Advanced Life Support CPR Test Demonstration

The approach to the deteriorating and arrested patient is a critical part of every doctors education!
In this video, our ALS coaching team steps through how we would approach the deteriorating patient who arrests.
This demonstration is with only 2 helpers as consistent with our final test for the ALS trainees. While this is a bit artificial from a normal resuscitation it helps us to demonstration the technical skills and flow of an arrest.
Thanks for watching!!!
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Disclaimer:
The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.
Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.
This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such.
The medical information is provided “as is” without any representations or warranties, express or implied.
The presenter makes no representations or warranties in relation to the medical information on this video.
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant.
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’
Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing
The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.
The information presented here does not represent the views of any hospital or ANZCA.
These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements.
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[@lisadepass8490]

Thank you for helping me get the algorithm straight in my head. This sim was a good example.

[@ikejiken854]

great learning tool

[@kyungdukko5707]

It was very informative for my ALS certification. Thank you

[@GeorgeCraws]

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

[@laylam4241]

Thank you for this video

[@leinaali7060]

Very helpful

[@Nice69]

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

[@elchinhasanli3425]

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]

Should be alternate every other shock after 3rd shock

[@differentthought1947]

Thankyou so much

[@ABCsofAnaesthesia]

Most welcome 😊

[@twocents6001]

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]

I think adrenaline after 2nd shock then 2nd cycle and amiodarone after 3rd shock

[@MargaretLilly]

excellent thank you!

[@clpat52]

Very helpful thanks

[@mrezapr1168]

very good

[@kr9658]

Pad application is not normally placed when patient is conscious.

[@janetbeer8585]

if you are worried about a patient who is unstable putting the pads on can be appropriate especially if they look unwell.

[@dianne3471]

Amazing x

[@jejemorachi3363]

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.

[@bencarboon]

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.

[@MutahGeneral]

Airway wasn't secured?

[@marcussurleyadventures1928]

thank you i found this very helpful 😊

[@yolandagrabowski6043]

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.

[@gemmagrantham7243]

This is terrible. No one venting . Off the chest too long and for got the 3rd round of adrenaline as well as amiodarone

[@MZS22]

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.

[@saikatkumardas8108]

Hh

[@ben005dr]

kzbin.info/www/bejne/q5OrYXp3gsaBaJosi=P_RGq6moHyu7pYNI

[@kezza2151]

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

[@s2188918]

where is the damn code blue team?

[@ABCsofAnaesthesia]

haha

[@emhoianh]

Hiding in the tea room or charting meds.

[@colinclancy2558]

“Oh shit it’s a real one?!”

[@evilherojoseph]

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 ?

[@davemihir709]

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.

[@albertandjames]

@@davemihir709 or you know...asystole haha

[@davemihir709]

Or that hahahhah​@@albertandjames

[@bn8579]

I failed compressions today

[@olgapidgorna6613]

Adrenaline after 3 shock!

[@kc1999kc]

adrenaline is after the 2nd shock amioderone is after the 3rd shock

[@aroyce4]

@@kc1999kc adrenaline immediately in non-shockable rhythms

[@respawnyshauny3663]

Noted Oxygen is still connected whilst shocking the patient!!!

[@ABCsofAnaesthesia]

Yes correct, ARC guidelines… keep Oxygen connected for closed circuits (LMA, ETT). Remove for open- mask ventilation. :)

[@pisbakal8]

1 mg of Adrenaline and 300mg of Amiodarone should have been given after the 3rd shock. 😬

[@ilokera]

That might depend on Guidelines. The ANZCOR guidelines and Australia/NZ recommend Adrenaline 1mg after 2nd shock and Amiodarone 300mg after 3 shocks.

[@jordanpry718]

this is an absolute mess

[@karenhurst1083]

I thought it was excellent. You can't just call it an 'absolute mess without clarifying why you think it's an absolute mess......