Cardiac arrest rhythms, VF, VT, Asystole and PEA

[@merwiza]

Maan... 46 yrs old.. Trying nursing,.. last semester, 3 months 2 go! I have my 1st exam in critical care ... Specifically respiratory and cardiac topics... I had a long day in clinical n every patient i had was literally helping me to remember my exam notes... I saw a person intubated w am ETT tube, i tried to insert an IV on him... Freaked out.. 1st time... But I'm so glad it happened.... Now I'm not afraid, I'm determined to get it right next time.... I'm not scared any more! I saw an 88 yr old, code n not make it all in one day and i didn't break down, now I'm watching this video and it all makes sense... Sorry too long but what a day! All this just to say thank you Dr. Campbell, i feel smart because of you... Like i said, u r welcome to my graduation... May 7th 2022! Bethel University Mishwaka Indiana... Ask about us... We are regionally respected... But thank you from the bottom of my heart!! Please flag this comment with a graduation cap and love 🎓 💕 Cap💕 until he sees it .... 3 months darlings ... He helped me a lot!!!

[@Bmarker299]

What an outstanding teacher. Calm delivery. And to the point.

[@MultiAwesomeStar]

Thank you soooo much for this! 😁 Now THIS is EXACTLY what I was looking for! I work in the Cardiac Catheterisation Laboratory and we need to understand and visualise the quick changes that can happen on an ECG during a patient case. You are amazing! Such invaluable information that shows a live ECG! Showing exactly how normal sinus rhythm can deteriorate into a cardiac arrest, shockable rhythms ventricular tachycardia and ventricular fibrillation which can lead to asystole. I loved that you included extra information and simple explanations about Pulseless Electrical Activity (PEA) and Hs & Ts. Dr. John Campbell, you sir are simply incredible! Now I feel more prepared to recognise these sudden changes on an ECG and tackle these difficult situations. You have taught me so much in less than 10 minutes! Thank you again and keep up the great work! 😁

[@dawnr7798]

This was a great lecture and helped me better grasp the cardiac arrest rhythms.

[@zakiyyah8352]

Currently on my cardiology rotation and the stress is getting to me. Thank you so much for making this easier to understand.

[@Eagle_Delta]

Look into the role of the lipid oxidation of polyunsaturated fatty acids specifically Omega 6 and HNE and HODE. Lipid radicals

[@failyourwaytothetop]

That's 2 years ago. I wonder how you're doing now

[@zakiyyah8352]

@@failyourwaytothetop im currently doing my internship and state exams! 3 months to go :)

[@huzaifahuzaifa6606]

Plight of every indo pak doctor.

[@BlOrg_]

@@zakiyyah8352 good luck on your last month!

[@Austandbay]

My 15 year old daughter went into SCA, I remember reading VF, Asystole and PEA on her EMT report. Tried to learn what it all helped but still have a hard time. This video helped a little. Even after having an autopsy and many EKGs before she died there was never any reason found for her to go into SCA and die :(

[@alicegray9934]

sorry for such a sudden and tragic loss

[@sunnyg1384]

I'm so sorry for your loss

[@petecarnes6024]

u

[@sheresawills1129]

❤

[@failyourwaytothetop]

@@sunnyg1384 Beautiful points. We have to see the bright side of things

[@mostafamohamedali605]

Thank You Sir. Very well Narrated . From an Anesthesiologist in Cairo, Egypt (Middle east-Africa).

[@thecalvatron1955]

Thanks; I've watched quite a few of your videos so far. I am an ODP and I have my ILS course on Friday - watching your videos is definitely helping me to get my head around the cardiac arrest rhythms and the reversible causes!

[@emilypaille8704]

Such a great lesson. Final semester nursing student here! PS the accent just makes it even more amazing

[@MrTrainer1200]

I had an atrial flutter that made me pass out. Thought I was going to die :( Doing ok now :)

[@Campbellteaching]

So pleased you are feeling better now, have you seen a good doctor?

[@MrTrainer1200]

Dr. John Campbell yes, and it’s being managed.

[@Campbellteaching]

@@MrTrainer1200 thats good

[@MrTrainer1200]

Dr. John Campbell Love your videos btw, I’m thinking of getting into the medical field.

[@michacz9415]

My mom had a heart attack about 2 years ago and survived

[@positivelybeautiful1]

In the last few years, I have stop renewing my ACLS because it was not a mandatory certification. But, now I'm getting ready to take ACLS again, and will ask for reorientation in my specialized area. I was very surprised and delighted to see Dr. Campbell's informative and extremely helpful videos (prior to this I've see only Covid-19/pandemic videos, helpful, unbiased). Thank you Dr. Campbell for your love (one aspect of love is to share knowledge), and true compassion (the caring of others, especially with us strangers).

[@akadopeboi]

Oh these are hidden gems, thanks Doc.

[@marshmallowbudgie]

1:30 "it''l become finer over time" --it's called death

[@scott8908]

True death is not until the brain becomes severely hypoxic and this ischemic.

[@TiDom_NeAux]

True biological brain death

[@thestar111]

Thanks for this.. Great help towards my EMT exams.

[@ChadJohnson123]

yo what emt exam you doing lol. EMTs dont have to worry about ekg reading cuz they do BLS.

[@chpproductions11]

I was an EMT I loved it!

[@jesusreignsoveraustralia]

Thanks, this made a lot of sense. About to do my ALS as a RN

[@AkulaShark4748]

Great video, short and to the point ! Thank you so much

[@flatchat4090]

Subscribed. Such a great teacher very inspiring thank you

[@RVBob]

I survived an episode of V-Tac. I was the unfortunate one that remained conscious the entire time. The EMT hit me with 200 Jules then 360 Jules on the defibrillator WHILE I WAS AWAKE! I hope nobody ever has to go through what I did. Please knock them out first!

[@Campbellteaching]

Well Robert, this is outrageous. Shocking a conscious patient should be unthinkable for any health care professional.

[@RVBob]

@@Campbellteaching it was the EMT in the ambulance sitting in front of my house prior to driving to the hospital. I'm not sure if he had that ability or not. I can assure you though, if anyone ever asks. A defibrillator shock is violently traumatic and painful beyond description. I'm happy to hear it is not the normal to do it on an awake patient.

[@Campbellteaching]

@@RVBob It's an absolute contraindication, it should never be done.

[@canbakepancakes]

Why you didn't get some mo?

[@RVBob]

@@canbakepancakes get some what?

[@fftartaglia300]

Just went SVT was awake and could not be sedated, just don't respond to narcotic medications intensely. 148 joules later and awake for whole deal, still alive and home.. was a mess for a minute. 8 hours after having defibrillator removed because of infection. Made some videos myself. Much love... FFTARTAGLIA always praying strong fire in your heart, belly and soul 🙏💪🔥❤

[@samiulizer]

Sir, please teach us daily.

[@sabitasahoo2292]

I really love the way you teach us thank you so much as a nurse i have many more doubts but when ever i see your videos it give me very much ideas to comprehend my knowledge

[@oluwaniloawoloto776]

This was super helpful, I've been struggling to understand these for some time! Thank you very much :D

[@jordancatherine]

Strangely relaxing.

[@notrealatall196]

😂

[@alext7667]

The patient is having a heart attack and yet he does nothing! Just kidding :D

[@pietraolegal]

Bruh Lmfao

[@rogervanbommel1086]

NO, that is cardiac arrest, THERE IS NO ST segment elevation/depression to indicate ST segment elevated myocardial infarction(heart attack)

[@jamesbailey4007]

Not an MI it’s a rhythm change. Very different. Stemi will often have a regular rhythm with no ectopy in the beginning and progress into rhythm changes as muscle dies

[@subrataray5147]

I like your teaching very much,in fact we indian doctors are over burdened still wach you in between work,thanks

[@Campbellteaching]

Good to know, thanks

[@bethcurry3535]

Cardivert a VT with a pulse if symptomatic such as dropping blood pressure and unresponsiveness. In addition, administer Amiodarone 150 mg over 10 minutes followed by an infusion of the same. Lidocaine is an alternative anti arrhythmic. Defibrillate VT without a pulse. Administer two vasopressors such as Epinephrine q 3-5 minutes and Amiodarone 300 mg IV Push after the second defibrillation.

[@nigebemand7124]

Another super helpful video, thanks Doc.

[@dralemsegedlecturessimplif4870]

Dear Dr John, i used to wach your lectures as medical student and it was quite helpful. Now, as senior clinician i am starting my own lectures based on recent evidences. Can you pls buy time and review mine and put your supplements. Thanks

[@nickdesai4902]

I feel like everyone watching this are doctors except me like if you are a normal person

[@extrem2497]

I'm just 17 Years old boy who interested in anything medical

[@jada6641]

just someone obsessed with grey’s anatomy 😂

[@SoFabylous]

RN

[@arunsreenivasan2074]

ExTrem Haha Me too!

[@vivianachiaa]

Anaesthetist from Ghana

[@Poseidon_43]

In Germany we call v fib Kammer flimmern which means Chamber(of the heart) quiver

[@just_some._.bugsss8105]

I have no idea why I'm here, I have never been interested in this stuff, I'm currently in a hospital scaring myself with these videos

[@CheapVanTravel]

Same. I have IST. Originally diagnosed with SVT several yrs ago but found out it's not SVT when they had to stop my heart twice to try and reset my rhythm and it didn't work. Thankfully it reverted on its own as they got ready to shock me. Cardiologist said if I had SVT it would have reverted to normal rhythm when they stopped it the first time since SVT is an electrical issue. IST is Inappropriate Sinus Tachycardia....not electrical and never know what will cause it. Never had any heart issues until a yr at a very stressful job where my boss was verbally abusive. I've had anxiety and heart problems ever since. My question is.. ...why wasn't anything being don't to save this pt and 2.....is my IST something that will get worse until I end up like the person in this video??

[@kratosbelmont]

This is intersting for a person who has VF and an ICD

[@reubenknill9031]

Amazingly easy to understand! Fair play.

[@belindamerkouris7998]

I get VT everyday have a defibrillator and pacemaker inside me I an feel the VT come on but luckily for me they aren't bad enough to be shocked yet I've herd that hurts like buggery

[@idostuff8]

Hope ur okay

[@Kayla_wgh]

This was so helpful! Thank you so much. I have a test in RN school over this and your video was so helpful!

[@myriadleviathan]

VT: CPR 30 pumps, 2 breaths, Amiodarone, Defibrillate, Adrenaline VF: ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ Asystole: CPR 30 pumps, 2 breaths, atropine, adrenaline, repeat until large wave fibrillation, then defibrillate If you're asking, I came from Reanimation Inc.

[@sunving]

Thank you Dr Campbell !

[@mrsteel9026]

Hello Dr Campbell, still an avid fan of your uploads. Was wondering do you have a video explaining the pathophysiology of the 5 h's and 4 t's. Thanks.

[@Campbellteaching]

I haven't, but its a good idea. I will put it on the list.

[@mrsteel9026]

Brilliant that would be great.

[@CHARrrrrrrrr]

Would you shock all VT or just pulseless VT?

[@pieterthijs6852]

CHARrrrrrrrr Just the pulseless one. A VT with pulse requires something like Amiodarone :)

[@michaelsamar7140]

Pulseless only

[@kwayke9]

NEVER SHOCK IF THE PATIENT HAS A PULSE

[@charlesschauer8927]

Had svt's for a couple days...waited too long....went to er....while there..went into vtac....team rushed in quickly started to get me ready for cardioversion...I said no.....dr decided to wait a few moments....I naturally converted back myself

[@cheripurk5037]

Cardiovert for life, defribrilate for death.

[@aussie_mama8360]

Had too see what a VF arrest looked like,. 2.5 months ago I had a scad VF arrest, 2 min CPR and 1 shock. Completely healed now ❤️

[@scott8908]

Hello I am a paramedic and current ADN student (RN student). Are you referring to spontaneous coronary artery dissection? A coronary vessel ruptured or became enlarged causing a Myocardial infarction and eventual cardiac arrest (pVF)? You don’t have to answer of course. I am just trying to learn some of the terminologies associated with this. Glad to hear that you are healed.

[@goofybutserious4807]

Do you know what caused it?

[@crylune]

Surviving VF is a tough feat. Good job. I've only dealt with atrial fibrillation even at my young age of 21, and I hope it doesn't progress into something worse.

[@everythingwithnursesandy]

THANKS FOR THIS GREAT TEACHING. IT GAVE ME SOME IDEA

[@drgadham]

Very lucid presentation 👏

[@F91RPG]

How to we differentiate PEA from sinus bradycardia? As you said, they like really similar.

[@mudzungamutepe7435]

wow thank you very much for making things easier to understand and remember

[@danielmiller3929]

you mentioned the finer VF is harder to treat. Why is that?

[@notrealatall196]

Can a PEA actually have such a perfect pQRS complex?

[@FunComputer2017]

Imagine if PEA for short, it would be like this 💀💀💀 🫛 👈

[@jaygee2676]

Thank you for this video

[@ellaalves4676]

is it true that is a patient is flatlining the only thing you can do is push epinephrine and start chest compressions and attempt to get them up to v-fib or v-tach and then you can use the defibrillator? idk i just heard that somewhere and it just stuck with me for some reason in not a doctor or anything lol

[@hugomlpaixao]

Yes

[@garyhefner6944]

Amazing video

[@judyhall1538]

Good instructor!

[@rttpn]

VF 0:31 VT 4:14 Asystole 5:40 PEA 6:36

[@zole6669]

thank you captain

[@dhivyaoumabady8881]

Tq

[@LissaWM1]

You are awesome! Thanks

[@giftsamandanji8358]

U are the best sir

[@Antioptic.]

one time my moms ekg was shown as her heart stopped and it scared the hell out of me but then the doctor just said i unplugged it 😭 why she gotta scare me like that

[@elnorecrupi5099]

When the EMT picked me up cause I was having chest pain the took a EKG as soon as I saw the strip on screen I know it was not normal .iwoke up in ICU with the external defip panals on me .and my husband by my side .the MD told me I was s lucky lady not only did I have a major ❤️ attack but also 2 strokes back to back .

[@MalathAli-gt3qw]

allah bless u doctor ..ihave question why your video is high viwes its cool prognosis

[@jb1139]

So if it were to be a prolonged section of tiny, irregular waves, it would be cardiac arrest as opposed to afib?

[@barwaaqo9644]

Really good explanations, thank you!

[@MartijnVerhoeven30]

Hi, very nice described, and very clarifying! I just have one question, hopefully you can help me with this If I understand correctly; SCD can present in 4 ways on a ECG (VF, VT, Asystole and PEA, whereas VF is the most common)? And if SCD presents as VF or VT on the ECG, a defibrillator could get the patient back in rhythm? If a patient would have asystole SCD a defibrillator would not work? Is this correct? Thank you for the vid!

[@udaybiradar357]

Ya,, Ur right,, Only CPR will work,, not 100% But it,s work,, and Asystole is most fatal form,,, the Survival rate is less than 2 percent,,,

[@Dasycottus]

"because we're not treating it, it will become a finer ventricular fibrillation" Huh, I wonder why? 🤷🤣

[@idostuff8]

lol xD

[@chosen8031]

This is amazing . So useful for nursing and nursing school

[@ColBalooch]

I have a defibulator installed, 6 Feb 2020 I feel a irregular heartbeat, no pressure or pain on chest, no shortness of breath, just a little uncomfortable on chest , suddenly my defibulator start shocking me , it shocked me 3 times in almost 15 second period, I was completely awake and was standing on ground without holding anything, after 3rd shock my chest discomfort was gone and I was feeling ok,. Since then I never feel normal on my chest area, always have some discomfort, feels like someone hold my heart in hand, doctors say everything is normal, but I have a continuous discomfort on my heart , again no shortness of breath, no severe pain, but take beta blocker and thinner

[@wakeup6759]

long-term use of beta blockers can cause heart failure. read up on the side effects of all the medications you take. i take magnesium glycenate for a sinus tachycardia.

[@bur6gerbar957]

What does it mean when thw monitor starts trasing down

[@kimsung2384]

Why does lactic acidosis cause PEA from a physiological perspective?

[@NotWithinNormalLimits]

Can all of these be corrected with cardio version? Seems like the cure-all procedure with arrhythmia.

[@cpt_aj]

No, defibrillation is used in all of these cases except asystole, PEA, and V-Tach with a pulse. Defibrillation uses more energy and is not synchronized.

[@CarlBelcher]

Why no mention of Hypoglycemia as one of the reversible H's?

[@ICU306]

I don’t think that’s apart of the ACLS algorithm anymore

[@robertpriestly4614]

How do you treat PEA on monitor, hypotension, lactate acidosis and refractory arrest.

Is "defibulation" the removal of the fibula?

[@polarbeartom9416]

It’s actually defibrillation and it basically means to stop the heart. A defib shock stops your heart from beating to hopefully initiate a regularise more regular sinus rhythm starting with the SA node delivering the first autonomic impulse. There’s plenty more to it than that but that’s the jist

[@mohd.shabbir6510]

love from india sir🥰😊

[@usernameihavechosen289]

So has he just killed the patient having failed to try to reverse the VT then the coarse VF and having let it progress into fine VF and possibly Asystole for the sake of the video?

[@Fredrick_6]

It's a simulation

[@araratqarachatani3806]

Thank you

[@dieforyou0077]

Hello doctor. I want to ask you one dose hypoxia cause bradycardia or tachycardia? How chemoreceptors work with it ? Thanks 🙏

[@smorris281]

Only two shockable rhythms? I don't know about the UK, but here in the US, we can shock SVT and Afib. We try drugs first, of course, but we do shock those rhythms.

[@heno86]

Defibrillation or cardioversion?

[@CosmeReese-f2l]

That's cardioversion for the last 2. It doesn't end you in minutes. The first two need immediate attention.

[@mariamkinen8036]

I had a cardiac arrest during the intimate battering.

[@shilpiawasthi9546]

how would you induce a shockable rhythm for example in asystole?

[@arny625]

Probably Medication

[@ICU306]

Lots of epip

[@short_videoz8]

Love ❤️ from INDIA

[@traceyrace-healthcoach1512]

hi there initial slide Ventricular is spelt incorrectly!!!

[@joannabuchanan3287]

Could this also happen because the leads are improperly placed?

[@Jkoal69]

Usually not. Asystole maybe but never vfib

[@socaldeb]

Extremely interesting. Thank you.

[@sandrajdavis1236]

IF someone experience this its good to know

[@MsUa125]

What does it mean if your diastolic blood pressure is in the thirties and forties like 34 and 49?

[@familiamarquez3219]

hypotension

[@samehabughalyoun1628]

well how can u induce a shockable rhythm in asystole? thx

[@johnshettler6612]

drugs...epi

[@marind10]

i thought you cant shock asystole?

[@thekostebafamily8917]

V-Tach Is A Fast HR 175-230 BPM Am I Right

[@misahohimeima1981]

V-Tach is anything above 100/110 BPM If I recall.

[@elias-rn6mx]

We shock all the v.tachs?

[@BisexualPlagueDoctor]

The fact that the human heart is so good at it’s job, that if it slightly messes up you can very quickly die

[@vintarusproximus2854]

Recently I acquired idyopathic NSVT, several dozen episodes per 24h, the longest run was 18 beats. I am relatovely Young (35 years) and have structurally normal heart. Its probably caused by hormonal fluctuations. (sex hormons, not adrenal, pheochromocytoma was ruled out). Is it dangerous?

[@Campbellteaching]

Have you seen a good local cardiologist?

[@vintarusproximus2854]

@@Campbellteaching Yes, Dr Campbell, I've seen two, but their opinions were contradictory. That's why I am asking for third opinion, although I know it might be difficult to say anything, without seeing holter ecg. These tachycardia's come from RVOT.

[@akaEcho]

Vintarus Proximus I’m wondering if you will help with a study I’m doing.. can you please email me [e-mail]

[@neerajtripathi9216]

@@vintarusproximus2854 how r u?

[@faizanzafar7976]

Great😊

[@goatutter]

I think I've seen PEA also called EMD, Electromechanical dissociation.

[@canbakepancakes]

The old term

[@julitaserrano5550]

PCP student here!

[@HorusFlint]

The theme song sounds like Circles by Post Malone

[@Campbellteaching]

Wasn't aware there was a theme song?

[@dorc5364]

@4:41 VT

[@Roeida_Front_Roe]

MY SISTER IS CALLED ASYSTOLE.

[@derkchurk5879]

Dont eat at 5 guys

[@HiraMalik-zr1wu]

Y

[@mariasolismendozadiaz604]

Me four years ago and two years ago ok

[@TheRealDudeJay]

Im a kid, yet im watching to be able to detect when to use an AED if its not able to tell.

[@TheRealDudeJay]

and...?@Radletorn

[@Rooibostea5959]

Haha everyone here’s a doctor or nurse and here I am, trying to understand my symptoms after my doctor mentioned vt...😂

[@eleanadelrio8275]

Trying to pass a test over here 🤣

[@n_justwatching]

@@eleanadelrio8275 Me too, ACLS practical tomorrow. Good luck!

[@dorc5364]

5:31 Asystole

[@dantesparda-b7c]

864 Schroeder Glens

[@erlindarobis5958]

i have sinus tachycardia

[@arny625]

I have VT/Sinus Tach/Sinus Bradycardia

[@KarthikKarthik-db9zc]

Thanq sir.