Thank you for helping me get the algorithm straight in my head. This sim was a good example.
@GeorgeCraws2 жыл бұрын
some long awkward pauses on the CPR there - @ 7:20 i count around 22 seconds without CPR - as soon as that shock is delivered the leader needs to direct someone back onto the chest immediately Again at 8:18 delivering the shock - around 10 seconds before instructing the compression provider much better @ the 9:25 mark with recommencing Good effort from this lady though - these simulations are the places to learn It is easy sat watching from the comfort of my chair to criticize xD
@kyungdukko57072 жыл бұрын
It was very informative for my ALS certification. Thank you
@twocents6001 Жыл бұрын
What guidelines again you’ve used not to give adrenaline in 3rd shock? I know adrenaline and amio to be given after 3rd shock
@or8174 Жыл бұрын
I think adrenaline after 2nd shock then 2nd cycle and amiodarone after 3rd shock
@Nice693 жыл бұрын
Please correct me if I’m wrong, it’s for my clarification too, but at 9:30 are you supposed to give another 1mg of adrenaline since it’s after fourth shock? Thanks
@elchinhasanli34252 жыл бұрын
She should have requested adrenaline after 3rd shock, so the next one would be after 5th shock. But you are right, it is given after every other shock.
@twocents6001 Жыл бұрын
Should be alternate every other shock after 3rd shock
@Pardesifoodshorts20 күн бұрын
It should be 1mg Adrenaline after 2nd round and amiodarome 300mg in 30ml dextrose solution over min after 3 shocks. That's in shockable rhythm. In case of non shockble it's compression (30 compressions to 2 breaths) minimum interruption. In non shockable 1mg Adrenaline CPR and then Adrenaline 1mg after every 2nd loop.
@aminakaja64652 ай бұрын
this was amazing!!!
@jejemorachi33632 жыл бұрын
At 4:55 there’s a 15 second period with no compressions taking place. That could be improved upon. Immediately after the shock is delivered, glance at the monitor (should be able to interpret a 4 lead instantly on sight) and jump right back into compressions if it’s still an arrest rhythm.
@bencarboon2 жыл бұрын
Rather than assessing the rhythm, you would be going straight back onto the chest after CPR, unless the patient is showing signd of ROSC. Even if it sinus rhythm, it is the patients breathing/conscious state that dictated CPR, not the ECG waveform.
@ikejiken8542 жыл бұрын
great learning tool
@laylam4241 Жыл бұрын
Thank you for this video
@kr9658 Жыл бұрын
Pad application is not normally placed when patient is conscious.
@janetbeer85859 ай бұрын
if you are worried about a patient who is unstable putting the pads on can be appropriate especially if they look unwell.
@evilherojoseph2 жыл бұрын
9:58 why is that a non shockable rythm ? Isnt that still a vf ? Or is it VT, which is why she ordered to take a pulse ?
@davemihir7097 ай бұрын
Vf and pulse less VT are both shockable rhythms. Most likely when you have a non shockable rhythm it's either because it's a PEA or if theyve achieved signs of life/ROSC.
@albertandjames6 ай бұрын
@@davemihir709 or you know...asystole haha
@davemihir7096 ай бұрын
Or that hahahhah@@albertandjames
@leinaali70603 жыл бұрын
Very helpful
@MargaretLilly2 жыл бұрын
excellent thank you!
@clpat522 жыл бұрын
Very helpful thanks
@dianne34712 жыл бұрын
Amazing x
@MutahGeneral Жыл бұрын
Airway wasn't secured?
@differentthought19474 жыл бұрын
Thankyou so much
@ABCsofAnaesthesia3 жыл бұрын
Most welcome 😊
@mrezapr11683 жыл бұрын
very good
@marcussurleyadventures1928 Жыл бұрын
thank you i found this very helpful 😊
@s21889183 жыл бұрын
where is the damn code blue team?
@ABCsofAnaesthesia3 жыл бұрын
haha
@emhoianh3 жыл бұрын
Hiding in the tea room or charting meds.
@colinclancy25582 жыл бұрын
“Oh shit it’s a real one?!”
@dinosaur4jr5485 ай бұрын
Meanwhile we give Amiodarone without diluting and whit a small bolus of fluid to push it through the line
@Cfundodubes4 ай бұрын
is it not 300mg amiodarone in 5% dextrose flush
@dinosaur4jr5483 ай бұрын
@@Cfundodubes No, it is just the undiluted vials of 50mg/ml so 6 ml total. You only dilute amiodaron in glucose if you are giving it iv in a non-CPR setting. Flussing you do with whatever.
@gemmagrantham72432 жыл бұрын
This is terrible. No one venting . Off the chest too long and for got the 3rd round of adrenaline as well as amiodarone
@MZS22 Жыл бұрын
Its a simulation with minimal help. In a real hospital emergency you'll have people flocking to help. The policy here is adrenaline after 2nd shock and amiodarone after 3rd shock - exactly how it was done in this simulation.
Might want to look up the ARC guidelines before attempting to gasbag a well thought out yt video somebody has taken the effort in uploading Amiodarone 3rd shock ✔️ Adrenaline after 2nd shock ✔️ There are literally 2ppl there for CPR. This is a hospital sim, not some roadside assistance so of course there will be more hands on deck for CPR
@gabbieisler53185 ай бұрын
@@gemmagrantham7243 it’s always a case to case basis. It’s just a simulation and if you’re hospital setting, people will come to help
@yolandagrabowski60435 ай бұрын
Bob wants me on life support so he can pull the plug on me, saying to me, mommy knows what best for me. Him being the mother in this case. I don't want to die. In other words, give him what he wants. Not his will be done. But my will.
@bn85792 жыл бұрын
I failed compressions today
@olgapidgorna66133 жыл бұрын
Adrenaline after 3 shock!
@kc1999kc Жыл бұрын
adrenaline is after the 2nd shock amioderone is after the 3rd shock
@aroyce4 Жыл бұрын
@@kc1999kc adrenaline immediately in non-shockable rhythms
@Cfundodubes4 ай бұрын
@@aroyce4 no, adrenaline after 2nd shock, which gidlines are you using
@giuliobaldi96132 ай бұрын
Adrenaline after 3 shock with 300mg amiodarone
@respawnyshauny3663 Жыл бұрын
Noted Oxygen is still connected whilst shocking the patient!!!
@ABCsofAnaesthesia Жыл бұрын
Yes correct, ARC guidelines… keep Oxygen connected for closed circuits (LMA, ETT). Remove for open- mask ventilation. :)
@pisbakal82 жыл бұрын
1 mg of Adrenaline and 300mg of Amiodarone should have been given after the 3rd shock. 😬
@ilokera2 жыл бұрын
That might depend on Guidelines. The ANZCOR guidelines and Australia/NZ recommend Adrenaline 1mg after 2nd shock and Amiodarone 300mg after 3 shocks.
@jordanpry7182 жыл бұрын
this is an absolute mess
@karenhurst10832 жыл бұрын
I thought it was excellent. You can't just call it an 'absolute mess without clarifying why you think it's an absolute mess......