CARDIAC ARREST EMERGENCY MANAGEMENT, UNCONSCIOUS PULSELESS PATIENT TREATMENT ACLS RHYTHM REVIEW 2021

[@wholeNwon]

As one who has resuscitated hundreds of pts. over 30 yrs+, I would not be quite so dogmatic. Asystole occasionally does respond to a chest thump or 2 and to low energy (5-10 watt-sec) non-sync. shocks. It's seen in the OR post cardiotomy almost universally. Pts. who are acidotic will respond very poorly to epinephrine. Restoration of productive rhythm will be much less successful in the acidotic pt. Gentle compression of the splanchnic bed can be very helpful in increasing central volume esp. in obese pts. thus increasing the effectiveness of chest compression. VT should not be shocked with high energy at least not initially. Except in obese pts., 10 watt-sec. or so should be tried first. Asystole can sometimes be paced successfully. DON'T give up easily. I once resuscitated a young female who had already been pronounced dead by the "ER team". It took 6 hr. but the pt. made a complete recovery. That was the record for that particular hospital. I also set the record of 7 hr. at a 1000 bed medical center. That pt. also survived without any ill effects (surprisingly) and lived for many years. I could go on...and on with additional recommendations and approaches but that's a start.

[@merajanwar3039]

Great

[@sunilvijayakumar8676]

👏👏👏

[@islamwith-quran]

Mind blowing😮

[@wholeNwon]

@@islamwith-quran Exciting life.

[@owoeyepaul8995]

I am in awe! What gave you that hope? This is terrific

[@drvamc7453]

Sir, u said one cpr cycle for 2 mins...i beg to differ, is it 5 cycles of cpr in 2 mins ? Plz correct

[@ifeomalann]

Please do a course on ECG interpretation

[@drrushimudgal7356]

Same sir

[@jamkutsneha9567]

Really need tht sir✨✨

[@patrickasenesie2409]

Appreciate it sir.

[@saptarshibhattacharya]

Sir has done

[@ancyalexandern8983]

We need a intelligent and smart doctor like you.. god bless you sir🎉....

[@mohammadqaisaruddin2623]

PRAISING U WILL BE SHOWING CANDLE TO THE SUN.

[@noorinshaikh5868]

Thank you doc ....very informative as usual 👌keep uploading more often 👍

[@BeGood2All77]

You said one cycle is 2 mins but the algorithm says 5 cycles is equal to 2 mins. ??

[@KarchungKarchung-s6n]

5 cycles is equal to 2 mins

[@shamailarizwan4083]

Great lecture, sir you r making doctors into"DOCTOR"....lot of prayers for you...rester beni!

[@Anthony_Cybertruck]

I learned more here than I did in med school!!! 🙏🙏🙏

[@borleyboo5613]

My brother-in- law just died with this. He went into cardiac arrest and I did wonder why they didn’t ‘defibrillate’ him. I guess then that asystole had happened and had no heartbeat whatsoever. Sadly, paramedics were unable to revive him and he passed away. This has answered some questions for me and it has helped me to understand what happened. Thank you.

[@rmvj27219]

U really explained well , God bless you doctor, no one really speaks what to do with critical moments.

[@saudmustafa2473]

In this video you have used some medical terms or words, which 90% people won't understand. Therefore, you may produce another video, using simple words or avoiding medical terms or medical words, which will benefit said 90% people. In the picture we don't understand the exact point for compression.

[@shaikhishtiaq2159]

This class is for only medical students and medical graduates

[@ajimilawan5151]

It’s for medical students not general public

[@pragyagupta3267]

5 cycles in 2 minutes.

[@Indrajitnair1]

Have a doubt.. if we are delivering compressions at 100/min, how is a cycle of 30:2 almost 2 min?

[@Maria-qm9cg]

Thank you Dr Waqas Fazal, I saw a cardiac arrest two days ago, and your clear and concise explanation made me see the situation could have been handled so much smoother. Only thing lingering...how could you evaluate for the possible causes and treat it while you are running the code at the same time???

[@yup8563]

Sir very informative video.Sir one suggestion for you plz charge some amount for making it accessible and provide us the notes of each topic in pdf format.I think that should be appreciated by all.As nothing comes free....Make cources on ECG,2D Echo,lab test understanding,USG,CT Scan,MRI, etc

[@MedNerdDrWaqasFazal]

Very kind of you. 😊 Will work on it.

[@device2787]

@MedNerd - Dr. Waqas Fazal.. in ACLS 30:2 is not necessary multiple breath can be given through Bain circuit or AMBU

[@zevolt123]

So precise and helpful ❤ thankyou so much for the lectures. I am new in ER and it's giving me so much confidence. 😊

[@MedNerdDrWaqasFazal]

I am very happy to hear that dear. Keep supporting 😊

[@shaheenjaberalhajeri9266]

Emergency care is a responsibility of primary care doctors and they should be knowledgeable and skilled and organize their practices to provide prompt and effective management whenever the need arises

[@funbox811]

Thank u sir. Sir aapka videos bahut hi helpfull hota hai. Sir mai chahta hun aap metabolic/respiratory acidosis/alkalosis pr ek video bnaye.

[@MedNerdDrWaqasFazal]

Thank you very much.. My video on acid base balance is there on my channel. You can check it out. 😊

[@M.Sweatha]

Kindly clear my doubt sir. If cardiac arrest happening outside hospital, we can give cpr and once ambu bag arrived we give ventilation and on arriving hosp we do the rest.. But within the hospital, pt had arrest and all facilities available. So how minutes can i perform initial cpr and when do i perform ecg? How frequent to check pulses and serial ecg? Help me with this sir.

[@jeewanrajnirola4789]

Thank you sir for your wonderful examination. The series on emergency medicine really simplified

[@MedNerdDrWaqasFazal]

Thank you Jeewan Raj Nirola for all your kind words for me. I am very happy you found my videos helpful. 😊

[@Medlife14]

@@MedNerdDrWaqasFazal @5:52 Dr Fazal , This is little confusing for me, can you please explain- 100compressions/min. But then you are saying CPR is of 30 compressions and 2 ventilations and is itself 2minutes(is coreect). So how is 100 compressions/min related to 30 compressions/2 min ?

[@jhanumaddirala143]

It's really so good Dr. U r a wonderful teacher

[@rafiahamed3614]

Sir I followed your videos they are informative your presentation excellent

[@diksha3267]

Thank you sir 😊

[@M.Sweatha]

Cpr: one cycle = 30 cc+2 breath 5cycle =2 min Sir mentioned One cycle is 2 min. Its incorrect Ryt?

[@Leonvelikii511]

If provide compression @100/min then how could a cycle which is of 2 minute contains 30 compressions ?

[@asadmasood6692]

The way of knowledge transferring is amazing. Thanks a lot sir

[@MedNerdDrWaqasFazal]

Thank you Asad Masood. 😊

[@mateouy1569]

Thank you for your effort to educate us. ❤

[@docmak-1256]

Should we use this algorithm for exam or ACLS one? Difference lies in the number of CPR cycles

[@harshilpatel1807]

Sir upload vidio regularly it's very helpful for us

[@MedNerdDrWaqasFazal]

Thank you Harshil Patel for your kind words 😊

[@mahfoozalamsaifi9521]

Sir, plz make a video on SVT. You videos are very simple but very informative.

[@MedNerdDrWaqasFazal]

Thank you. Sure I will. 😊

[@rahulpawar1974]

Sir 30 compression and 2 breath in 2 min And 100 compression in 1 min This is confusing pl elaborate

[@dr.sujitkumarakela5452]

In shockable pt in how much duration I will give 300 amiodaron . Thanks

[@alieumbah6720]

Is timing significant ie, a patient had arrest 30minutes ago before reaching the ER and still no pulse and no breathing should I continue with CPR or confirm death ?

[@merajanwar3039]

Good question

[@merajanwar3039]

Should do

[@HammadKhattak-om9pm]

How we know that ryhtm is sockable or non sockable

[@NavneetGoel2oyeyara]

Sir hats off, amazing explanation.. Tons of thanks for your most valuable lecture..

[@dcchouhanvlog]

Plz sir aap Hindi + English dono language me padaya karo combined 😊

[@driqbalshaikh4384]

sir its outstanding information thank you so much

[@haqataul4988]

Assalamo alaikum:- “MAASHAAALLAH”GOOD-WWOORRKK-LOT-of-DEDICATION-VISIBLE-~Keep-It-Up. FEEAMAANALLAH KAREEEEM

[@medicocricketer19]

How long can we give CPR to the patient sir ? And when we decide the patient has decleared . 😇

[@aimanmalik4411]

Nice 👍way of explanation u should teach 💲live to students rather than on Skype 🤳

[@MedNerdDrWaqasFazal]

Will consider your suggestions 😊

[@lazylucy1583]

Namaste Sir ! I do not belong to the medical community but I understood everything because of your clear and concise presentation .You are a great teacher 🙏🏻

[@margrietadieperink5601]

Thank you for the explanation of Cardiac Arrest. Our doctor told my husband that I am a person that can have Sudden Cardiac Arrest du to the fact that my right hart ventricle is very big and my hart is enlarged. I also experiencing bronchiectasis and are short of breath. Thank you once again.

[@dodunair]

What if person alone at home. What would be home remedy till dr comes

[@drrushimudgal7356]

Thanks Sir Today I understand what cpr actually is

[@Health_Education_Safety]

What a wonderful presentation Thanks A lots

[@subhashkumar-qj2vf]

Sir please make a video on Syncope.

[@sanjuktapradhan8200]

Thank you doctor sir, clearly explain this topic.🙏🙏🙏🙏👏👏👌👌

[@benettryan4048]

Thank you very much doctor... Your video is always full of important information that no other video can provide. Please upload more often

[@leeherlee5309]

These presentations are awesome! I just discovered your channel today, and I wished I would have found it earlier! Thank you so much! I love your explanations, they make sense to me! Fantastic presentations for all your videos!

[@MedNerdDrWaqasFazal]

Glad you like them! 😊

[@anjigaura4175]

Thnkyou so much Sir ...plz upload for hypogycemic cases management

[@MedNerdDrWaqasFazal]

Sure, Anji Gaura 😊

[@drpkchourasia3116]

Very much informative video in very simple language Nicely explained sir Thank you🙏

[@MedNerdDrWaqasFazal]

So Nice of you. Keep supporting 😊

[@gyanchand_se_pucho363]

THANK YOU SIR YOUR EVERY VEDIO IS HELPFUL

[@ajajshaikh4724]

👌

[@SBRathaurmeams]

Very very thanks this topic 🙏🙏

[@rishuk310]

Thanks Dr very well explained 👏

[@kushalsinghchauhan6235]

Very nice presentation sir..... Thanks alot

[@vishalchauhan8118]

Sir what about the drugs which are given during cpr

[@karmbirsinghghanghash5]

Please explain in hindi also thanks

[@blessedslave]

6:16 something seems wrong. If compression rate is 100/min, how can a cycle last 2 min? It's just 20-25 seconds.

[@M.Sweatha]

Thank u so much sir🙏🏻God bless u 👍🏻

[@Temesgen-fv8ic]

Thanks doc for your great work

[@shyamkachhawaha7649]

What is the dose of lidocaine IV and magnessium

[@gauravchaubey7788]

sir iska kya treatment hai ....106ms since bradycadia with 1st degree av block .. 528/509 ms incomplete right bundle branch block 264 left ventricular hypertrophy with repolanzation abnormality ... 206 ms prolonged Qt 108/1071ms abnormal ecg 90/49/137 degrees .. gross biatrial enlargement no regional wall motion abnormality seen lvef 50% grade 3 diastolic dysfunction raised lvedp mild rv systolic dysfunction rv tdi 8m/s ias/ivs inactivity no intracadic clot/vegetation pe seen heart rate 56 bpm sir iska kya treatment hai Bp= 100/66 mm of hg spo2 100% T = 96.8F P = 72b/m R= 20 b/m Age = 23 weight = 47 .sans lene mai koy dikkat nhi sir pair mai sujoon ka medicine le raha ho left side mai alka ajeeb sa pain hota hai sir bas baithae baithae dard hota hai left side .. medicine = AMIODARONE TABLETS CORDARONE X .. DYTOR PLUS LS 10.. RIVAFLO 10. OCID 20

[@saptarshibhattacharya]

Sir, 2 doubts, 1. Kya Cardiac arrest me Agonal breathing bhi so sakta h? 2. Precordial thumb ka koi role h? Plz help sir... Respect from India ...u r the best sir...

[@gauravchaubey7788]

sir iska kya treatment hai ....106ms since bradycadia with 1st degree av block .. 528/509 ms incomplete right bundle branch block 264 left ventricular hypertrophy with repolanzation abnormality ... 206 ms prolonged Qt 108/1071ms abnormal ecg 90/49/137 degrees .. gross biatrial enlargement no regional wall motion abnormality seen lvef 50% grade 3 diastolic dysfunction raised lvedp mild rv systolic dysfunction rv tdi 8m/s ias/ivs inactivity no intracadic clot/vegetation pe seen heart rate 56 bpm

[@RKD362]

Overall very good! However, small grammatical and other errors here & there! Last sentence `If you likes my video' should be `If you like my video'. IV magnesium mentioned in non-shockable rhythm treatment at ~16.43 while speaking, which is incorrrect.

[@khalidmasood2764]

Not updated with latest guidelines. This video is complying with 2010 not 2022 guidelines. Kindly update this video. Thanks. Jazakallah khair

[@sairamgupta8691]

HELPFUL Thank You.

[@Srivastava619]

Doc can you please clarify 30: 2 and 100 compressions per minute. And you said 30 compressions and 2 ventilation is almost 2 minutes. And also we should compress ar the rate of 100 compression per minute. I. Confused

[@danielamkaji209]

This is the best teaching Sir.. thank you very much from Kenya

[@MedNerdDrWaqasFazal]

Thank you Daniel for your love and support 😊 ❤️

[@Dr.arsal114]

Sir ... Kindly give lecture on Damam hostel😅

[@MedNerdDrWaqasFazal]

Hahahaha uskay liye apko bhi video me chief guest banana paray ga. 😂

[@muhammadkarim7358]

Dear Sir Please start by the name of Allah.

[@masonqureshi5217]

Very informative video, well set out. It’s crucial everyone recognised cardiac arrest, learns CPR and either shock the victim of SCA or wait for help! I had a series of 9 cardiac arrests last year and I know every second counts!!

[@rishuk310]

Best emergency treatment lectures

[@HammadKhattak-om9pm]

Love the you teach sir ❤

[@naveentirakicreation7105]

Sir why it's attack cardiac arrest

[@ramoncorintihans5075]

A lot of effort has been put into making this video and I appreciate that. However, the deliverable is almost zero. I say this because of the following reasons: A person may have these problems either at home or in a hospital. If the person is already in the hospital then the medical staff will take care of it. However, if the person is at home (which is more likely), then I do not have the ability to revive the person using the instructions on the chart. It has to be noted that I have merely 2 to 3 minutes to act. Hence calling a doctor would not be my highest priority (unless there are others whom I could instruct with zero time loss). I would merely try to revive the person by chest compression and making the person breathe. My suggestion is that instead of making this long video, just tell me the minimal steps that I have to take to revive a person in most cases. I know that my diagnosis may be wrong a few times but that is the best that I can do.

[@clinical101]

بارك الله فيك

[@shanthidsouza3998]

Good teaching sir

[@dr.vishantnarvekar]

1. How long we have to continue if there's no response from patient even after 3 shocks? 2. How would we judge whether it is shokable or non shokable, because the situation is very panicy during cardiac arrest

[@dr.shivamdubey7543]

You are the best sir ❤❤

[@nidak1423]

thank you for posting these videos. You have been teaching in a manner that helps me understand.

[@MedNerdDrWaqasFazal]

So Nice of you Nida. Keep supporting 😊

[@LaziestTechinCyberSec]

Gasping for breath can occur in cardiac arrest (in at least 40% of witnessed out-of-hospital arrests). Therefore, the presence of breathing attempts or effort does not rule out cardiac arrest.

[@gunjaagrawal1800]

Well explained sir👍

[@kpenubarinemsamuel562]

Good evening Sir, I'm interested , also can you give us this lecture with recognize certificates that can be presentable in a place of work.

[@barnalimandal2957]

Very useful sir..

[@mahadyuusuf3432]

Thank you alot ❤❤

[@rajeshdochania3159]

Sir, in 2 mins we have to give 5 cycles not 1. I think it is slip of your tongue. Very nice and informative videos ❤

[@harikrishnanvanitha17]

Excellent sir

[@thusithapunchihewa1872]

🙏🏻🙏🏻🙏🏻

[@nikkobalingit3874]

Priceless lecture sir...thank you

[@sekoumkamara6380]

Thank you so much for this wonderful presentation. Can you please indicate place for us to read from.

[@wasanamarasinghe2979]

👍

[@kf4547]

thank you! your videos help for young doctors!

[@MedNerdDrWaqasFazal]

I am very glad to hear that Anton Oorzhak. 😊

[@spreadlove1777]

The best

[@aliqusay6253]

Thanks ❤

[@uzairullah8245]

Thankyou sir

[@abhishekbaiwal5271]

Thank you 💝

[@dr.mrutyunjaykhuntia2814]

So informative...👍👍