ACLS Megacode Scenario 3: Bradycardia to Ventricular Fibrillation to ROSC

This is the third ACLS megacode scenario in the "Megacode Series" by Health Ed Solutions and it will cover Bradycardia to Vfib to ROSC. The megacode scenarios are intended to test your ability to put your algorithm knowledge to work. For each megacode simulator, there will be a scenario and you will have to identify rhythms, prescribe treatments, and recommend the next steps to properly provide optimal care for the patient. Rationales are included with the correct answers to support each clinical decision.
Thanks for watching and stay tuned for more lessons in our Megacode Series. We will be offering an entire free series of practice megacode simulators covering ACLS, PALS, NRP, and BLS scenarios - all up-to-date with the latest 2020 AHA/ILCOR guidelines and peer-reviewed by the Health Ed Solutions medical review board for clinical accuracy.
Here is some more information about Health Ed Solutions:
Health Ed Solutions is a leading innovator of online certification and recertification in Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Basic Life Support (BLS), Neonatal Resuscitation Program (NRP), as well as several additional certifications for health care providers and emergency medical responders.
Our online medical education offerings (such as ACLS, PALS, BLS, NRP, 12-Lead ECG / EKG, Arrhythmia Interpretation, and Monitor Tech) are specifically designed for busy healthcare professionals (paramedics, EMTs, CRNAs, dentists, physical therapists, medical students, registered nurses, physician assistants, nurse practitioners, physicians / doctors, etc.) who are seeking a more convenient, engaging, effective and entertaining (yes entertaining) educational experience. We also offer BLS / CPR / AED / First Aid training courses for anyone who needs to know how to perform CPR, such as athletic trainers, teachers, coaches, lifeguards, and social workers.
At Health Ed Solutions, we believe the certification process should be enjoyable. Our courses follow the latest recommendations from ILCOR, the American Academy of Pediatrics, and the American Heart Association.
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#Bradycardia #Vfib #ROSC #HealthEdSolutions

[@HealthEdSolutions]

Thank you for watching! Please hit the like button if you enjoyed the video lesson. Feel free to leave comments if you have questions or feedback. We will try to answer them as soon as possible. Watch the entire Megacode Series Playlist here: kzbin.info/aero/PLJ5kKhwVxA5LWvUYUzhtZIAFDKFibCiZp Check out these other great lesson playlists from our Channel: 👉 Understanding and Interpreting ABGs: kzbin.info/aero/PLJ5kKhwVxA5J9q3KXz-w5Er6itwzIriMw 👉 One Quick Question Series: kzbin.info/aero/PLJ5kKhwVxA5JBIokh4ddyRWelvnXlRtcQ 👉 ECG Rhythm Review: kzbin.info/aero/PLJ5kKhwVxA5LlDt9S-venJPYWNN7_TSEX Visit our website for 100% online certification courses in ACLS, PALS, NRP, BLS and more. We also offer free practice exams, flash cards, study guides and other free educational materials: 🌍 www.healthedsolutions.com

[@thepalettewhispererasmr1227]

ED nurse for 13 years and these are GREAT for keeping those skills real sharp!!

[@tonynes3577]

Q2: Atropine 1 MG is the updated AHA treatment for bradycardia, NOT, 0.5mg. Otherwise EXCELLENT LESSON. THANKS!

[@Starlight_Xm]

For UK it's 0.5MG but up to 3MG max

[@sandrasewell7669]

Loved this mega code.

[@mirzaqamar5391]

According to new guidelines 1mg atropine is recommended initially

[@HealthEdSolutions]

Thanks for your feedback!

[@jawher7]

FANTASTIC channel!!! Megathanks for the megacodes!!

[@t.g.v.6955]

Well done. It covers everything. Just an update: new guideline 2020 Atropine is given at 1 mg instead of 0.5 mg q3-q5 min. Also, dopamine dose now is 5-20 mcg instead of 2-10 previously. Epi remains the same. Again, very good presentation. Thanks.

[@shanemarshall6423]

Most appropriate for revision.Thankyou.Keep the great work❤

[@SaraGreg22]

Atropin 1mg is the latest update to treat bradycardia for question 2, thank your for excellent lesson

[@tonnikask]

I am an orthopedic surgeon ...but this video made feel 'oh only if I were an ER doctor' . Shared the video with a lot many who are preparing for their med exams. Must say a great teaching video !!

[@HealthEdSolutions]

We REALLY appreciate the shares. Thanks for tuning in doc :)

[@sethphil6009]

I've learned so much in 13 mins than from a long lecture....love to learn with quizzes...keep up the work!!

[@rekhakadam6393]

Wow. Impressed….. the presentation…. The background music….. the voice …… the knowledge imparted …… all fantastic!!!! 👏👏. Many thanks 🙏🏻

[@rcrc8148]

These videos are pure gold, I'm learning a lot, thank you!

[@t.g.v.6955]

And the musical score/background music IS A MUST FOR EVERY CODE. 👍👍👍👍😎 VERY COOL.

[@kateb.1052]

These megacodes are so helpful! Thank you!! Looking forward to more!

[@HealthEdSolutions]

Thank you Katelyn! We have many more to come for you!

[@drgadham]

Very practical teaching of high quality and relavance👏👏👏👏👏

[@beautifulspirits2402]

I like how you ask a question first, you did a great job, thanks

[@HealthEdSolutions]

Thanks for the kind words! Glad you enjoyed the megacode. More to come!

[@daze8326]

Please make more of these, this was awesome!

[@otet2004]

I'm absolutely subscribing.. Thanks a lot

[@shad3128]

This one was great, thanks!!

[@nermeenawadalla4864]

Very easy, clear, excellent video,, many thanks

[@-.ARCHER_-]

Just watched this and omg i love it!!

[@nurhamizahomar8017]

Thank YOU for sharing this its very easy to understand i really love this!!!

[@rekhasthapit]

At 5.40, first need to give second dose of defibrillation, then only give epinephrine, as patient is still in VF after first dose of defibrillation.

[@tsentsen939]

Thank you very helpful.

[@HealthEdSolutions]

Glad you found the megacode scenario helpful!

[@drvishalswami6145]

Nicely explained 👍

[@imamhk]

Thank you.

[@MsJean-vi8lg]

Very very helpful... Thank u🥰

[@harjantbrar8638]

Great reviews of ACLS question

[@nsdoctura]

The 2015 AHA guidelines recommend Epinephrine to be given after the second shock (defibrillation), not after the first shock.

[@HealthEdSolutions]

You are indeed correct. We will be revising and updating on the next release of this megacode lesson. Appreciate the catch!

[@MedicAngel]

@@HealthEdSolutions ok, So in this incidence...after the initial defib, and 2 min cpr.. since it had not changed yet, continue with Dfib at 200j correct? Then if you get the PEA, you give the Epi, and continue high quality CPR...yes?

[@sonybinish5676]

Please share a video following the latest AHA guidelines

[@stephaniewestphal2292]

Thank you for this comment. I was thinking the same when I was answering the question.

[@rekhasthapit]

Agree

[@recordandoelrancho2855]

Thank you so much

[@kumarkancharlapalli1131]

Plzz do more videos about acls. Atls. Seizures also

[@HealthEdSolutions]

We definitely will Kumar! Thanks for watching!

[@LeaDiary]

Thank you

[@jimmyjohn1523]

this is the absolute best teaching info, CUDOO'S

[@ligygeorge2422]

Too good

[@jickyaleenavarughese7594]

Very useful

[@easynursing9825]

Great👍👍

[@marys7096]

Amazing

[@akshayjouhary3897]

Thanks .....

[@Burritosarebetterthantacos]

The BP is 80 which immediately make this scenario an unstable PT. You would never dick around with adenosine when you have a monitor available and can pace. At least thats the current guideline.

[@HealthEdSolutions]

Great input! Thanks for watching! More scenarios on the way..

[@FelinePotato]

yes, i immediately thought about pacing but i'm prehospital side and maybe hospitals do things...differently.

[@HealthEdSolutions]

@@FelinePotato thanks for watching!

[@aaronmerkatz360]

This is good information. However, the order is not exact for in field. You can't defib if pads aren't on the body. If you see Vfib.. chest compression immediately as pads are being put in place and charge aed.Never just wait. If heart is not pumping .. you do it. Remember, you can give all the drugs you want, but if you don't circulate it doesn't get to the areas in need. With that said this video is very good

[@dr.arunkumarpatil3813]

Good !

[@HealthEdSolutions]

Thanks!

[@sailboat101]

Pulseless Electrical Activity was present the first time you couldn't feel a pulse (<a href="#" class="seekto" data-time="184">3:04</a>) not VF, and immediate epi is indicated, not defibrillation.

[@stephensanborn7757]

At 3:04 not PEA. V-fib immediately shock

[@esther1765]

PEA: "any organized rhythm without a pulse is defined as PEA, including sinus rhythm, atrial fibrillation or flutter, bundle branch blocks, and idioventricular or ventricular escape rhythms" - 2020 AHA ACLS Manual so technically VF and pVT are not defined as PEA since the definition of these two rhythms is technically "no pulse, shockable rhythm"

[@wafaibrahim369]

Fantastic lecture 👍💞😂🌿🌿🌹🧡🕊🥰🧡🧡🕊🕊🕊🧡

[@kevinrichards8119]

Pre filled syringe of 3mg can be given as a single one off dose

[@aisharanquin526]

I have BLS exam this coming May 30, 2022.

[@cjcarton24]

With a bp of 80/60 i would go for TCP before atropine

[@ajeezy629]

Why are we not pacing right away since the pt is unstable with a systolic of 80

[@piitrotaul6949]

I'd prefer pacing right away since bp is low in Q2

[@cjcarton24]

Correct

[@doremifasolatido-ro7zs]

Is this the updated acls guidelines? Thankssss

[@HealthEdSolutions]

Yes it is

[@doremifasolatido-ro7zs]

@@HealthEdSolutions thank you

[@doremifasolatido-ro7zs]

May i know if you have available ACLS and BLS pdf? Thanksss

[@HealthEdSolutions]

@@doremifasolatido-ro7zs thank you for watching!

[@HealthEdSolutions]

We offer pdf study guides with our certification courses online. You can visit www.healthedsolutions.com to register.

[@moonlightegypt750]

❤❤❤❤

[@Thehungrytravelers]

UPDATED GUIDELINES

[@jyothiantony7805]

Good

[@yousafkhan3893]

Would have been even better if the answers weren't listed in the title

[@wafaibrahim369]

Thanks you appreciated all the efforts and experience knowledge 🧡🧡💫👌🏽🤔🌸💛💛🍀🍀💋🌹🌹🌹🍀🍀🍀😗😗🕊🕊🕊🕊🕊

[@cpashik]

Update Atropine 1 mg

[@selyaTravels]

why 0.5mg? less dose can more cause bradycardia to the patient…. 1mg every 3-5 minutes for maximum of 3 doses

[@kevinrichards8119]

Atropine ,that is

[@roobamani4728]

Atropine 0.6mg not 0.5 mg