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Digital Seminar

Master the Pediatric MegaCode: An Emergency Certificate Course

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric)
11 Hours 57 Minutes
Audio and Video
Jan 14, 2021
Product Code:
Media Type:
Digital Seminar - Also available: DVD


Pediatric/Neonatal Advanced Life Support (ALS) classes and actual real-life codes are often a HUGE source of anxiety for healthcare providers.  

Not to mention, the AHA guidelines have just been updated.  We all know what that means…new standards and classes are coming!   

I will share from my many years as an emergency, critical care, flight and trauma nurse, to lead the way to new guidelines, new strategies and new thinking.  Get ready to make ACLS FUN, get your MegaCode mojo on, and totally...ROCK THE RESUS!  This course will absolutely prepare you to CRUSH your mandatory certification classes!  

But even more important than tackling your next PALS or NRP certification exams, are you ready for your next real-life code? After all, when a patient’s life is literally on the line, there cannot be any delays or second-guessing.  We need to proceed with confidence and solid understanding of the latest standards to guide our practice decisions. 

When you reflect back on code’s you have been involved in, do you wonder if you did all the right things?  We all do....   I am going to teach you how to master Psychological Safety, Just Culture and Human Factors to deep learn pathophysiology, how to translate that next level knowledge into clinical practice and how to function as part of a high-performance team.  Don’t wait another minute….to Master The MegaCode! 

Sean G. Smith, FP-C, TP-C, CEN, CFRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric) 

And the PESI Healthcare team 


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see below.  For speaker disclosures, please see the faculty biography.


Earn up to 11.75 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 

Pharmacology Nurse Practitioners

This self-study program offers 240 instructional minutes of pharmacology content which is designed to qualify for 4.0 contact hours toward your pharmacology requirement. 

Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 11.75 contact hours. Expires: 01/12/2024.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 11.5 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 11.5 self-study contact hours.

CE Broker

Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 11.9 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 11.5 hours for completing this self-study program. This activity was originally recorded on 01/12/2021. It was last reviewed on 04/16/2021 and is valid until 04/16/2024. 


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 11.5 AMA PRA Category 1 Credit(s)™.


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 11.5 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 01/12/2021. It was last reviewed on 04/16/2021 and is valid until 04/16/2024.


Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

Other Professions

This self-study activity qualifies for 11.75 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric)'s Profile

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric) Related seminars and products

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric), is a humanitarian/flight nurse-paramedic who is triple board-certified in neonatal, pediatric, and adult critical care and emergency medicine. He brings 30+ years of education and team/leadership experience to his presentations from a career that includes global health, tropical medicine, research molecular neuroendocrinology, nuclear engineering technology, US Navy aviation/NASA manned space flight support, and high-performance teams/high-yield pedagogy, dozens of national/international conference presentations and various awards and honors. Author/co-author/review credits include a best-selling laboratory medicine textbook, a chapter on shock in Nursing Core Curriculum a section in the newly released Resuscitation Crisis Manual, numerous other industry-standard textbooks, and several professional association critical care/emergency medicine curriculums and board certification review courses (AACN, ANN, ENA, SCCM, etc.). Additionally, Sean routinely consults on clinical, legal, and certification matters for numerous high-profile hospital systems (Yale, Mayo, etc.). He holds an MSc in Pharmacy/Forensic Science, bachelor’s degrees in business administration, nursing, and molecular biology, and post graduate certificates in Forensic Death Investigation, Legal Consulting, and Tropical Medicine. In addition to being active in a number of professional associations (SCCM, AACN, WADEM, etc.), Sean is a life member of Mensa, The Emergency Nurses Association, and the Air Surface Transport Nurses Association. He has served on the executive committees and in various leadership roles of numerous charities and professional associations and has led/participated in 50+ medical missions (Dominican Republic, Honduras, Morocco, Liberia, Nepal, Iraq, Democratic Republic of Congo, and Haiti). Sean served as a clinician and educator during the largest Ebola and Cholera outbreaks in recent history and is currently active in building sustainable neonatal-pediatric cardiac critical care capacity in Iraq, as well as serving as part of a national-level multidisciplinary child sexual assault forensics team in Guyana, South America. Hobbies include Scuba diving and vintage science kits, tube amplifiers, and motorcycles.


Speaker Disclosures:
Financial: Sean Smith is an independent contractor. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Sean Smith is a member of the American Association of Critical Care Nurses, the Emergency Nurses Association, and the Society for Critical Care Medicine.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  1. Practice with Psychological Safety and Just Culture for dynamic improvement in high performance resuscitation. 

  1. Apply clinical strategies and evidence-based assessments to identify patients at risk for cardio-pulmonary arrest. 

  1. Develop a family centered approach to neonatal and pediatric resuscitation. 

  1. Analyze bradycardias and tachycardias that may result in cardiac arrest or complicate the resuscitation outcome. 

  1. Choose effective communication as a member or leader of a high-performance team. 

  1. Analyze the impact of team dynamics on overall team performance. 

  1. Manage reversible causes of cardiac or respiratory arrest, including hemodynamic instability. 

  1. Perform targeted temperature management. 

  1. Demonstrate best practice management of opioid overdose in neonatal and pediatric patients 

  1. Assess the impact of prompt, high-quality BLS on hemodynamics and cerebrovascular perfusion. 

  1. Conduct early management of cardiac arrest until termination of resuscitation or transfer of care. 

  1. Evaluate resuscitative efforts during a cardiac arrest through continuous assessment of CPR quality, monitoring the patient’s physiologic response, and delivering real-time feedback to the team. 


Pediatric Advanced Life Support

  • PALS 2020 – cardiac, shock, respiratory
  • Wiggers diagram for cardiac physiology
  • Surviving sepsis pediatric
  • Resuscitation algorithm for children
  • Task offloading for a high performing team
  • Rule out reversible causes
  • Return of spontaneous circulation – and beyond
  • Quality CPR strategies
  • Stroke volume – Prime, force, resistance
  • Termination of resuscitation

Pediatric Best Practice Tips

  • Pulseless VT/VF explained
  • Shock states – key pathology differences
  • etCO2: the 12 lead of the lungs
  • Bag-valve mask ventilation positioning
  • Tube management for airway and breathing
  • Disordered control of breathing
  • Lower and upper airway pearls
  • Ventilator strategies
  • Law of lab values – Production, metabolism, elimination

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Physician Assistants
  • Medical Students and Residents
  • Physicians
  • Paramedics
  • Respiratory Therapists


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