat @& ATROPINE @$ in 5 minutes"}* 2915::"No pulse?"* 2940* :850:* N:"@& Bradycardia with pulse but unstable @$":2925:!+ "@& ATROPINE @$ 0.5-1 MG (child .01 MG/KG)e":12000)g N:2920::2915q)i :"aggressively seek underlying cause"::"@& EPI @$ 1 MG every 5 min":850:) N:"@& Asystole, or bradycardia w. NO PULSE @$";::2900) 2905) "@& INTUBATE @$ if possible") 2910) 2920) 12000:* ep trying to @& CARDIOVERT @$"+(X :850:(Z N:" @& Electromechanical dissociation @$"::"Electromechanical dissociation is"(_ "usually due to an underlying cause,":"either physical or chemical.": )d 2900::2905::"@& INTUBATE @$ if possiblV BOLUS"+'F "@& CARDIOVERT @$ 360 JOULES"6'I 12000'K N:"if hypotensive or unconscious,":"proceed as per V-fib protocol with":"@& BRETYLIUM @$ 5 MG/KG"'P :"otherwise, @& PROCAINAMIDE @$ 20 MG every":"minute, up to 1000 MG."(U :2915::"Ke is present, non-synchronized":" shocks are recommended)"&7 :"no change? @& CARDIOVERT @$ 100 JOULES":"no change? @& CARDIOVERT @$ 200 JOULES"&< "no change? @& CARDIOVERT @$ 360 JOULES"'A :"recurrent or no change?":"@& LIDOCAINE @$ 1 MG/KG Iy 5 minutes"7% :"Keep trying to @& DEFIBRILLATE @$"B% 850:y%( N:" @& V-tach with pulse, but unstable @$":2925%- :"@& I.V. @$ (oxygen on, backboard ready)"%0 "@& CARDIOVERT @$ 50 JOULES";&2 " (when hypotension or unconscious-":" ness5 MG/KG"$ 12000$ 2920J$ "@& DEFIB @$ 360 JOULES (child 4 J/KG)"|$ "no change? @&BRETYLIUM@$ 10 MG/KG IV PUSH";$ "@& DEFIB @$ 360 JOULES (child 4 J/KG)":2915 % "repeat @& LIDOCAINE @$ or @& BRETYLIUM @$":"repeat @& EPINEPHRINE @$ ever2900# 2905T# "@& INTUBATE @$ if possible":"@& DEFIB @$ 360 J (child 4 J/KG)"# "no change?@& LIDOCAINE @$ 1 MG/KG IV PUSH"# "@& DEFIB @$ 360 J (child 4 J/KG)"$ "no change?@& BRETYLIUM @$ 5 MG/KG IV PUSH";:" or @& LIDOCAINE @$ 0.GRAMS:@$ ";:DS:216,0:t" N:" @& Rhythm V-fib or pulseless V-tach @$"::"Witnessed? give PRECORDIAL THUMP":" "@& DEFIB @$, 200 JOULES (child 2 J/KG)":"no change?@& DEFIB @$, 200-300 J."" "no change?@& DEFIB @$ 360 J (child 4 J/KG)";# 孭䮮̠ĠӍ䠦宍󍰮箠宠ŠӍ宍֠䮠宠ŠàԍԠ宠箠ŠǠ٠ŮԮōŠŠٍԠ䮮ԠΠɮ֮֠宠Ҡᶍ宠宠뮍ﺍŠŠٍ宠卧    z ??    Ԯˠ ̮Ӡ6ԮӠŠ Үʠ ŠŠ  ԮĠԮŠ ԮƠԮǠԮȠԮɠԮʠϠˠ,Į«àԮӠԮ Ԯ  Ԯà΍΍΍΍΍΍΍΍΍΍΍ ! HELLO FOR ACLS PROTOCOLS- 1012,05:X4:4:"One moment please...."4:8:"Setting up A.C.L.S. Protocols...."D$(13)(4)(D$"BRUN ENPACK"2D$"BLOAD NAMED.GOSUB+MUSIC"<D$"RUN INIT.BAS" S" Ux=) oȥ{o`x)) z w`yLVn.A& $< >,.?: ; ` 8```m`m``e` H!) Lv)z{  hm Umze z z ݀zTzKUmE Sn UmLl Mn UmL m zm zm& SnLlL=l xmLlH)[ Ah `h`H)a{h)`=`x!=a 9n\ȱ T 0"ȱ0$H >n"ȱ  -)ȱx 9nȱ 0 ȱxsȱo?$oƝŢȑoh`& Sn MnQ&YLl Mn zm& Mn `` Hheh8& &i``枩x zm Sn Um Um0)   zmLl Sn Mn xmLBl Um=L5l zmLl Um Mn x zm&Ll xmLsl &'0%% 0杹&& 'y"'Х&Ģ hhh` '͐hL l̒hhhhh vgozm0>H)?(ŝ 0杩 {HDthoh )D lLkDf8tȩXo n n&'&ȱȱJI&@'0:3 ,"%0 "& @"Lj'0"  0 0&'L#jLj!&0)? )&&祛0  JJxp ȹy >йclwmЙ n8Ě"Щ0梥ȥȄ Sn MnȐLh!0зH lhDfLiLh SnL lLJkŢ& i愰إi愠` g gm8knlmimnkiklȥȑL h`zm n MnLCiLi<>ŝ ढ़Lbȹy) UmsLhi Pg g8逅ɀ8LfͩZ gȑȑ`湥FgGgG-` 5g Um` 5g `H %gh` vgo` g gJ gĥ&ȥo8奅opȥp`o8mpnMLԠZ gHȱȱh` gȱ`څijkl*уȥуnnnn𘪠`); H)h  hm Umɀ8` Vn `a먱ɀ ɎɏɆɇɐɢ ɘ əɜɝЇ` Pg g ᤠ : ,  5g`Le8 Ld f z, f z 7e둃La 7e%L*e Pg_:[ b` 멀 5g% ) bF 5g% Pg,8 5g f g)Ȋ) I챃` g gLeLԩ Pg: f68 ȱ ȱ{ Ryh{Ld RyhzLa f, f,A %z z0 we80e8ʆLeLe f,  fHh,b fʆ, f,ʆHe h8H hʅHHei hhHh Zghi Xgέh Zgh͓h h gLa e g .{ gii g g bg #g XgZT g0 >)˥ ZgLa6n7  ݀ )y %g %g #g̩x Zg g gLazHz 5g:7z  eLe{Hvpkn` g"ȱȱ fyƥLa:08``[A0{a0y g+y  ZgLe f ftĥ솥i hHЀ( Igw ~ }Lc[8ʆ %ze8zH IgbzLe IgsrЉi0i0 Igs yLa y : 5g`ȱɯ 5gLa`hhh ghh0 5g:`" fkn 5gLb"< fy% 5g0",H Um`)<ffx"850525COPYRIGHT 1983 COMPUTER TEACHING CV`譳``LY`ƹƸ ~ Ig8a{D `轀`lac``c`va`,c`aUa`ca``c%ea/e`aee` ` `/l ` H [ hI e }LdcLe f e3 }               ΍΍΍΍΍΍΍΍΍΍ gL`ɰ ɫLԩ ӥHHvHuHH 7L { RLAd0Q PLR`,1)):I$35327:X(251):X01992WD$;" ";IX11ACX:VWVW1eX10X50DRX:VWVW1yRT52X52199X49X60RTX:X54QQ1X59X70UNX:YY1X69X90ADXX89A2X:VWVW1BN2:178:C020551,1)"/"BN2:" ";:178/ ONERR GOTO 150E AN:N(IN$)182p (IN$,N1,1)" "(IN$,N1,1)"/"182w N 200 M$(IN$,A,1):M$"."M$","M$"?"M$"!"AA1:182WD$(IN$,B,AB1):250,(WD$):I1(WD$):35403I,128((WD$,I 1:"Processing orders..."W N1(IN$):M$(IN$,N,1):M$" "M$"/"BN1:178r (M$)48(M$)57174 C0170 CN:C1ĭ(IN$,N1,1)"."CN1:"."; DN:M$;:N(IN$)178 (IN$,N1,1)"."ĺ"."; (IN$,N1,1)" "(IN$,N:19:"@X2@C1THINKING...@1@*":570i DR0:AD0:AC0:RT0:UN0:DS0:A20:C0:D0:B1:VW0:Y0:Q0:1:12 X(0):IN$"":"@& ORDERS: @$ ":R:ZL%40:I (ZA$)0410 I1(ZA$):M((ZA$,I,1)):M97IN$IN$(M) M96IN$IN$(M32) I6,816,830,350 {R10ČFIX' |5000e }24576:E0,80,279,191:1:9:"@$";TX$(0):TX$(1):TX$(2) A199DUN$(F%64)"*":850:7000 150:1100 ACA1DRD1RTR1400 DSLDDSHD450 :"@& CORRECT! @$";:10000 9000" 12D$"OPEN DONE":D$"READ DONE":I111:DUN$(I):DUN$(I)"N"DUN$(I)" "_ #I:D$"CLOSE DONE" (I14:YES%(I):I: 153,136,120,114 KPW1:P3870:500 dTRY0 nN:"@C3@V0"; r123 sX1:Y30:X,Y u768 xR700,722,742,750,762,776,794' PROTOCOL.BAS FOR ACLS PROTOCOLS237263TD$(13)(4):D$"MAXFILES 2"_9000 D$"CLOSE":D$"BLOAD PARSER.OBJ,S6,D1":D$ D$(13)(4):HN$"@& HEAD NURSE:@$ ":MN$"@& MED NURSE:@$ ":FIX3288:RN%0TX$(3),YES%(4),DUN$(11)H  AS" IItist Software's"5 r5:6:"@2@C1A.C.L.S. PROTOCOLS"_ |4:11:"@X2@Y1@C2ARRHYTHMIA THERAPY" 5:15:"@1@C3Copyright 1986 Bruce Argyle MD" 14:16:"Version 1.1" 3:19:"Apple ][ Version by Karl E. Wiegers" D2.5D$"RUN PROTOCOL.B90,7594,7196,71100,75106,75110,59V 110,59116,107122,77124,75130,75136,67~ 136,67140,65144,67150,75159,75 105,75109,57115,107121,77 , SOUND 6I110 @848,33:849,30:850 JD0.4 TI ^N h8:2:"Mad Scien0,104 KEYST 78,123157,123:74,128157,128:71,133152,133:71,138148,138 Y123:X781586:X,YX,Y5X1,Y5X1,Y:X Y128:X741536:X,YX,Y5X1,Y5X1,Y:X Y133:X701536:X,YX,Y5X1,Y5X1,Y:X EKG& 82,75181,118182,118182,126:175,118175,115176,115176,118J DISK DRIVE 171,114171,90172,90172,114220,114220,90172,90 231,104231,82230,82230,104221,114221,90230,82179,82171,90 B176,100,216,103 192,99200,99:192,1042018L 74,42166,42166,11874,11874,4284,32176,32166,42:176,33176,85p 175,33175,86:166,118180,118 KEYBOARD 73,11847,144155,144181,118171,118 46,15246,14447,14447,152155,152155,144156,144156,1529 155,152181,126$ INIT.BAS FOR ACLS PROTOCOLS/37263AD$(13)(4)U#D$"MAXFILES 1"\(Nf28:1<"@2@C5MAD SCIENTIST"F12:18P"@2@C5SOFTWARE"U SCREENZ6:B80,50,160,110d7:B79,49,159,111,1 n73,4273,118:165,42165,1     0:TRY2900?:"NOT WHAT I HAD IN MIND, SORRY":D1.8:125V:MIMI3TRY:900nTRYTRY1:MIMI1:420:TRY2900"RIGHT IDEA, NEED CORRECT DOSAGE":D1.8:125 MENUN:X28,0:"@2@C1A.C.L.S. PROTOCOLS"6:B1,20,278,18der it, please.":295TMN$;"Please re-order that":"with the proper units.":295MN$;"I only have that in":"regular strength.":295"MN$;"I don't know how to":"measure it that way."'850::125^10:2:"@3@C2NO EKG@1@C3":125 42DR0DS0260,DR10DS0UN0270PAD70DR11DR15DR16280VMN$;"I can't compute the dose.":HN$;"Simplify, please.":295HN$;"One step orders only!":295HN$;"No IV started yet.":295MN$;"What dose?":"Re-or54ĭIV1DR0DR36DR37DR38250=VW1Y1Q1223\DR12(AD72RT54)DR40DR30RTRT4(DR34)(RT50):(UN65DR20)(UN66DR19DR22)(UN63DR11)290AD72(DR0(AC0AC6)A292)ĺMN$;"I don't get it.":295NF0:NCD:X((IN$,N,1)):X46(X48X57)NF1FN:NF1222bDS((IN$,C,DC1))WTDR0AC0RT0A20ĺHN$;"What?":295AC0DR0RT0RT50RT52DR0ET0ĺHN$;"There's no ET tube.":295AC9A2901300'RT50RT䮍ˠԠ宍ĠӍ䮠宠 ԠǠ͠֍젵捱宠卨穠͠Ӡɮ֭֮ŠǠ֠Ӎנ̺堨積 ΠԠ󍰮֠蠨ˠ͠ȠӍֿōԠ֠ŠǠ󮠠堧Ч쮠 ԠԭӍ쮍쭭ԠΠ֍ɮ֮ŠԠӍŠȠʮ堲칶ŮҮ宠宍̠ЍҠ䮠     1:RA4000(XD)7820X((1)RR):X,YO PW0XX12PR:X,Y:805W"Pn%DX:QRS:ST:T(XXRR:Y29((1)3):X,Y:CXD:PW0XX12PR:X,Y:810)P*BXD:RA4000(2B):XXC:Y29((1)4):X,Y:800>QRS:ST:((1)C):Y30:X,Y700'QRSADX:XX3:YY3:X,Y[XX3:Y30:X,Y:722XX15((1)12):Y29((1)4):X,Y:742XX((1)RR):X,Y:C0:DXPW0XX12PR:X,Y:786PQRS:ST:TXXRR:X,Y:C0CCTX$(I)TX$(I)A$:640IB(13)(4)"CLOSE PROT."(F%)O49384,0aX(0):216,0j100wC6:D10XX2((1)C):YY2((1)D):X,YXX3((1)C):YY1((1)D):X,YXX2((1)C):YY2((1)D):X,YXX1PROT."(F%)<RN%RN%20G?(13)(4)"POSITION PROT."(F%)",R"RN%hD(13)(4)"READ PROT."(F%)uK49385,0X DATA LOAD]9000bA1:D1:R1:LD:HD:R:PR:QRS:ST:SL:T:RR:CT:WT:IV:ETvI03:TX$(I)""A$:A$(13)645"@X2@Y1PRESS A LETTER:""X(0)CA$:F%(A$):F%96F%F%32h!(F%65F%76)F%27F%90540&E4,22,277,178:12:9:"@1@C3@& STAND BY... @$"+9000-F%9055000F%27ĺD$"RUN INSTRUCT.BAS"5MI0:RN%20 :(13)(4)"OPEN . Paroxysmal Supraventr. Tach""I. Symptomatic bradycardia,PVC Rx":"J. EMD, V-fib, acidosis Rx":"K. Neonatal asystole, ET drugs":" X = erase 'done' file":"ESC = read instructions"I111:X9,2610I:"@X2@C5"DUN$(I):IX56,184:0,2X26,36"@1@C7A. Witnessed V-fib, bretylium use":"B. Asystole, child":"C. Unstable V-tach":"D. Unwitnessed V-fib, PVC Rx" "E. Pulseless V-tach, unwitnessed":"F. Asystole, endotracheal drugs":"G. V-fib, child, ET drugs, acidosis":"H䮍箠ŠԠӍ􍲠穠ŠǍ宠󠮰箍̠Ҡ⮍̠ĠӍ宮ŠǍ危宠ҺŠѠ֍蠱Š躍ŠŠč󺍨堧ЧŠǠ֍ɠîî֍Ԡ󠮰砨󠲰穮ŠŠčԠ󠲰䮍󠱲Ҡ䮠ԠΠɮ֮ɮ֮     # 2905N# "@& INTUBATE @$ if possible":"@& DEFIB @$ 360 J (child 4 J/KG)"# "no change?@& LIDOCAINE @$ 1 MG/KG IV PUSH"# "@& DEFIB @$ 360 J (child 4 J/KG)"$ "no change?@& BRETYLIUM @$ 5 MG/KG IV PUSH";:" or @& LIDOCAINE @$ 0.5 MG/K@$ ";:DS:216,0:n" N:" @& Rhythm V-fib or pulseless V-tach @$"::"Witnessed? give PRECORDIAL THUMP":" "@& DEFIB @$, 200 JOULES (child 2 J/KG)":"no change?@& DEFIB @$, 200-300 J."" "no change?@& DEFIB @$ 360 J (child 4 J/KG)";" 29009):!AD72ı!! RT542075S!DS0ĺMN$;"Please give dose for bolus.":295x!DSDSDS((UN62)99(UN61)19)~!!E0,120,279,191:1:14:HN$;"Mix lidocaine drip.":MN$;"How many milligrams per":"minute?"!11000" "@& MILLIGRAMS:":"you just name the drug for infusions.": n850::125^ DSDSDS((UN60)(UN62)49): UN62DS50DS:AD70DSDS0.2 UN60290  UN61DS10DS  DSDSDS((UN62)0.5(UN61)0.9):!DSDSDS((UN62)499(UN61)4I.V.'s in this program.":295DFA291ĺHN$;"100% oxygen on.":295sPA292ĺHN$;"CPR done automatically!":295ZA295A296ACA2:_A2971385d:N:CT2500,2600,2700,2750,2800,2850,2875,2650:110* i"Please enter the exact dose, exceptme a break!":"I'll tell you when the IV's in.":295rHN$;"The IV's running.":"Perhaps I misunderstood!":295AD721200ET0ıHN$;"The ET's in place.":"Perhaps I misunderstood!":295AC10ĺ"No intracardiac drugs, no special":"0,1120,1120NXDRUG30ĴDRUG302055,1120,1120,1120,1120,1120,1120,1120,1120h[RT491200,1120,1250n`t:HN$;"Ineffective route.":295y:HN$;"Not by E.T. tube!":295AD72ĺHN$;"You're kidding!":295IV0ı4IV0.5ĺMN$;"GimAC4ġ:500MAC0ı/NUN63DRUG11290FODRUG0RT561140oPRT53DRUG0DRUG37DRUG381140QDRUG01115RRT52DRUG12DRUG31DRUG14DRUG151145 VDRUG31ĴDRUG101689,1710,1770,1725,1785,1120,1120,1120,1460,1120,112T:XX4:X,Y:830vR6:0,181279,181279,1820,182:3:X0,184:"@& ESCAPE @$ to exit, @& RETURN @$ to continue:"WA$:A(A$):A13A27855\A27ĬaE0,180,279,191f"Sorry, the correct order would be:":TX$(3):850:145 L宍֭讍֭讠ԠԠӍ֭֭⮠֭֭ԠԠӍ֠쭭𿍷ǠŠӍ谍䠱ˠԠʮ砧Ч֭讠ԠԠӍԠӍŮҮ場ԠΠ֍֭֭⮠     's (ventricular ectopy)@$":l, "rule/out treatable cause (drugs,":"bradycardia, electrolytes, acidosis)", :"@& LIDOCAINE@$ 1 MG/kg BOLUS":"continuing? @& LIDOCAINE@$ .5 MG/kg BOLUS" - :"continuing? repeat @& LIDOCAINE @$":" 0.5 MG/kg up to 3unstable factors continue?"b+ "repeat @& ATROPINE @$ (to 2 MG)"::"unstable factors continue?"+ "consider @& EPINEPHRINE@$ 0.5 MG or @& DRIP@$":" (drip dose 0.1 mic/kg/min)"+ 12000+ N:2915::2940+ :850:, N:"@&Continuing PVS pulse?":"repeat @& EPINEPHRINE @$ every 5 minutes"^* "repeat @& ATROPINE @$ in 5 minutes"w* 2915::"No pulse?"* 2940* :850:* N:"@& Bradycardia with pulse but unstable @$":2925:+ "@& ATROPINE @$ 0.5-1 MG (child .01 MG/KG)"::"000)g N:2920::2915k)i :"aggressively seek underlying cause"::"@& EPI @$ 1 MG every 5 min":850:) N:"@& Asystole, or bradycardia w. NO PULSE @$";::2900) 2905) "@& INTUBATE @$ if possible") 2910) 2920) 120004* N:"Noing to @& CARDIOVERT @$"%(X :850:}(Z N:" @& Electromechanical dissociation @$"::"Electromechanical dissociation is"(_ "usually due to an underlying cause,":"either physical or chemical.":)d 2900::2905::"@& INTUBATE @$ if possible":12S"%'F "@& CARDIOVERT @$ 360 JOULES"0'I 12000'K N:"if hypotensive or unconscious,":"proceed as per V-fib protocol with":"@& BRETYLIUM @$ 5 MG/KG"'P :"otherwise, @& PROCAINAMIDE @$ 20 MG every":"minute, up to 1000 MG."(U :2915::"Keep tryesent, non-synchronized":" shocks are recommended)"&7 :"no change? @& CARDIOVERT @$ 100 JOULES":"no change? @& CARDIOVERT @$ 200 JOULES"&< "no change? @& CARDIOVERT @$ 360 JOULES"'A :"recurrent or no change?":"@& LIDOCAINE @$ 1 MG/KG IV BOLUnutes"1% :"Keep trying to @& DEFIBRILLATE @$"<% 850:s%( N:" @& V-tach with pulse, but unstable @$":2925%- :"@& I.V. @$ (oxygen on, backboard ready)"%0 "@& CARDIOVERT @$ 50 JOULES"5&2 " (when hypotension or unconscious-":" ness is prG" $ 12000$ 2920D$ "@& DEFIB @$ 360 JOULES (child 4 J/KG)"v$ "no change? @&BRETYLIUM@$ 10 MG/KG IV PUSH";$ "@& DEFIB @$ 360 JOULES (child 4 J/KG)":2915% "repeat @& LIDOCAINE @$ or @& BRETYLIUM @$":"repeat @& EPINEPHRINE @$ every 5 miōç󭭲宍報֠庍ŠǠ֠Ӎç捰宠ŠРǠҠʮ宍󠱰ç宠ǧӠŠӠǍçŠǠ֍鮍ﮮō֮򮮮ŠӠ ԠӍбɮ֮宍Ҡ宠ŠӍ ʮ     @$ unwitnessed, consider:":" @& BICARBONATE @$ 1 MEQ/KG"::3m "(with pain, infarction, dyspnea,":"congestive failure, or hypotension)":3| "@& EXTERNAL PACER @$":" or":"@& ISOPROTERENOL DRIP @$ 0.3 mic/kg/min"K4 :"if good rhythm obtained ATION@$ now)":b2Y "@& EPI @$ 0.5-1 MG IV (child .01 MG/KG)":" give by E.T. tube if no I.V.!":2^ "@& ATROPINE @$ 1 MG IV (child .01 MG/KG)":" may also be given E.T.":2c "@& BLOOD GAS @$ or @& ELECTROLYTE @$ abnor-":" mality?":>3h "@& IF mg":" @& CARDIOVERSION @$":" @& OVERDRIVE PACER @$"C1: :850:z1; N:2:4:"@& BICARBONATE THERAPY FOR ACIDOSIS @$"1> 1:7:"@& acute dosage: @$"::"DOSE = 0.1 x (-base ex.) x (kg weight)"1E :::850:2T "Start @& I.V.@$ (consider @&INTUB"vagal maneuvers":"start @& I.V. @$":"@& VERAPAMIL @$ 5 MG IV"~01 :"no change in 15 minutes?":"@& VERAPAMIL @$ 10 MG IV"06 :"no change in 15 min? consider:":" @& DIGOXIN @$ 0.25 increasing to 1 mg IV"618 " @& PROPANOLOL @$ 1 MG per min up to 5 SEE NEXT PAGE"./# :"@& UNSTABLE: @$":2925}/$ :"@& CARDIOVERT @$ 100 JOULES":"no change? @& CARDIOVERT @$ 200 JOULES"/' "no change? @& CARDIOVERT @$ 360 JOULES"::2915/* :"@& VERAPAMIL @$ 5 MG, CARDIOVERT":12000@0, N:"@& STABLE: @$"::" 2-3 mg/kg total: drip 4 mg/min"h. :"resolved with procainamide?":" procainamide drip 1-4 mg/min". :"resolved with bretylium?":" bretylium drip 2 mg/min". :850:/" N:"@& P.A.T. (parox.supraventr. tachyc.) @$"::"@& STABLE PATIENT? @$ MG/kg total"Y- :"continuing? @& PROCAINAMIDE @$ 20 MG per":" minute up to 1000 mg."- :"continuing? @& BRETYLIUM @$ 5-10 MG/kg"- 12000- N:"resolved with lidocaine?":" 1 mg/kg total: drip 2 mg/min"". " 1-2 mg/kg total: drip 3 mg/min":򺍠ŠЍ堨쩠殍纍ŠѠ֍쮠易宠 Ӎ塠Ѝ֭ŠǠ֍箍䠵ᡠ䮍ŠǠӍ֭֭讠蠱箍ˠԠӍ砧䧠庍ō䮍𿍠ˠԠӍ֭⮍堧Ч𩠠ԠΠ֍֠䮍ŠǠ֍ŠȠʮ ԠӍ֭荱箍宠Ҡ䮠ˠ͠ȠӍ     I14:848,YES%(I):849,35:850:'<$'><*: TRAP FROM 2076b<.1:0,175279,175279,1760,176<.3:8:19:"Press @& RETURN @$ for more:";<.A$:A$(13)12020<.N: e. Either an incorrect disk is":"inserted or the teaching program":"disk is damaged.";P#X6X8ĺ"Unanticipated error! System problem?";Z#2:19:"Press @& RETURN @$ to return to menu:";;d#A$:A$(13)9060;n#FIX:500;' YES SOUND!<':(#24576:N<:*#5:1:"@V5@&@4 WHOOPS! @$@V4@1":1:7:2#"'ACLS Protocols' requires that the":"program disk remain in the drive.":<#X8ĺ"The disk drive is not responding.":"Please check it."X;F#X6ĺ"The program cannot find a needed":"filBLE"(9RANK5(MI2):RANK17RANK17a95:RANK:"-->":7:19:"Hit @& RETURN, @$ please:";y9A$:A$(13)70709D$"DELETE DONE,S6,D1":D$"OPEN DONE":D$"WRITE DONE"9I111:DUN$(I)" "DUN$(I)"N":9DUN$(I):I9D$"CLOSE DONE":NK(8bN:6:1:"@3@C1YOUR RATING@1@C3"q8v9:5:"E.R. DOC":"RESIDENT":"INTERN":"HEAD NURSE":"STAFF NURSE"8"PRACTICAL NURSE":"MED STUDENT":"WARD CLERK":"CLEANING PERSONNEL":"HOSPITAL VISITOR"9"SOAP OPERA WATCHER":"VERTEBRATE":"VEGETAY5X6,Y3X8,Y:XXPR7:X,Y:-7501057:>7125P7|D$(13)(4)i7D$"OPEN DONE,S6,D1"7D$"DELETE DONE,S6,D1"7D$"OPEN DONE,S6,D1"7D$"WRITE DONE"7I111:"N":I7D$"CLOSE DONE"77pE0,140,279,191:8X RA6 XX4:Y30:X,Y:XXSL:Y28((1)4):X,Y:f6\ XX2:Y25:X,Y:XXSL:Y22:X,Y:XX2:X,Y:6 X3,Y5X6,Y7X9,Y6:XX14:Y30:X,Y:6 XX4:YY4:X,Y:XX5:YY2:X,Y:XX6:YY2:X,Y:XX5:Y30:X,Y:"7X1,Y3X3,Y5X4,34((1)5):XX7:X,Y:b5 XX4:YY42((1)5):X,Y:XX2((1)2):YY5((1)3):X,Y5& XX5:YY3((1)4):X,Y:5 XX3:YY20:X,Y:XX2:YY4((1)5):X,Y:XX2:YY8:X,Y5 XX3:YY53((1)5):X,Y:XX2:YY8:X,Y:1only after":"pacer or isoproterenol, prepare for":"transvenous pacemaker"Q4 4 " BICARBONATE 1 MEQ/KG":" Get Blood Gases":4 XX2:YY20((1)4):X,Y:XX3:YY63((1)5):X,Y:5 YY12((1)3):X2,Y:YY25((1)6):X4,Y:YYĠӍ嬠嬠֧Ԡ宠ŮҮŠǠٍ䮠Ӡ쮍ֿŠǠ̠ōɠǠŮԮɮ֮ŮԮӠԠàƠɠΠŠԠōﰍ󮠠Ҡ宍宍ԠΠ֍ɮ֮讍ￍԠΠŠŮԮō    ΍΍΍΍΍΍΍΍΍΍΍ǧӍǧ뺠Ƚ®Ů֍䮠򺠨䠧Ч Ѡ֍ Ӎɮ֮箍ŠǠŮԮ宍󠱠箍 ԠٍԠ֠ￍŠà٠ԠōŮԮ宠č֠庍̠ĠӍ֠ﮮŠŠ穮ˠԠӍ䮍 Ӎ穮뮍ԠΠΠɮ֮䠴宠宍ŠԠӍ󍲠箠󠳹󍨱     NF0:NCD:X((IN$,N,1)):X46(X48X57)NF1FN:NF1222bDS((IN$,C,DC1))WTDR0AC0RT0A20ĺHN$;"What?":295AC0DR0RT0RT50RT52DR0ET0ĺHN$;"There's no ET tube.":295AC9A2901300'RT50RT,1)):I$35327:X(251):X01992WD$;" ";IX11ACX:VWVW1eX10X50DRX:VWVW1yRT52X52199X49X60RTX:X54QQ1X59X70UNX:YY1X69X90ADXX89A2X:VWVW1BN2:178:C020551,1)"/"BN2:" ";:178/ ONERR GOTO 150E AN:N(IN$)182p (IN$,N1,1)" "(IN$,N1,1)"/"182w N 200 M$(IN$,A,1):M$"."M$","M$"?"M$"!"AA1:182WD$(IN$,B,AB1):250,(WD$):I1(WD$):35403I,128((WD$,I 1:"Processing orders..."W N1(IN$):M$(IN$,N,1):M$" "M$"/"BN1:178r (M$)48(M$)57174 C0170 CN:C1ĭ(IN$,N1,1)"."CN1:"."; DN:M$;:N(IN$)178 (IN$,N1,1)"."ĺ"."; (IN$,N1,1)" "(IN$,N:19:"@X2@C1THINKING...@1@*":570i DR0:AD0:AC0:RT0:UN0:DS0:A20:C0:D0:B1:VW0:Y0:Q0:1:12 X(0):IN$"":"@& ORDERS: @$ ":R:ZL%40:I (ZA$)0410 I1(ZA$):M((ZA$,I,1)):M97IN$IN$(M) M96IN$IN$(M32) I6,816,830,350 {R10ČFIX' |5000e }24576:E0,80,279,191:1:9:"@$";TX$(0):TX$(1):TX$(2) A199DUN$(F%64)"*":850:7000 150:1100 ACA1DRD1RTR1400 DSLDDSHD450 :"@& CORRECT! @$";:10000 9000" 12D$"OPEN DONE":D$"READ DONE":I111:DUN$(I):DUN$(I)"N"DUN$(I)" "_ #I:D$"CLOSE DONE" (I14:YES%(I):I: 153,136,120,114 KPW1:P3870:500 dTRY0 nN:"@C3@V0"; r123 sX1:Y30:X,Y u768 xR700,722,742,750,762,776,794' PROTOCOL.BAS FOR ACLS PROTOCOLS237263TD$(13)(4):D$"MAXFILES 2"_9000 D$"CLOSE":D$"BLOAD PARSER.OBJ,S6,D1":D$ D$(13)(4):HN$"@& HEAD NURSE:@$ ":MN$"@& MED NURSE:@$ ":FIX3288:RN%0TX$(3),YES%(4),DUN$(11)H        Ԯ뮠ΠǠ֍䮠彴®Юˮō忍ΠǠ֍穠ﳳ砱箍̠Ǡ֍䠨穠֮󺍠ŠӍ宠̠Ǡ֍譍宠ԠӍ®ЮнԠΠ֍֠䮠     645TX$(I)TX$(I)A$:640%IH(13)(4)"CLOSE PROT."(F%)U49384,0gX(0):216,0p100}C6:D10XX2((1)C):YY2((1)D):X,YXX3((1)C):YY1((1)D):X,YXX2((1)C):YY2((1)D):X,Y"OPEN PROT."(F%) <RN%RN%20M?(13)(4)"POSITION PROT."(F%)",R"RN%nD(13)(4)"READ PROT."(F%){K49385,0X DATA LOAD]9000bA1:D1:R1:LD:HD:R:PR:QRS:ST:SL:T:RR:CT:WT:IV:ETvI03:TX$(I)""A$:A$(13),184:"@X2@Y1PRESS A LETTER:"(X(0)IA$:F%(A$):F%96F%F%32n!(F%65F%76)F%27F%88540&E4,22,277,178:12:9:"@1@C3@& STAND BY... @$"+9000-F%8855000F%27ĺD$"RUN INSTRUCT.BAS"5MI0:RN%20:(13)(4). Paroxysmal Supraventr. Tach""I. Symptomatic bradycardia,PVC Rx":"J. EMD, V-fib, acidosis Rx":"K. Neonatal asystole, ET drugs":" X = erase 'done' file":" ESC = read instructions"I111:X9,2610I:"@X2@C5"DUN$(I):IX560,2X26,36"@1@C7A. Witnessed V-fib, bretylium use":"B. Asystole, child":"C. Unstable V-tach":"D. Unwitnessed V-fib, PVC Rx" "E. Pulseless V-tach, unwitnessed":"F. Asystole, endotracheal drugs":"G. V-fib, child, ET drugs, acidosis":"H0:TRY2900?:"NOT WHAT I HAD IN MIND, SORRY":D1.8:125V:MIMI3TRY:900nTRYTRY1:MIMI1:420:TRY2900"RIGHT IDEA, NEED CORRECT DOSAGE":D1.8:125 MENUN:X28,0:"@2@C1A.C.L.S. PROTOCOLS"6:B1,20,278,18der it, please.":295TMN$;"Please re-order that":"with the proper units.":295MN$;"I only have that in":"regular strength.":295"MN$;"I don't know how to":"measure it that way."'850::125^10:2:"@3@C2NO EKG@1@C3":125 42DR0DS0260,DR10DS0UN0270PAD70DR11DR15DR16280VMN$;"I can't compute the dose.":HN$;"Simplify, please.":295HN$;"One step orders only!":295HN$;"No IV started yet.":295MN$;"What dose?":"Re-or54ĭIV1DR0DR36DR37DR38250=VW1Y1Q1223\DR12(AD72RT54)DR40DR30RTRT4(DR34)(RT50):(UN65DR20)(UN66DR19DR22)(UN63DR11)290AD72(DR0(AC0AC6)A292)ĺMN$;"I don't get it.":295ŠǠ֍ՠͮɮç䮍򿍠ŠЍ®Ю荵򠳠󮍲çŠǠ֍ç宍ҭԠîŠǠ֍®Юç宠ŠǠ֍򠳠󮍲çŠǠ֍ŠǠ֍ç뮠宠ŠǠ֍Ҡ宠䮠®ЮԠΠɮ֮֠䮠堶ç     61)49):!AD72ı'! RT542075Y!DS0ĺMN$;"Please give dose for bolus.":295~!DSDSDS((UN62)99(UN61)19)!!E0,120,279,191:1:14:HN$;"Mix lidocaine drip.":MN$;"How many milligrams per":"minute?"!11000" "@& MILLIexcept":"you just name the drug for infusions."@ n850::125d DSDSDS((UN60)(UN62)49): UN62DS50DS:AD70DSDS0.2 UN60290  UN61DS10DS  DSDSDS((UN62)0.5(UN61)0.9): !DSDSDS((UN62)499(UNal":"I.V.'s in this program.":295JFA291ĺHN$;"100% oxygen on.":295yPA292ĺHN$;"CPR done automatically!":295ZA295A296ACA2:_A2971385d:N:CT2500,2600,2700,2750,2800,2850,2875,2650:1100 i"Please enter the exact dose, $;"Gimme a break!":"I'll tell you when the IV's in.":295xHN$;"The IV's running.":"Perhaps I misunderstood!":295AD721200ET0ıHN$;"The ET's in place.":"Perhaps I misunderstood!":295#AC10ĺ"No intracardiac drugs, no speci20,1120,1120,1120TXDRUG30ĴDRUG302055,1120,1120,1120,1120,1120,1120,1120,1120n[RT491200,1120,1250t`t:HN$;"Ineffective route.":295y:HN$;"Not by E.T. tube!":295AD72ĺHN$;"You're kidding!":295IV0ı:IV0.5ĺMNLAC4ġ:500MAC0ı5NUN63DRUG11290LODRUG0RT561140uPRT53DRUG0DRUG37DRUG381140QDRUG01115RRT52DRUG12DRUG31DRUG14DRUG151145VDRUG31ĴDRUG101689,1710,1770,1725,1785,1120,1120,1120,1460,11ST:T:XX4:X,Y:830|R6:0,181279,181279,1820,182:3:X0,184:"@& ESCAPE @$ to exit, @& RETURN @$ to continue:"WA$:A(A$):A13A27855\A27ĬaE0,180,279,191f"Sorry, the correct order would be:":TX$(3):850:1450CC1:RA4000(XD)7826X((1)RR):X,YU PW0XX12PR:X,Y:805]"Pt%DX:QRS:ST:T(XXRR:Y29((1)3):X,Y:CXD:PW0XX12PR:X,Y:810)P*BXD:RA4000(2B):XXC:Y29((1)4):X,Y:800>QRS:XX1((1)C):Y30:X,Y#700-QRSGDX:XX3:YY3:X,YaXX3:Y30:X,Y:722XX15((1)12):Y29((1)4):X,Y:742XX((1)RR):X,Y:C0:DXPW0XX12PR:X,Y:786PQRS:ST:TXXRR:X,Y:C뮠Ƚ󠭱󠵰箠ŠѠ֍宠󠷰ĠӍ֠Ү宍ŠǠ֍ŠǠ֍֮ﺍō宠ŮͮĮӍ宠ԠΠ֍֠䮠ŠӍˠԠʮ Ź穠宠̠ЍҠ䮠