This program is no longer active, however there are other versions of this program in which you may be interested.

2-Day Advanced MegaCode Certificate Course, 10/5/2021 12:00:00 AM CDT, Digital Seminar More info »
2-Day Advanced MegaCode Certificate Course, 10/5/2021 12:00:00 AM CDT, DVD More info »
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Live Webinar

2-Day Advanced MegaCode Certificate Course

Sean G. Smith, MSc, FP-C, CEN, CFRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric)
2 Full Days
Audio and Video
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Live Webinar - Also available: Digital Seminar | DVD

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Patient codes can strike fear in the best of clinicians.

How confident are YOU in your own role during patient codes? And not just the straightforward patient codes. The codes that depend on the entire team to offer expertise and seamless skill. The MegaCodes. Critical thinking must be spot on. And there sure cannot be any delays or second guessing.

Did you know that the AHA guidelines have just been updated? There are changes to adult basic life support, enhanced algorithms for BLS and ACLS resuscitation and more! We all know what that means … get a jump on the new standards coming!

The clinical expert selected for this intense training opportunity will share countless tips from his many years working as an emergency, critical care, flight and trauma nurse, to lead the way to new best practice guidelines, new strategies and new thinking. You’ll immediately elevate your knowledge, breeze through your mandatory certification exams and earn up to 14.5 CE credits, including 4 ANCC Approved Pharmacology CE credits.

Don’t wait another minute … to Master the Patient MegaCode! Register today!


Pharmacology Nurse Practitioners

This program offers 380 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 in full attendance will earn 12.5 contact hours. Partial contact hours will be awarded for partial attendance.

California Nurses

PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider Number 17118 for 12.5 contact hours. Full attendance is required. No partial contact hours will be issued for partial attendance. 

Florida Nurses

PESI, Inc. is an approved provider with the Florida Board of Nursing, Provider # FBN2858. This course qualifies for 12.5 contact hours. 

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Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Full attendance at this activity qualifies for 12.6 contact hours. Full attendance in the activity is required; no partial contact hours will be issued for partial attendance. These contact hours are used for your license renewal. Please email with your license number, include the webcast title, speaker name and date. PESI must have this number on file in order for your hours to be valid for the webcast.

Physician Assistants


This program has been reviewed and is approved for a maximum of 12.5 hours of clinical Category I CME credit by the American Academy of Physician Assistant Review Panel. Physician assistants should claim only those hours actually spent participating in the CME activity. This program was planned in accordance with AAPA’s CME Standards for Live Programs and for Commercial Support of Live Programs.


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

PESI, Inc. designates this live activity for a maximum of 12.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Other Professions

This activity qualifies for 760 continuing education minutes 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, CEN, CFRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric)'s Profile

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

Critical-Care Professionals International

Sean G. Smith,  MSc, FP-C, CEN, CFRN, CPEN, CCRN-CMC (Adult),
CCRN-K (Neonatal), CCRN-K (Pediatric),
is a flight nurse-paramedic who has practiced and taught Trauma Care, Tactical Medicine, Emergency/Critical Care and Prehospital Emergency Medical Services, both in the military and the civilian world. He holds degrees in nursing and molecular biology, is a graduate of Duke University’s Legal Nurse Consulting program and is currently pursuing a master’s degree through the University of Florida College of Pharmacy. He holds multiple advanced specialty certifications as well as extensive instructor qualifications in critical care and emergency medicine.

Career highlights include numerous author/co-author credits, including: a best-selling Laboratory Medicine textbook, a chapter on Shock in Trauma Nursing Core Curriculum, and a section in the newly released Resuscitation Crisis Manual. Sean consults on clinical, legal and certification prep for numerous high-profile hospital systems (Yale, Mayo…). He routinely lectures at national/international conferences, has completed 50 + medical missions (Dominican Republic, Honduras, Morocco, Liberia, and Haiti), and medical support to the NASA Space Shuttle Program.


Speaker Disclosures:

Financial: Sean G. Smith receives a speaking honorarium from PESI, Inc.

Non-financial: Sean G. Smith has no relevant non-financial relationships to disclose.

Additional Info

Program Information

Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.

Webcast Schedule

Please note: Each day there will be a 70-minute lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.


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  1. Practice with Psychological Safety and Just Culture for dynamic improvement in high performance resuscitation.
  2. Apply clinical strategies and evidence-based assessments to identify patients at risk for cardiopulmonary arrest.
  3. Evaluate early recognition and management strategies for acute coronary syndrome, including appropriate disposition.
  4. Determine bradycardias and tachycardias that may result in cardiac arrest or a complicate resuscitation outcome.
  5. Perform early management of bradycardias and tachycardias that may result in cardiac arrest or complicate resuscitation outcome.
  6. Choose effective communication as a member or leader of a high-performance team.
  7. Analyze the impact of team dynamics on overall team performance.
  8. Manage reversible causes of cardiac or respiratory arrest.
  9. Perform a targeted temperature management.
  10. Demonstrate best practice management of opioid overdose.
  11. Assess the impact of prompt, high-quality BLS on hemodynamics and cerebrovascular perfusion.
  12. Perform early management of cardiac arrest until termination of resuscitation or transfer of care.
  13. 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.


The Patient is Trying to Die
  • Cardiac output
  • Cerebral perfusion pressure
  • Presentation/pathophysiology/palliation
  • Rule out reversible causes
  • Sepsis pathways
  • Pressure and volume explained
  • 21 ways a patient could code
Major NEW 2020 AHA Guideline Changes
  • Opioid associated emergency algorithms
  • Post-cardiac arrest care algorithm
  • Neuro prognostication diagramming
  • Cardiac arrest in pregnancy algorithm
  • CPR best practices
  • Stable vs. unstable threats to life
Post-Resuscitation Care Guidelines
  • Targeted temperature management
  • Stroke volume – optimizing afterload, cardiogenic shock, distributive shocks
  • Optimize volume status
  • End goal of the code
  • Trauma triad of death
  • 4 key pain pathway considerations
Pre and Post-Arrest Pearls
  • Pro-actively anticipate lab changes
  • What is the EKG telling you
  • Imagery needed ASAP
  • Oxygenation and ventilation -> homeostasis
  • Case studies to test your knowledge
  • Additional resources to keep learning

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Physician Assistants
  • Physicians


Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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Access CE trainings on your phone or tablet through our free mobile app. Choose video or audio-only versions of live webcasts and online courses from the world’s best instructors, and complete your CE requirements anywhere, anytime, at your own pace.

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