High-quality CPR and in-hospital adult resuscitation

This is a simulation of an in-hospital adult resuscitation with a 4-member team. This demonstrates the benefits of high-quality CPR, CPR quality monitoring, and the "pit crew" approach.

[@mwhitehd]

As a BLS Instructor, it's nice to see the quality of CPR getting the respect it deserves.

[@user-fp2md1fr3o]

Oh! This video seemed to show the real situation. I think this video shows the quality of CPR.

[@jondickinson5623]

I suffered a cardiac arrest following a heart attack this past June and was provided this treatment and procedure, I remember nothing of the ordeal except the tube down my throat being uncomfortable and feeling relieved when it was taken out and then settling into a comfortable sleep until the sedatives wore off and I was then clued in on what happened, My only reply to that news was "Wow!!!".

[@leetnessgaming9751]

Did he make it?

[@aqualux1214]

Dude it was a dummy

[@bananapie4344]

Not cool to talk about the dead in this way Muhir Kapoor

[@aqualux1214]

@@bananapie4344 he was actually a dummy. Look. It was for practice for medical students

[@carb_8781]

lmao

[@omgfish8146]

Yes

[@Quickstep80]

Wait - was the anaesthetist really carrying the airway equipment (laryngoscope, tube,...) in his gown (01:39)?! :-D

[@mushroom4978]

He came for a rescue. When it is STAT it is allowed to not to cleanse/disinfect, keep open needles in pockets, and to disregard all safety measures...

[@vyx6005]

The compressions always look so painful. I wonder if a human chest may crack in the ribs or something

[@orandaxi]

There is possibility, yes, though you don´t compress the ribs directly but the sternum. Those articulations have cartilage so there is also a certain degree of elasticity in the chest.

[@tweker69]

If your not breaking ribs , your not doing it right .

[@jackyrodriguez8309]

It happens and you have to just continue

[@ultra_instinctuzumaki2668]

Even if you break there ribs it might save their life

[@mrskate7771]

When you first begin doing compressions you crack cartilage.. Almost like cracking knuckles ...

[@user-ih3sd9rh8m]

Hello! Can I use this video in my video??

[@niharikasrivastava9300]

Thanks 😊

[@kdmeconi7363]

A little chaotic...better than other scenarios ive seen tho lol

[@drabhijeetchopade]

Real life is chaos man

[@Btt8]

abhijeet chopade no it really isn’t. I’ve witnessed it in real life. The doctors and other medical staff were very calm.

[@unleashanger6068]

i felt the adrenaline rush

[@mushroom4978]

Hello. tying to find out: are there signs or symptoms when an advance paramedic persone can look at a body and deem CPR as useless or ineffective. In other words, what are cases when no CPR is nedded, or it is an obligation to do it as by Samaritan law when on duty @ any time? Like if one collapsed, convulsed, voided bowels, turned gray and stop breathing and appears to be completely dead and the experience tells you the one is gone... would it be unethical to not to perform CPR on a corpse?

[@farmerx165]

yea good question. if they did actually die can they be revived? and should we be playing god like that? didnt anyone see Jurrassic Park

[@luTroX]

In germany we are forced by law to perform CPR until a doctor decides otherwise. Sometimes it feels unethical.

[@jacogomez1093]

There are a very few circumstances in which dead is really evident (total decapitation, obvious signs of decomposition...) and therefore CPR is not performed. In the other hand you only perform CPR in dead people, the whole idea is to restart the heart and quite literally bring someone back to life, being that the case, ALL signs of recent death may be present: they are blue/gray, they are not breathing (or have agonal breaths), their heart has stopped, they are not moving, they are often cold (due to circulatory shock or exposure) and they even already relaxed sphincters and "flatlined" in the monitor, yet CPR may be effective. That being said, there are signs that appear relatively early (about an hour after cardiac arrest) and are a definitive indicator of biological death (irreversible death) such as darkening of the sclera, drying of the cornea, or the 'cat's pupil" phenomenon; used by doctors (and depending on the jurisdiction paramedics and nurses) to declare death upon arrival at the scene. Is necessary to clarify that the difference between clinical death and biological death is determine by the possibility of restoring the biological functions.

[@JohnpaulSica-jw4gq]

Which Defibrillator is that?

[@danielstechclocksandmore]

You would usually assess the heart rhythm before charging the defibrillator. Otherwise, great video.

[@15nia]

Wow very epic roleplay oh wait...

[@ogmr.molina3359]

👀OMG!!!!!

[@kilgoretrout4350]

those nurses push it real good

[@jessicawebber7490]

I want to learn cpr

[@maddyg9225]

You want to stand laterally to the victim then put one hand on the nipple line in between the breasts then put ur other hand on top and put ur fingers from the hand on top holding the other. You should go at about 100-120 bpm going 2 inches deep straight down into the chest. After 30 compressions you do 2 respiration’s (breaths). After that if you don’t already have the aed, which analyzes the patient for a heart rhythm and shocks the patient if needed, keep going with the chest compressions. You never want to pause in between and the longest you stay from not doing compressions is 10 seconds! Hope that helped for an idea but I wouldn’t go around doing cpr if you see someone who is unconscious, has no pulse, and is not breathing (btw these steps were for an adult but babies and children have different steps:))

[@TheRealMrBeard]

You know why you can't feel a pulse? It's not a real person.

[@JoseRodriguez-lh2vx]

Well if u didnt know this mannequin is being controlled by computers

[@raphaz11]

Doesnt look very high quality to me, lots of confusion

[@TheVideoArsenal]

OMG EVERYONE! WHY ARE WE SHOUTING?!

[@mariovo5]

💗😷👍👍

[@trainkid2007]

I had throat surgery when I was 7 I couldn’t breathe and I had no pulse but I was saved

[@johnnykeenan5997]

My nanny got this today

[@1stFlyingeagle]

I just took the course. 30 pumps 2 breaths. What the freak are you gals doing. My corse was by the red cross.

[@rudman8886]

That's the old method, real paramedics know that they just have to pump. Red cross sticks to the 30 pump and 2 breath method

[@middlebygrace]

They were using a defibrillator so they just had to do continuous compression, also the patient was on a oxygen mask so no need to do breaths.

[@1stFlyingeagle]

@@rudman8886 Well going brain dead from no oxyegen is really a crappy way to be alive.

[@jacogomez1093]

@@1stFlyingeagle They ARE using 2 breaths every 30 compressions, just not at the very beginning... Basic life support is significantly different from advanced cardiac life support, also the guides have change a little since 2013. let me resume some of the differences: 1) In BLS you check the ABC in that orden (airway then breathing then circulation), in ACLS you check for pulse if not present, put the bed flat and go immediately to chest compressions while calling the code (asking for help). The reason is that you have oxygen reserves in the body for around 10 min after cardiac arrest, but the brain only have about 3 min before permanent hypoxic damage so circulation is the biggest priority. 2) In BLS the first responder can be the only available person so his/her responsibilities include the "pumping" and the breaths unless he/she ask someone to help with something. in ACLS every team member have a clear previously defined position and that position change as more people came into scene. 3) In BLS mouth-to-mouth respiration is somewhat encourage due to lack of more appropriate equipment. In ACLS mouth-to-mouth is strictly prohibited due to the very high risk of infection in the intrahospital environment and, more so, the disponibility of tools that make respiration therapy way more effective. Let me clarify: that blue balloon have a set of valves that make sure only oxygenated air go into the patient and the mask attached to it creates a airtight seal with the face ensuring that every breath is CO2 free and with sufficient volume, then an "advance airway" is placed (intubation) protecting the airway from fluids and delivering oxygen straight to the lungs. 4) BLS focus is to prevent the brain and other organs permanent damage until ACLS can be provided; also, unless an automatic external defibrillator is available, return of circulation in very unlikely. ACLS focus is to restore circulation by the means of defibrillation, drugs and even on-site quirurgical procedures.

[@1stFlyingeagle]

@@jacogomez1093 Cool always want to know more. Thank you

[@dakotacarr4435]

I thought you needed the patient or victim on a hard surface to do CPR

[@jeekid]

They applied a backboard after CPR for a while.

[@jake12step]

Dakota Carr... hospital beds (most of them, at least) have a CPR button that hardens the bed so compressions can be safely done without moving to the floor. Maybe "inflates" is more correct than "hardens".

[@flip2724]

Laura Brown didnt know that, thats sweet ima play in one tomorrow

[@itzsunixfans162]

Lol

[@hannah9038]

Please no one take this video seriously.... SERIOUSLY 😨

[@name5702]

Lol the acting

[@tweker69]

CHECK THE AIR WAY FIRST.

[@hi_speed_chase]

Should... should they really sound so panicked in their voice in a not-real situation?

[@flip2724]

?? Thats how it would be in a real situation so practice that way

[@kimespinosa8041]

I hate when she's blocking the view.

[@shoshanahkoplowitz321]

she's on the bed and shocking. I dont think so.

[@kdmeconi7363]

Shes on a stand stool not the bed

[@calthegamer1287]

Instead of shouting Press the button that says code blue like if you aggre

[@jackyrodriguez8309]

Sometimes is better to hear it from human cause it can be false alarm

[@andrijapuletic3799]

Not check his heartbeat and brething before? Come on

[@timoh1712]

You don't have to Check the Heartbeat on adults... If they are Not breathing, they wont have a (sufficient) Heartbeat

[@AdriAsTheSiren]

0:06 she checks his carotid pulse and watches for chest rise

[@Aamirkhan-yp9fo]

Too late for EPINEPHRINE....

[@deeprollingriver5820]

L

[@rodom.8753]

Wrong-- 1st check DNR in all elderly hospitalized pt -- pulse-less non electrical activity is CPR with IV/IM epinephrine until Electrical activity --if V-tach then un-synchronized cardioversion if pulse = synchronized cardioversion --the chest compressions should be deep pushing to the Aorta direction (the idea is to pump blood to the aorta) make sure to inflat Patient with Oxygen - endotracheal entubation is best --

[@Lexusfordd]

Rodo M. Umm no the nurse should know if the their patient has a DNR. Not all elderly have DNR a lot of them are full codes.

[@mofar3042]

please dont intubate while in cpr. its okay to not do chest compression for less than a minute. but for that to work, you need a very skillful and experience person to do intubation.