Cardiac Arrest Scenario 1 || Asystole

#cardiacarrest#asystole#acls

[@medicalhunter1317]

Absolutely an amazing video for medical students! Accurate representation of CPR according to different case scenarios. Literally you made it 10* better to grasp and understand the concept of CPR. Thank you, really appreciate your efforts.

[@mirsuhail8010]

Your case scenario presentation is awesome ....you have helped me alot.Thanks whole team ....

[@ruainjain8025]

Thank you for making such amazing elaborate videos. I am a MBBS student from GMC, Kota. And such practicals are much needed.

[@user-zp9tn5js4c]

Very good explanation

[@tariqbloch9900]

Very nice presentation. Can u plz mention the book referred...?

[@yadhu1cashish]

AETCM team, very helpful clinical videos all Nursing and medicine students thank you so much😊😊

[@missidealist9486]

Fantastic demonstration /drill in a real life scenario setting. Very helpful. Kindly make more such real case study videos.., with the drugs used. Any videos on pharmacological management of pts as a GP will also be helpful. Because no one actually teaches that. We don't actually prescribe all the drugs we learn about. Thank you. 🙏

[@silasnalikoko3365]

Thank you for the practical lecture.. I am an ACLS provider and MBBS

[@user-fk1cz8gz8r]

Just One Word Excellent.....Topic you touched no one generally touches.

[@zaheer604]

Super presentation .....u people doing great jobs ....All the best for ur futures....

[@hishamarbab1646]

Thank you dear doctor's Im From Sudan i really appreciated your effort All the best

[@etvvenkatesh]

Thank You AETCM Mentors . Being a Medical Officer frm Far away , i am confident enough to handle all patients because of you sir/mam . ❤️

[@AETCMEmergencyMedicine]

🙏

[@rupeshchaurasia4354]

Exactly bro

[@vikassubhedar8069]

Same here

[@dasdr4594]

Same here 2

[@Nagesh9999]

Don't stop CPR in between 30:2 1:1000 1mg epinephrine, followed by 20ml NS

[@antonydewri1866]

These doctors are doing great..specially helping the students

[@samiulla5946]

Good video need more scenarios of cardiac arrest management

[@dilkushathanzeel4662]

Thank you so much team aetcm, really helpful demonstration

[@aafiakhalid2856]

Thanks for such a great video

[@wxyz5372]

I am a first yr medico . I am so exited to see the beauty of life and blessing of this profession. I loved this section, getting a person back to life only blessed one will get the chance to do this

[@aamir8965]

First year is always exciting 😂

[@gurucharansarojraj]

@@aamir8965 👍😀😀

[@ben005dr]

Very valuable and great presentation and team work. Just thought of adding some, hope hypoglycemia was said amoung the 5H in addition to hypo and hyper kalemia, Another thing don't we start with calcium gluconate before starting the sodium bicarbonate or insulin dextrose especially when there is an ecg change. Just wanted to get things cleard. Thanks again for the great video❤👍

[@kamleshpatbandha6139]

Thank you so much sir your team has great👍👍

[@mohammadsafwansaharil6285]

Great video . thank you so much - ban final year med student UITM malaysia a day before my final professional exam in med school

[@afshanbegum7965]

I appreciate their training .

[@nitrogen-]

I am casualty doctor still i am learning lot from these channel

[@DR.SP.]

Thank you🙏

[@lunatic2689]

I am a doctor of Indian soldiers I am searching some videos on KZbin I got your i like that way I hope that one time you all will become a very good doctor

[@purnanandasharmavlog.5419]

Thank you for sharing

[@sirawichchaiparnich9086]

If it is a 4-man team, how would you advise the role assignment?

[@manasijoshi6741]

Nice video Head tilt chin lift maneuver should be included.

[@wijedasabadraperera1953]

excellent with thanks from srilanka

[@zebbrahvi6509]

it would be really helpful for revision if you guys make a written pdf for these demonstrations topics.

[@ravidkhan5162]

Wonderful.

[@rowdy_psyche_vlog]

Good video... I have one doubt... Adrenaline diluted with normal saline or flush NS after adrenaline...

[@madhupandu1926]

Thank you so much for making elobaorate videos

[@kishore3874]

Good job docs.

[@PankajTiwari-nd6xy]

Always hospital and machinery sound scared me on that situation

[@munnasherpa6054]

How do you take arterial blood for ABG in a systole patient?

[@rajnikantpotdar812]

Thanks to AETCM team..

[@anayatali]

Subtitles should have been provided and recap of procedures at the end of video

[@zindagipaniha1823]

assessment of chest compressions patency of airway iv assess 1mg of epinephrine 10 ml of NS cardiac monitor attach 2 rescue breaths fir 1sec after 30 chest compressions cardiac monitor check for rhythm repeat epinephrine

[@leansipperr5494]

2 rescue breath 1 second each, which is 2 seconds in total

[@susiguesss]

I just got goosebumps while watching this video😮

[@sujalukose7600]

Very good performance

[@saptarshibhattacharya]

Sir, just one question....Is it possible to hv normal sinus Rythm just after treating reversible causes of cardiac arrest or I think the patient will first hv V-Fib or V-Tach and then gradually improve with defibrillation and epinephrine. And should we intubate him/her in this case bcz we are not sure whether he will come back to life or not....Plz explain sir.....

[@naveennambissan]

Amazing❤❤

[@Phiroas]

This video is very helpful👍👍

[@mixupideas476]

After getting the ecg confirmation of ROSC. chest compression should have been continued. Probably we shouldn't stop to check for pulse immediately after ROSC.

[@oOoironhideoOo]

Agree, guidelines recommend 3-5 cycles after ROSC

[@leansipperr5494]

well logically if someone regains a normal heartbeat then you need to stop CPR

[@rowdy_psyche_vlog]

Thank u all for this useful video❤

[@mohammedsiddiq2427]

Till how long you can continue cpr.Should we stop cpr if we see pupils are fixed and dilated?

[@zaheer604]

Thank u .......

[@shardendu06]

How much of 25% dextrose to be given with 8 unit rapid insulin?

[@AETCMEmergencyMedicine]

100 ml

[@g.bg.b1245]

During chest compression ambu bag will cover mouth whole time or only after 30 compression it will give 2 times and again remove??

[@AETCMEmergencyMedicine]

Both can be done

[@saiful3779]

THANKS

[@amjads.b4136]

Why give 10 mL saline flush after 1mg Epinephrine ?

[@drshaabbas2822]

From left side or right side of patient?

[@lonewolfe2502]

Why she said load epinephrine? She wouldn't have known until her colleague attached cardiac monitor and assess the rhythm. Am I missing something here?

[@rajmishra2621]

Patient is in cardiac arrest so epinephrine will be required anyways. Epinephrine is given in both shockable and nonshockable rhythms!

[@lonewolfe2502]

@@rajmishra2621 ok got it. Thanks

[@rowdy_psyche_vlog]

Adrenaline direct IV push or diluted with normal saline... plz anyone clarify my doubt

[@saqibjaved3578]

In gi bolous for hyperkalemia it is dextrose with insulin nt atropine..... She just say atropine if I am nt wrong

[@rajmishra2621]

She said Human "actrapid" which might have sounded like atropine

[@saqibjaved3578]

@@rajmishra2621 ok

[@neosurgeon2511]

If cardiac arrest is due to irreversible causes( severe extensive traumatic head injury) should cpr done ??

[@AETCMEmergencyMedicine]

Yes

[@shahidhassan6395]

Wonderful presentation, but the Rate of Compression was not adequate, there were lot of Pauses in compressions

[@oOoironhideoOo]

Absolutely, but I think the beauty of these videos is that this is ACTUALLY how it goes in real life; CPR rarely goes "by the book"

[@leansipperr5494]

@@oOoironhideoOo huh what do u mean cpr rarely "goes by the book" lmao what's this stupidity? there is one internatione effective guideline for CPR which is a fast compressions

[@Madhudreams]

Sir can we give adranalin through IM route

[@IngoziDanger]

First of all I want to say this is a great scenario. But it's hard to understand what they're saying because of the noise, which it's gonna be like this in the hospital

[@tiaraqween5777]

Pls add subtitles to recieve every information

[@AETCMEmergencyMedicine]

We can't control that.. Its done by youtube, try switching on cc in your video.. Some videos might have it

[@drprasansh]

Why defibrillator was not connected? If i could be shockable rhythm we would give him shock too.

[@AETCMEmergencyMedicine]

It's connected pls check the video

[@dr.mahavirsinghsengar1593]

What's the role of inj calcium gluconate in such conditions sir. Please elaborate a bit.

[@AETCMEmergencyMedicine]

Hyperkalemia

[@shoaib5141]

Calcuim plays very important role in the contraction of heart muscles ... If any person is having cardiac arrest that means his heart muscles are weak and we adminster calcuim gluconate for strengthening of these muscles which is very helpfull in cardiac arrest

[@summitbloria549]

Why was the abg taken?

[@bobo-mv4bl]

Abg finding Hyperkalemia - and the drug u advised to give is bicarbonate? Something is so wrong with the team

[@AETCMEmergencyMedicine]

Bicarb for hyperkalemic cardiac arrest

[@nainakhan267]

Weldone

[@robinvarghese2755]

How did u take asystole pt abg..??🤔

[@ramsheedabootty3648]

Actually ca gluconate is the first choice for hyperkalemia..

[@bikashshah3486]

How can you take ABG in an Asystole patient??🙄

[@AETCMEmergencyMedicine]

While cpr

[@manjunathgomanjunath6540]

Thanks u

[@faizankhan-jp2my]

Doctor said at 2.01 sec load epinephrine, i wanted to ask if the cardiac arrest is the result of ventricular fibrillation still we will give epinephrine???

[@AETCMEmergencyMedicine]

Watch the shockable rhythm video

[@mkj9517]

Why soda bicarbonate is required in case of hyperkalemia?

[@AETCMEmergencyMedicine]

Acidosis with Hyperkalemia Soda Bicarb can be given

[@drnizar90]

Sir, IN this case patient was unconscious ECG MONITIR ASYSTOLE(FLAT LINE) SO PATIENT IS DEAD THEN WHY DID YOU STARTED CPR

[@AETCMEmergencyMedicine]

Start seeing the video from the beginning, someone was brought with sudden unresponsiveness, rhythm is asystole.. So CPR was initiated as per ACLS guidelines

[@praveenr2000]

Death on arrival, it mandatory to do CPR as per standard guidelines. Of course there are exceptions like rigor mortis, decapitation injury, already have signed Donot attempt CPR form etc.

[@leansipperr5494]

when someone has asystole cardiac arrest, they have like 5 minutes before the whole body dies from lack of oxygen. people with asystole cardiac arrest can be resusciated with CPR, adrenaline injection and defibrillator

[@syedafatima2839]

1:1000 is 1 mg epinephrine plus 10 ml NS followed by 20 ml NS flush … is it ryt correct me if iam wrong ..?

[@AETCMEmergencyMedicine]

1 ml of epinephrine followed by 20 ml flush

[@shabna5006]

@@AETCMEmergencyMedicine is 1 ml 1:1000 followed by NS flush equivalent to 1:10000 concentration . asked because studied that in cardiac arrest it is 1:10000 concentration..

[@gowrigopakumar8702]

How to take ABG in cardiac arrest patients?

[@AETCMEmergencyMedicine]

While doing cpr

[@sonu-ml8ed]

Is there any role for atropine or ionotrope

[@AETCMEmergencyMedicine]

no role for atropine in asystole

[@user-it4sk3lc3n]

U analyse rhythm but u didnt check centeral pulse

[@dude.462]

So scare cardiac arrest death remains 😭

[@chandarapuvijay4954]

What is adrenaline timing 2 mts or very 3 to 5 mts

[@AETCMEmergencyMedicine]

Every 3-5 mts

[@moinlala8078]

Sir for how long Cpr should be continued if we dont get pulse or any rhythm?

[@AETCMEmergencyMedicine]

Its a million dollar question.. If you have an ETCO2 facility you can rely upon that. Even after 20mts of CPR ETCO2 is persistently less than 10 mmHg its unlikely that the patient is going to achieve ROSC and you can think of termination of CPR

[@jikkurajendran7342]

If Etco2 facility is not available..how we can take decision regarding termination of cpr ?

[@AETCMEmergencyMedicine]

There is no clearcut timeframe recommendations to stop cpr

[@medhibiki]

post cardiac arrest management??can anyone elaborate?

[@AETCMEmergencyMedicine]

We will do a video on that

[@medhibiki]

Eagerly waiting!

[@theathomas2465]

I learned CPR so I know how to do it

[@sujuhussain6045]

Do nurses do anything in this situation or not

[@AETCMEmergencyMedicine]

They can do any role if they are trained

[@mohamedharo2197]

Nurses are taking there tea in the nurse lounge

[@shravanishere8639]

Sir..... can we give inj atropine ?..in view of asystole

[@AETCMEmergencyMedicine]

No

[@sonu-ml8ed]

What is the need for saline flush

[@AETCMEmergencyMedicine]

faster delivery of drug in to the circulation

[@streetninja23]

​@@AETCMEmergencyMedicine Can we load the adrenaline and NS in the same syringe?

[@alpsyappukuttan2593]

No role for nurses?

[@AETCMEmergencyMedicine]

Any role can be taken

[@afeyasheikh3572]

isnt epinephrine 1:10000 dilution to be given

[@AETCMEmergencyMedicine]

1:1000

[@cricketandfitnesssession..4325]

Sir mere dad ko hospital me cardic arreset aya Dr unhe baccha nahi paye ye kaise ho sakta he dr ki laparbahi se ho gya ye hospital me Bo baccha nahi paye cpr bhi diya ye kaise ho sakta he

[@AETCMEmergencyMedicine]

In English

[@cricketandfitnesssession..4325]

@@AETCMEmergencyMedicine app samghe lo

[@bobo-mv4bl]

Is the abg taken before acheiving rosc 😂

[@AETCMEmergencyMedicine]

During cardiac arrest to look for the reversible causes

[@bobo-mv4bl]

@@AETCMEmergencyMedicine but pt is on asytole how will we find pulse?

[@djshamim9142]

They should intubate ?? Immediately ?

[@AETCMEmergencyMedicine]

No

[@djshamim9142]

@@AETCMEmergencyMedicine how sir patient is asystole best way to secure airway is to intubate

[@anmoldanielwardhe1297]

Adrenaline 1mg +9ml ns =1:10000 is correct dilution maam in cpr Please reply ..

[@AETCMEmergencyMedicine]

1:1000

[@anmoldanielwardhe1297]

@@AETCMEmergencyMedicine 1:1000 given in anaphylactic shock not given in cpr (cardiac arrest)

[@anmoldanielwardhe1297]

@@AETCMEmergencyMedicine please reply .maam

[@nijanthandurai8334]

Can we give 1: 100 solution every 3 min

[@AETCMEmergencyMedicine]

1:1000 adrenaline 1 mg every 3 to 5 minutes

[@sonu-ml8ed]

Where we should use 1:10000 dilution adrenaline

[@babylonviews7987]

In cardiac arrest

[@shivamsingh9126]

It is given through iv route in cardiac arrest if pateint dosent response for Im /sc route of 1:1000 dilution.

[@Relaxmood007]

For IV ROUTE

[@bobo-mv4bl]

Is it necessary to go for advance airways before Acheiving rosc

[@AETCMEmergencyMedicine]

If expertise available can be done

[@amirulariffofficial8042]

1.Response 2. Asess pulse - in 10 s 3. Call for help Cardiac team 0.Leader Assign task: 1. Chest compression 2. Airway - 2:30 3. Iv line -abg 4. Capnography 5. Cardiac minitor 6. Document -asystole -epinephrine Ideal time for intubation?

[@jikkurajendran7342]

Adrenalin dilution 1 in 1000 or 1 in 10000.?..is there any upadation regarding it?

[@AETCMEmergencyMedicine]

Adrenaline 1mg,1:1000 dilution followed by 20 ml saline flush every 3-5 mts

[@unknown-qv1nu]

In iv always 1:10000 otherwise arrythmia will occur. In Im or sc 1: 1000

[@unknown-qv1nu]

10 ml ns flush will make 1 : 10000

[@Drake57322]

@@unknown-qv1nu bro is 1 amp adrenaline already diliuted?..i read somewhere that adrenaline 1 ampule is already diluted to 1:1000

[@aami3755]

@@Drake57322 yaa..its already diluted as 1:1000

[@jofybiju3783]

5

[@AliHaider-kf7tw]

Thanks Allah, the patient lives on, haha.

[@ankursingh7593]

Remove your mask in videos

[@Madhudreams]

Sir can we give adranalin through IM route