The SHOCKING Truth | Defibrillate, Cardiovert, Pace

[@ICUAdvantage]

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[@JGPRAISINGOD]

This video got me married! I met my wife in the hospital when my patient needed synchronized cardioversion. She was a new grad and wanted to assist/learn. After the shock both our hearts were also in synch ;) I asked for her phone number so I could send her this video. The rest is history.

[@dominiquebigbah8909]

wow

[@rangranikita]

😂😂😂

[@santhoshrajan3884]

😄😄😄😄😄😍😍🙏🙏🙏

[@drsaumyasekharjenasamant8111]

Hi, I am a CVT surgeon. we use pacemakers and defib day in and out. still, there is a lot of scope to keep learning. thanks for the video

[@lizzieyann]

I work in PACU. This is an excellent refresher course since we rarely have emergencies. Your lessons are very helpful, you’re making us better and safer nurses. So you’re saving lives! Thank You!

[@ICUAdvantage]

Lizzie thank you so much for this amazing comment! At the end of the day, it's all about the patient, and I'm glad to be able to help in whatever way I can. 😊

[@alexvidu4517]

Thanks for the Video clip! Forgive me for butting in, I would love your thoughts. Have you considered - Yenamilla Sniffing Reformed (probably on Google)? It is a great exclusive guide for curing nasal polyps permanently and naturally without the hard work. Ive heard some interesting things about it and my cousin finally got amazing results with it.

[@Papinca]

Hello, We are working hard to develop competitive materials. I hope this is of use. TeachMeAandP. We would appreciate your support either on youtube or Patreon. www.patreon.com/TeachMeAandP kzbin.info/door/ZYQgK2AKo9dwIE7xDe0p8A

[@user-sg1bn2ij2k]

@@happycouch501 post anasthesiacare unit

[@thepalettewhispererasmr1227]

I hear PACU is a good transition for ED nurses...

[@latoyawilliams6622]

I hope that everyone who has you as a co-worker consider themselves very lucky. Thank u. U will never know how much i needed this.

[@ICUAdvantage]

Thank you for the kind words!

[@Nicholasvelaz22]

I love these videos. I work in the ED as a tech, and I'm soon going to be in nursing school, and this channel is gold.

[@ICUAdvantage]

So awesome to hear this! I really appreciate the kind words. Thats so great that you are getting ready to begin your journey into nursing and I wish you all the best!

[@dimples5044]

It's great that you are already looking up this info! You will do great in nursing school!

[@maanski3]

I'm studying for ACLS (first time) and came across this. Thank you for sharing! This was really helpful and straight to the point.

[@serahtrillionaire832]

Am an emergency care student in uganda, but this helps me so much, thank you sir . 🙏

[@mango4064]

Got my CCRN because of your videos!!! Thank you so much!

[@ICUAdvantage]

Awesome!!! Congrats on your CCRN. Thats a huge accomplishment and you should be proud. Way to go and happy to have been able to help in some way!

[@DPB1947]

Thanks for this really informative, articulate video! Thanks to your video, I now know what happens while I'm in Propofol dreamland. I'm a patient who's had five synchronous cardioversions for AFib/AFlutter over the past 9 years. Had one last week, which thankfully returned me to normal SR. Let's hope it holds... If not, looks like I'll need a third RF Ablation. Deep respect for ALL who participate in these procedures -- you're my heroes!

[@Jamiaca559]

Bro, this is seriously the best session on defibrillators I’ve ever seen in my life.

[@ICUAdvantage]

Wow, thank you so much for that. Really glad to hear this!

[@Jamiaca559]

You’re welcome you should be proud for what you are offering to the world. thank you for your efforts and hard work.

[@helenwright7899]

I have been a med-surg. nurse only. Since 1988. I just retired. However. I became a bit board. I applied for a job that required ACLS. Well I've never had ACLS, as there was no need for my position. I immediately started watching your videos. Not more than an hour later I called an ACLS instructor to see if she could get me in her class ASAP. She said she wasn't taking any new students. I told her I had studied. She started quizzing me. "Name the rhythms that are shockable?" Etc. Etc. At the end of the quiz. She accepted me. I now have my ACLS 96 score. All because of you!!!!!!! I thank you!

[@ICUAdvantage]

Wow, Helen, this is so amazing to hear! Way to go on your dedication to learning something new and to getting after your goal. Strong work and congrats on your ACLS and hopefully new position!

[@MelanieNord]

Excellent presentation with straightforward descriptions. I work MedSurg with shifts as SCU (Specialty Care Unit). This was great information for me, thank you for your good teaching!

[@ICUAdvantage]

Thanks for the feedback. Really happy you found it helpful

[@DrRussell]

You are a legend. Perfect revision for MRCEM board exam. Much respect Sir.

[@ICUAdvantage]

Too kind! Happy to be able to help!

[@Assad966]

I have been reading these topics for many years BUT, I understood it in detail now. Professionally and clearly explained ❤❤❤❤👌👌👌👌💯

[@MoreN24]

I'm transitioning into step-down after almost 20 years of med-surg and this was really helpful, thank you!

[@ICUAdvantage]

Awesome! Best of luck on your transition!

[@smariegonzalez8617]

Hi! How was your transition? What is your patient to nurse ratio in step-down?

[@MoreN24]

@Smarie Gonzalez Hello, it was so bad I resigned after 5 shifts of orientation! The ratios were 1:4, but with one tech on the floor, no patient transport and high acuity, there was no way I could have stayed!

[@marksmadhousemetaphysicalm2938]

I'm in psych nursing...used to be in ED...a refresher is always welcome...especially going into NP school...

[@ICUAdvantage]

Awesome! Happy to help and congrats on NP school.

[@elpedro812]

I swear, when I have to refresh a topic, I make sure to visit your page! Everything with you is very clear and simple. Thank you from Switzerland

[@ashleya3873]

Amazing work! I'm in PA school and this made more sense than our lectures. I appreciate you.

[@ICUAdvantage]

Very cool! Happy to be able to help Ashley!

[@kailynallen6110]

Thank you so much for what you do!! I'm in my third semester of nursing school. I've worked as a tech in a medical ICU for the past three years and I love it so much! I am planning on pursuing a job on my unit when I graduate in December, so I am trying to get a leg up while I can. Your videos are helping reduce the insane amount of information I'll need to learn when I start. I cannot thank you enough for helping make my dreams come true. You are truly awesome!!!!!

[@ICUAdvantage]

Wow, thank you so much for such an amazing comment! Congratulations on almost finishing nursing school. It's such a huge accomplishment and you should be proud. You'll have to check back in and let me know if you end up getting in on your unit. Sounds like a great opportunity for you and happy to have been able to help in any way!

[@sarahari7347]

Looking for the Indian cardiolgist

[@Zozzle12]

Thanks for the explanation. I had my 2nd a-fib cardioversion yesterday (the first one five months ago reverted itself after one week). This one is a success but time will tell if it holds. The nurses, docs and aides all answered my questions but we don't always know the questions to ask. I now know more than I did.

[@amyprice5313]

Thank you for the easy and thorough explanation. I am a 20 year RN now working at a cardiac stepdown unit and hoping to someday work in the cardiovascular ICU. I hope to keep learning so saving lives is second nature. Thank you so much for you videos!

[@ICUAdvantage]

Thanks for taking the time to leave a comment Amy! Wishing you the best in your goals. If you want it, go for it! You can do it!

[@Ndjeisjjxhrie1]

I’m a new nurse in the ED. This was very helpful. Thank you!

[@ICUAdvantage]

Congrats on the new ED position and happy to know my video was able to help! 😊

[@normamejia5756]

Thank you!Your expalanation is simple concise, easy to understand (excellent pronunciation).

[@browngoddess38]

These are my kind of videos. I love how you get right to the point.

[@ediannareyesovalle9636]

I’m currently taking med surg 1 and your explanation is beautiful, easy to follow and easy to remember! Thanks!

[@ICUAdvantage]

This is so great to hear! Happy it was helpful for you.

[@yeshimalee2398]

I am a new CCRN straight out of school and this was very helpful. Thank you so much it was broken down so easily.

[@ICUAdvantage]

So happy to hear this Yeshima! Congrats on the new position and finishing school!

[@anjupanth7184]

To the point with clear and adequate amount of information. Thank You!

[@ICUAdvantage]

Thank you so much Anju! I appreciate you and taking the time to leave a comment!

[@nerzcz6910]

Very easy to understand. Creatively and clearly explained the differences of each mode. Thank you!

[@auliasilkapianis1482]

This helps ICU nurses a lot, even med students and fresh grad medical doctors 👍

[@ICUAdvantage]

SO happy to hear this!

[@Ismunoz]

Currently in Paramedic school and your videos are very much helpful and insightful. Thank you!

[@ICUAdvantage]

Glad you like them and great to know they are well received!

[@iTzMaJorTaK]

Important to also check mechanical capture (pulse check) following confirmation of electrical capture.

[@medstudyplaylist9295]

THANK YOU, THIS VIDEO TOOK MY ANXIETY AWAY

[@pulmi321]

Very good quick and crystal clear explanation. Keep the good work!

[@ICUAdvantage]

Thanks a lot!

[@wholeNwon]

I think that was a good review. I'd add just a few things: When the hand-held attached electrodes are used, a conducting medium (NaCl paste) must be placed between the metal and the pt's skin. When possible, it's wise for 2 people to be used with each holding one electrode. This makes accidental shocking of the operator impossible. I've seen that happen only once out of many hundreds of cases but a distinguished cardiologist was injured in the process. In thin pts. especially with VT, a very small energy (5-10 joules) may be very successful and isn't sufficiently painful to require sedation but does merit a warning to the pt. In cardioversion/defibrillation, delay and tissue acidosis are the most important factors in limiting success. With that said, I have converted at least a dozen (probably more) pts. with a chest thump. That brings up asystole: I have seen a number of pts. with asystole respond to very low energy shocks. But they are uncommon except in the OR where it's actually usually the case. AP electrode placement, as you stated, is much more likely to be successful. Shouting "everybody off" is not sufficient. It is the obligation of the operator to be sure that no one is at risk from defibrillation. LOOK carefully. It takes only 3 seconds. If you can't see the "sync. mark" on the screen, remember that many units will sync. only on a positive complex (R wave and not S wave).

[@eleopeste]

Simply AMAZING. Thank you so much, cardiology resident❤❤❤❤

[@prashanthsuppin9268]

Kindly add simulation videos or animations for better clinical correlation. Great work by the way

[@hemas1550]

Thoroughly taught, always a 5 star review video. Leaving tons from these videos. Thanks a lot

[@olacherbouligny1091]

This course was so helpful and a refresher for me. I'm an Echo Tech of 19 years and this course was amazing !!! Thanks so much!!!

[@ICUAdvantage]

Very cool! Thank you and glad you liked it Olacher!

[@АрестАрест-ш8й]

Thank you! I hadn't realized how to use transcutaneous pace till i saw your video! Excellent

[@ICUAdvantage]

Woohoo!!! Glad this was able to help!

[@alaahussain9677]

THANK YOU ,YOU ARE NEEDED AND APPRECIATED BY US

[@ICUAdvantage]

Thank you so much Rose! I really appreciate you and everyone else as well!

[@alaahussain9677]

@@ICUAdvantage thank you teacher

[@isabelprado901]

Your videos have helped so much with studying for the CCRN thank you!!

[@ICUAdvantage]

So glad to hear this Isabel! Happy to have been able to help! 😊

[@samparmus4216]

Right on time brother. Perfect timing! I’m currently holding my education sessions for mock codes. I’m staring our ACLS sessions tomorrow.

[@ICUAdvantage]

Awesome! Its so cool how so often when I post a new video, it is perfectly timed for some people with whatever is going on in life, or school, or whatever! Pretty amazing. I hope you enjoyed. I'm in communication with the AHA about being able to do some videos on ACLS topics, but I don't think this process is going to be quick, and hopefully their fees are not outrageous. I know these would be great topics that I know many would enjoy.

[@fridaatallah8301]

You are amazing!! A blessing to everyone who got the chance to watch your videos 😍

[@ICUAdvantage]

Wow thank you so much Frida. You are too kind!

[@medni6311]

Wish you a billion subscribers for the good things you do. Will refer your channel any nurses who wants to expand the knowledge in order to deliver a safe patient care. How bad would be to wait the MERT nurse to apply a defibrillator because we have no idea while we could actually learn so much. Thank you for all the courses we continue achieve the unforgettable knowledge which in turn help us to provide a safe care proudly.

[@ICUAdvantage]

There are definitely studies that show the quicker we defibrillate a lethal arrhythmia, the better the mortality. Thanks so much for the kind words and really glad that you found it helpful!

[@freddygo44]

Perfect for paramedics! Thanks a mill great videos

[@ICUAdvantage]

Awesome! Glad you liked it!

[@DominicinMed]

Good video I am a flight medical provider and we use a lot of these skills!! Thanks!!!!!

[@ICUAdvantage]

Yes you do! Glad you liked it!

[@kevin23226]

20 minutes of valuable information! Thank you

[@ICUAdvantage]

Glad you think so Kevin!

[@michellestewart3877]

This lesson, and all the ACLS ones, have been very very helpful for me. Thank you

[@ICUAdvantage]

Awesome! Happy to hear this!

[@robyn3083]

Thanks Eddie for all the great videos! I have been on maternity leave for 14 months so I am going though your videos to brush up on info!

[@kipdenis]

Great Lecture ...i enjoy them...very simple and clear...thank you.

[@ICUAdvantage]

Awesome. So happy to hear this. Glad you liked the video!

[@smileabeer]

Such a great refresher to our info you’re a genius

[@Mi90Go]

You're just the best. Those quick refreshers are dope! Thanks for what you do!

[@ICUAdvantage]

Thank you so much! So glad you enjoy these videos.

[@myle6749]

Love your videos! Thank you for using bright and different colored fonts and layout, very engaging.

[@ICUAdvantage]

Glad to hear this. I try my best to organize it and make it stand out.

[@jburggraff3443]

Your videos seriously help me be a better nurse thank you!

[@ICUAdvantage]

Wow, this is so great to hear. Happy to be able to have helped!

[@MissRateil]

Beyond excellent. Thank you!

[@ICUAdvantage]

Thank you so much Emma!

[@MrblThbtta]

Simplified! Thank you…

[@hmutandadzi]

Excellent video. You have talent. Impressive delivery.

[@ICUAdvantage]

Wow, thank you so much. I really appreciate you!

[@cindyluv3935]

Great refresher!

[@ICUAdvantage]

Awesome! 😊

[@stupot1093]

Excellent presentation from 🇬🇧 UK

[@ICUAdvantage]

Thanks Stuart!

[@thabilemakubo3952]

Wow! What an amazing video....it just makes things so easy and simple for me as a paramedic student .

[@M157-04LLY]

Ur not alone. Lol I’m a new medic here . Just got cleared to be on my own , refreshing constantly haha

[@ICUAdvantage]

Wow, thank you so much! Happy to hear it was helpful for you and wishing you all the best in your studies!

[@estherwanjiru5212]

awesomely refreshed. Grate stuff and well demonstrated.

[@pagenpwoblem8]

Thank you again for your videos. You just make everything so easy to understand. I learn something new with each video, and refresh old knowledge.

[@ICUAdvantage]

So awesome to hear this! I'm really happy to hear you are finding value in the videos. Love the name btw! 😂👍🏼

[@insomniaperennis3949]

Excellent explanation. Thank you very much.

[@LEARNING-MEDICAL-EDUCATION]

what is basic physiological mechanism of defibrillation vs cardioversion

[@suhari1303]

It's very helpful video for paramedics,,,,,,,

[@ICUAdvantage]

Aweomse!!

[@clpat52]

This is well explained thank you

[@albygineesh7552]

Amazing explanation.. thanks a lot for this.

[@cat-bc4xe]

Thank you😊

[@JGPRAISINGOD]

Nice video. Feel prepared to discern when to defibrillate vs. cardiovert, proper pad placement, and pacing.

[@yortizful]

I love your lectures!!! I recommend them to my fellow nurses!!!

[@ICUAdvantage]

Yay!!! Thank you so much Yanet! 😊

[@yortizful]

@@ICUAdvantage I just bought the membership!! Keep the great work!!!

[@ICUAdvantage]

@@yortizful Thank you so much! I really appreciate you!

[@meganborthwick923]

This clears everything up so well! Thank you.

[@ICUAdvantage]

Yay! So happy to hear this!

[@sithembisohoza1424]

Please elaborate on mechanics capture.

[@Virtuous_Heart]

Thanks so much.. very helpful to my practice

[@kabelomakgahlela1391]

wow Eddie, this video is so informative. Thanks man please give us more.

[@ICUAdvantage]

I will certainly keep making more! Glad to hear you liked it Kabelo!

[@euphemiachekwube9286]

This is very helpful Thanks for the good job

[@terridouglas7010]

Thank you so much for this.. definitely draws it all together

[@ICUAdvantage]

Awesome! Really happy to hear this Terri!

[@winni12345]

You're doin awesome work bro!! Thanks for these videos

[@ICUAdvantage]

Thank you so much! Glad you like them. I enjoy doing this stuff and glad to know they are well received.

[@notme6776]

Thank you very simple and well explained

[@ICUAdvantage]

Great! Happy to hear this!

[@pallavsingh5863]

Excellent information

[@menouthis]

Thank you so much for your videos!! They are super helpful and explain things much better than any book I've encountered!

[@ICUAdvantage]

Wow, great to hear that Julie. Happy to be able to help.

[@GaiaS479]

amazingly explained and really helpful video!!

[@ICUAdvantage]

Awesome! Glad to hear it!

[@mia19582002]

Thank you, great refreshers, I’m a critical care float

[@ICUAdvantage]

Awesome to hear Lynn. Thanks for stopping by!

[@plcdatvl]

Thanks a lot for the great video! Pls explain how the current from defib can depolarize the heart?? then can you make the video for this problem?

[@abeeradel5100]

Thank you🌸

[@martinyoung9901]

Very helpful. Thanks.

[@ICUAdvantage]

You're welcome!

[@tiairabuckner4856]

Great information! Thanks for taking time to educate and inform.

[@ICUAdvantage]

Thank you! It's my pleasure and glad to help.

[@manjushreedey8294]

Nicely done!

[@tarikanowar6354]

thanks a lot, this was very helpful

[@monzilachowdhury6590]

Love the way you explain. Thank you:)

[@stephaniely1187]

Thank you....

[@ICUAdvantage]

Youre welcome

[@abdosherif2426]

awesome and very informative. Thank you.

[@charlottekrispel3115]

Extenal Pacer is running. How do the provider change to transvenous or internal pacer? During giving shock it is also noticeable for the provider, so it Must be stoppt for a change to an other Devise? It takes Time to get a catheter into the Patient. How is there the Procedere to avoid any harms?

[@ICUAdvantage]

The output for pacing is nowhere near cardioversion. That said, theres some places that don't interupt compressions for delivering cardioversion shocks.

[@shalishroza6007]

Very clear concept ..thanks 👍

[@ICUAdvantage]

Glad to hear this!

[@roland.j.ruttledge]

Brilliant, many thanks

[@rinnam4567]

thank you , you cleared my doubts.

[@ICUAdvantage]

Fabulous to hear this!

[@isisortega6039]

Good information Thank you!

[@ICUAdvantage]

Glad it was helpful!

[@princessvelasco9394]

Very simplified great lecture!!

[@ICUAdvantage]

Awesome! Happy to hear this!

[@onyinyechukwuarua9272]

WELL Appreciated. thanks a lot

[@ICUAdvantage]

Awesome! Youre very welcome!

[@aracelysguerra2232]

Amazing, thank you

[@jegbefumen5401]

Thanks so much 🙏 💓

[@ICUAdvantage]

You're welcome 😊