RC (UK) Cardiac Arrest Management Demo

[@7Ghos]

Let's be honest, Bernard was the real star of the show here

[@GustavoMontanha]

agree!

[@michaelcaudill1412]

RIP dad. Columbus Caudill 10/11/1953 - 01/27/2021.. Thanks to all the medical professionals in the world. I know you guys tried to bring my dad back. He's in a better place now.

[@nickig8089]

RIP. As an ED nurse I appreciate your thanks. x

[@lterry523]

Gshhs is going even more fun 😌😊

[@tonybingham334]

After suffering a Cardiac Arrest myself back in 2020, the medical team at my locale hospital were fantastic, the quick response to my aid was within minutes, i got to live again.

[@elliottfireice4394]

I hope you are doing well now. Do you remember anything from your period of unconsciousness

[@NagarathnaMukunda]

Congratulations for recovery 👏👏 please let me know how was the period of unconsciousness

[@tonybingham334]

@@elliottfireice4394 I was at home one morning, getting ready for work as usual and that's all i remember, and then i remember waking up in hospital (which was 3 days later i was told) and looking at the nurse and asking her (for the F*** am i doing here) my stepson found me and performed CPR on me which broke 4 of my ribs until paramedics arrived here within minutes, i have no memory of that day which is a good thing as my consaltant said, i had to learned to talk and walk again and took just under a year and had to have councelling.

[@jcbs]

The patient (Bernard) is either a good actor or the best CPR dummy ever. BTW Thanks! Going to work as an RN in the UK soon.. needed to review.

[@arpcsm]

jcbs i’m bothered if it was a real human or a dummy. That HURTS!

[@franklinacelestial2007]

Wonderful

[@felicitypilkington9787]

Cadaver, surely?

[@NN-rn1oz]

Twist: patient had a DNR.

[@jeslyjose2897]

Lol its already hpnd.....😜😆

[@wilfbm9067]

Oof

[@dr.irfananwararnab1925]

Lol

[@SuperKre3d]

I've never asked for this (c)

[@son2789]

At the beginning, he started giving chest compressions while the patient was not fully flat on bed

[@Gnjsharma]

Fantastic video. As someone starting FY1 in August this year (and absolutely terrified!) I found this to be very clear and concise, and helped to alleviate a lot of anxiety. Seeing this in a 'real life' situation was particularly useful. Hope to see more videos like this to help terrified juniors like myself.

[@rosalindajesus2989]

Hello, Did you start FY. Will start mine next year and would like to know more about that if you don't mind

[@MykeeSh]

never this calm and controlled in real life, is it?

[@bramtheblackpoolfan6922]

MykeeSh Adrenaline does that to you 😉

[@lterry523]

Yey y y 6 y trey eyeyeyeey

[@callo4797]

How's it going? Must be a senior reg or consultant by now!

[@mariemcmahonmcmahon1810]

Good video. Brings back memories of working in ccu. The calm organised team leader led the way. I was a scared wee 1st yr RN in ccu and my mentor was like this. So cool, calm and so professional. I went on to working in ccu and lovi g it. Thanks guys, brilliant video.

[@shellyremi4623]

It really bothers me how many people don’t know the basics of cpr....it’s such an important skill to know.

[@Starvind1]

Bernard my guy getting intubated, shocked and ribs broken. The real MVP of this show right here.

[@alicemusukimber4624]

Love the calmness amongst team members.

[@kishorevenugopal6191]

That's because this is not a real case. If it was a real case, and they still were very calm, I'd slightly doubt if they really cared. I have seen doctors and nurses in slight panic, but able to perform all activities as they are expected

[@barasyakuza2454]

thank you, that’s lovely, please, I’d like a...please, good job team. these words said by the team leader really helps the team in an emergency situation.

[@silanea]

Interestingly, this seems to be culture-dependent. Here in Germany I have experienced a tendency to cut away any superfluous utterances in emergency situations and articulate short precise orders, to improve the signal-to-noise ratio and 'keep the channel open' for important announcements. To each their own, I suppose, as long as the same end result is delivered: clear communication of facts, tasks and confirmations; a calm and matter-of-fact tone that helps providers stay focused.

[@syedjaffar7053]

At the end she mentioned great team work, thank you very much.

[@elenabunina3976]

Flo Poworotznik please and thank you would not bother.

[@SJacob-rm7ct]

​@@silanea ur very correct

[@MaximusHowse]

0:25 Her name is pronounced laurel actually

[@amazeddoggo2529]

Maximus Howse lol that's what I calla pun yannny "LAUREL"

[@katie4335]

Shs speaks with an English accent

[@kasad111]

i laughed so hard at this comment, thank you for the brilliant joke man

[@michalnowacki7732]

Thank you. Very professional scenario. This mannequin is so real.

[@haifajulhatab8206]

Mchal Nowacki yeah i thought it was a real human thou 🤣

[@wilfbm9067]

They are worth a mint

[@cupcake1414]

I was so worried that they’re giving cpr and putting ett to a conscious pt 😂😂😂

[@pedalwerk]

The definitive video on the most important steps in a cardiac arrest situation. Very useful to see this in a real context, and I hope that more resources like this will be available soon.

[@sbytenl]

If only Hollywood would be this good at acting a CPR scene. Its always obviously fake but this looks so damn real, how he moves his belly like that. Very informative and impressive!

[@DaniselHernandez]

E33 la semana pasada eieloeixkkfk el que te envío la 22332🎉🎉🎉😂❤❤ un amigo ppwwp que usted la persona 89🎉🎉🎉🎉😅😅😅😅

[@DaniselHernandez]

E AD QUE E3EE QUE QUE OOO OÍ LA QUE QUE OOO OÍ LA QUE QUE OOO OÍ LA QUE QUE OOO3 la semana que oo la 🎉😂😅😅😅

[@nwaokochacalistus8777]

I love the organization and the confidence... That's great team work

[@SiyaSankara]

loved how the 4H & 4T are ruled out this really helped me on my OSCE

[@raghavendradevisetty324]

Very well conducted resuscitation. Very calm and collected. Well done !!

[@bleu_rae]

Brilliant! I’m a year in working in ITU and still haven’t had a cardiac arrest as an RN yet, so glad the resus council have a KZbin channel

[@malikfida77]

Rachel Elizabeth he

[@malikfida77]

Rachel Elizabeth Heee

[@simonyounas9100]

Rachel listen??

[@bleu_rae]

Simon Younas sorry?

[@Chickenlicken999]

Watching this video in preparation for my ALS next month. Excellent video thank you.

[@Sherirose1]

I have been exposed to this many times over rhe year and the team work is amazing. The nurses are also an important part of the team. What i would like to be introduced is the debriefing of nurses after a cardiac arrest as it doesn't happen in certain hospitals.

[@romz5330]

Great educative material to watch. Awesome skills, professionalism and demeanour.

[@twagirimanacharles3619]

i'm anaesthetist technician and after watching this video i perform well

[@redblueiris]

i was waiting for the doc to say "may i have a cup of tea please" ... love you Brits

[@Julia-LArt]

ASSI ROKSAR 😂

[@Hannah-pg2gb]

Most of us don’t even like tea though... so stereotypical you Americans (assuming you’re American)

[@NyabUk]

I mean, that’s not true, I’m English and people do love tea. It’s the most popular hot drink, more so than coffee. Although we don’t talk about it in every conversation like Americans think we do ‘-)

[@Hannah-pg2gb]

@@NyabUk fair enough, and I guess you’re right, but I don’t like tea :)

[@algobo]

Absolutely amazing, very clear in all aspects. This is a great material. Thanks very much!

[@pks2722]

Alexandre Boga what is double two double two? Can you please help me with that?

[@Wade.Dutton]

pk s 2222 - Emergency Line via Switchboard used to notify the Medical Emergency Team.

[@bramtheblackpoolfan6922]

pk s it’s used in all hospitals to fast bleep the on call teams, it can be used for adult resus teams, paediatric etc. In a non hospital setting you would just call 999 immediately

[@pooja8577]

Well done fantastic video! Brilliant from all the team. Honestly, very smooth and accurate.❤️

[@farrukhahmad453]

Hey will you Hire me for personal work I keep secret everything

[@hazelwalker6174]

This is a great video. The crash leader has a super calm and clear voice. Thanks!

[@strongadolf3794]

Damn brits are so polite.

[@666rayoflight]

You are wrong.

[@von260]

Ur so wrong, 1 of the most racist folks on earth

[@kdog5041]

@@von260 Clearly you need to get out more.

[@areminiscer5088]

@@kdog5041 hes right doe

[@matty8227]

@@von260 Sure ur still saying that lol.

[@franklinacelestial2007]

Can't stop typing...this video is wonderfull..all the indications very well applied.

[@nouna434]

Hats down , brilliant Demo, this is what an RN needs

[@Nick-dk4od]

If only every code went as smoothly as such.

[@jems9145]

If only😄

[@mutiat1000]

Often chaotic

[@M.Sweatha]

Indeed the best demo on cardiac arrest👍🏻learnt a lot👍🏻thank you team🙏🏻

[@juliusbullo]

Highly informative video! Thanks for sharing this. I'm training this week. Please upload more videos about ALS.

[@flosk82]

Good job. Very helpful video. Are we not ment to remove the pillow from the patient's head before checking the airway

[@Mojoissimo]

Not normally - but good question!

[@leahgodson2319]

Watched again, excellent assessment and resuscitation.

[@mohammadsafwansaharil6285]

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

[@carythomson8587]

As a FREC medic , having done a lot of resus training . Also resus research I have found the British videos are a lot more calm than the USA ones ?

[@mrcolemore5831]

The Americans are unnecessarily dramatic even in their houses

[@Takemehome99]

Rew Thompson there’s a reason the United States health care system is the best in the world our medicinal staff moves their asses

[@mrcolemore5831]

For all the money they get paid, It'd be disappointing if they do otherwise

[@Takemehome99]

Mr Colemore they don’t get paid as much as they should sports players get payed more than the people who save your life let that sank in

[@DoctorCiaran]

The US health care system is ranked by the WHO as only the 37th best in the world, below the UK, France, Germany, Ireland, Canada, Spain, Israel, Morocco etc. etc.

[@berlinSunRise]

the best video out there for ACLS

[@roselynmakaza1363]

Wow so organised and well co-ordinated. This is absolutely brilliant

[@andythomson2706]

Well communicated. ! Team lead is great. The best pod casts I listen too about code management are from Europe.

[@dr.muhammadsaqibmajeed449]

When they stopped the compressions, atleast 2 mins of compressions should have been completed before stopping them and check rhythm even sign of life appear, as mentioned in the ALS manual. Otherwise it was a very good demonstration. Well Done

[@kacheeladixon5061]

I just lost my nephew at 36 this week from a heart attack. I am hurt😭💔

[@mohammedatef3622]

God bless him 🙏

[@hannahj7855]

I’m sorry dear.

[@stookinthemiddle]

Bernard taking those compressions like a champ wow!

[@manarahmed6888]

Thanks for the video, but after the second shock and during the CPR adrenaline 1 mg should have been given. Then after the third shock we can give amiodarone 300 mg. We can't give epi and amio at the same time. In addition, epi is given every 3-5 minutes.

[@coyuiod]

amiodarone only 1 time or also repeat?

[@connorholgate2560]

One of the best resus videos I’ve seen on here

[@mostafamohamedali605]

1) Thanks alot. 2) Excellent, not a single mistake.

[@garystrong2024]

Very useful and very well produced video

[@pateltushars3]

I thought we need to give adrenaline after the 2nd shock in a shockable rythm. But here it was after the third!

[@piasaskiamuller2916]

Isn't it always after the 3rd? At least that's our protocol (Croatia).

[@Coldplaylow]

Non shockable - give adrenaline as soon as IV access is achieved then alternate cycles. Shockable - after the 3rd shock then alternate cycles

[@phoenixj6606]

The current guidelines in the UK for an adult in-hospital resus is to give adrenaline every 3-5mins and amiodarone after 3 shocks.

[@pronabkantidas2050]

Very well organised ALS session

[@rehmantung9947]

I usually need a CPR myself at the end of compressions

[@nigelthomas4820]

Now, that’s what u call great team work

[@salmaanhossain7001]

Great demonstration.

[@franklinacelestial2007]

Perfect Scenario. Clear communications... Everyone knowing their roles.... Nice debriefing... Is Mr Bernardo Really dead? Because every "acting" is so accurate... In love with this... Wonderful... Good Job....

[@franklinacelestial2007]

Share of Knowledge... That's perfect. Time keeper well concentrated... Perfect point that they decided to check the H T, SAMPLE... Very good debriefing..

[@NativeIndian1310]

UK doesn’t recognise AHA certifications.😔 Moreover, Resus UK Certification course is too costly.

[@HanJo328]

whats the normal value of end tidal CO2 ?

[@n1ghtzx9]

Overall, it was great! Correct me if I am wrong. Shouldn't we give Adrenaline 1mg after the second shock? Is it just me ? I didn't see that it was mentioned or given.

[@bhanukavidanapathirana4735]

After the 3rd shock 1mg adrenaline 1 : 10000 , 10 ml followed by a 20 ml flush and 300 mg iv amiodorone then followed by a flush. By UK resuscitation Council and ERC standards this is directive

[@BlueSky-lb8fw]

@@bhanukavidanapathirana4735 I haven’t read about amiodarone administration. Can you please explain more

[@henchflex]

Why did they not check for ESR

[@zaidsaad5273]

Like no body bother to remove pillow and cardiac board?

[@423moore]

Why would you remove the pillows? Makes intubation easier. Hospital beds in UK do not require cardiac boards

[@rafaeldegiacomoaraujo8778]

Just be careful with air mattresses. They have a cpr valve to deflate.

[@Rmiento2410]

I’m always nervous every Imee I attend ILS training 😩😩😩

[@sophiaterry5962]

Ey3y Eyey3y3y3y33y33u3u3u33

[@sophiaterry5962]

E h ey3y3 3y3y3363y3y3y33y3333 3 h 3y3y3 Egeey3 Egeyee 🏡🔣🏡🏡⛪🏡⛪🏡⛪🏡⛪⛪🏡🏡🏩🏡🏡🔣🏡⛪🏡⛪🏡⛪🏡🎃heeyey

[@sophiaterry5962]

Heeyye Eyeeye Eyeye E\ureyeyeyeu Ryeeyeeeeeee

[@usman_ghuman]

@ 8:54 Can anyone guide me plz I asked to check the pulse as I was told end tidal CO2 improved I was failed because we can’t check pulse and stop compressions during this 2 min cycle ( this should be done at the end of 2 min while checking ECG) but in this example same thing was allowed any guidance please?

[@munkendals]

lost a very good friend who seemed very healthy in january this year due to a sudden arrest so sad

[@mikekickler9802]

When she’s checking tube placement with end-tidal CO2 how the hell is 2.3 normal. just confused is something different in the UK

[@nicolamorrison7808]

Hi! So end tidal CO2 reflects both cardiac output and pulmonary blood flow. Normal end tidal CO2 in an alive person is about 5. However you would expect end tidal CO2 to be lower in cardiac arrest because chest compressions don't generate as much of a cardiac output as a beating heart, so 2.3 is pretty acceptable. This is why when the CO2 rises in the video the team knows ROSC is achieved and the heart is pumping again.

[@mikekickler9802]

@@nicolamorrison7808 ohhhhh 5% is the normal. I was assuming it was mmHg but I guess they are equivalent. Thanks!

[@miaswenson6964]

This is the most polite Code I have every scene!

[@DrFour-nl4sq]

Great team. great doctor

[@MsLouisVee]

sifo inthachan RN, not doctor.

[@charlotteshanagher4816]

Just an observation, the drugs are administered earlier.

[@RobertParker0]

Charlotte Shanagher not in the ALS shockable rhythmn algorithmn: should be given after 3rd shock

[@DHSplate]

After the third shock, pt went into the non shockable side of the algorithm. End tidal CO2 was increasing. Why did she stop CPR in the middle of the cycle to feel for a pulse? Protocol says you should check pulse after the 2 min during the rhythm check. Was is because pt was making respiratory effort? Thanks

[@dannieyappiern5882]

Yes, and she was able to palpate weak pulse

[@rafaeldegiacomoaraujo8778]

A raising co2 means metabolism and imoroved circulation. Therefore she checked for rosc and there was a pulse. This is an update for the 2015 guidelines.

[@BlueSky-lb8fw]

Can someone list the differentials she is ruling out?

[@janvanlandeghem9749]

Search 4H 4T

[@515coldfire]

Bloody hell this is a real patient!!!

[@dmfaisal]

Very well execution of CPR.

[@happymomchristina8211]

This is a great video. Why don’t they upload more videos?

[@asseelyako4338]

Where can I find more videos like this please ?

[@thomasanderson6562]

You should try this in a fast moving Ambulance 😭

[@twotone1a]

Absolutely true, but at least its a controlled environment in the back of the motor. Most often we carry out this full ALS protocol in a really cramped and cluttered domestic setting where there can be poor or no light, with understandably hysterical family members shouting and screaming. Not to mention the current covid PPE requirements for FFP3 masks and full coverall suits when attending arrests.

[@bijusubairkuttty3450]

IT WAS VERY HELPFUL, THANK YOU FOR THIS VIDEO 🌹

[@drayush2]

Why not counting chest compression loudly,,

[@rafaeldegiacomoaraujo8778]

Best to count the last 3-5 compressions. This warns the person delivering the 2 breaths while not making too much noise in the room. The person on the ventilation can do the counting for 5 cycles rather than 2 min.

[@AliAhmed-yz8qo]

Not chaotic enough.

[@n3ssaya972]

I nearly went into cardiac arrest from laughing.

[@tayokarate]

Lol

[@rejithamathew8675]

Good team work...excellent..

[@isabelsummers8017]

I'm waiting for see more video of heath 😃

[@guruprasadpanamalair1509]

I read that people who do agonal breathing caused by respiratory failure, respiratory arrest or cardiac arrest, lose consciousness. Does it mean that they lose their sense of hearing, touch etc.?

[@Mojoissimo]

Agonal breathing occurs after loss of consciousness. As they are unconscious when agonal breathing (technically, they're effectively dead), then there is no conscious perception of the senses (hearing, touch etc) that you mention. As a matter of interest, hearing is often said to be the last sense to be perceived during loss of consciousness, and the first to return.

[@guruprasadpanamalair1509]

@@Mojoissimo thanks you mean that hearing is the first to return when the person comes back to consciousness, which doesn't happen in aganoal breathing. Am I correct please?

[@Mojoissimo]

Guruprasad Panamalai R - essentially, yes. To be clear, there is no link between hearing and agonal breathing. Agonal breathing just means (for non-experts) that you should start CPR. The patient will be unconscious. The discussion about senses being ‘lost’ (eg hearing) is simply for any person that is losing or regaining consciousness. It is often said that (the recollection of) hearing is the last sense to be lost, and the first to be regained - however, I’ve not seen any studies to confirm or refute this. Worth also bearing in mind that practically nothing is absolute in medicine - so even if true, not everyone will lose/regain their senses is that order!

[@guruprasadpanamalair1509]

Thanks

[@Thorissa]

Bravo! Well-done, Team.

[@manuprasad9399]

Adrenaline after second shock, right??

[@francesanthony1877]

What a team work ...excellent

[@leahgodson2319]

Very helpful, thank you.

[@Mira84roui]

this a waww presentation , thank you

[@RG-wl3fj]

Absolutely brilliant!!! Thank you

[@pks2722]

Can anyone say what is double 2 double 2 he was saying?

[@ambershah271]

2222 for in hospital cardiac arrest

[@tomcas411]

It's the standard phone number for summoning help from anaesthetics and the cardiac arrest team in UK hospitals

[@pinemartenemily9482]

Pager/internal telephone system emergency number.

[@raznas1335]

Very helpful video. Thank you very much.

[@AdamSmith-rc2ez]

Thankyou for all of your efforts. Very insightful. #huddersfield royal infirmary x

[@vanessajouka450]

Good job but you guys are too calm compare to what i experience when i worked in resus A&E lol

[@kathrynharwood2659]

WOW that was amazing!!!!!!!!

[@mubashir8339]

Thank you for an amazing demonstration!!!♥️

[@binishbaby713]

kzbin.info/www/bejne/aGrZkHqag7aSZ9U

[@jungi658]

I like to know how much caffeine and sugar in her energy drink..

[@Bouncer1908]

Isn’t adrenaline normally delivered instantly other than several shocks

[@mariamkinen8036]

I had a cardiac arrest during the battering of my flesh. Violence. Violation. The British are the most heartfelt n kind ppl to help those who are in need. This is my opinion . Of course it is not always true . I also like the Ams . My ex is a foreigner in his own country. He could learn from them.

[@stef3371]

Okay they are so calm unlike us here hahaha

[@garyfoster8775]

Stef, let the male nurse lay you down on your back, kneel down beside you, tilt your head back gently and listen for breathing, if your not breathing then he'll pinch your nostrils closed and put his mouth over your mouth and give two slow breaths. He'll then give 30 chest compressions.

[@wienersausage8332]

Can somebody tell me what lab test she requests from Yanni? Apart from FBC, I hear "UNA" and I cannot decipher this acronym.

[@gregoryallister6281]

U&E (urea and electrolytes)

[@wienersausage8332]

@@gregoryallister6281 Thank you very much, that makes perfect sense

[@elliemartin5912]

Wish i am as knowledgeable as them. I am always nervous everytime i am due to have my ils/als annual training

[@zaidsaad5273]

Abg can inform ur pt hypoxic or not as well , not only electrolytes

[@mariannecoffell6395]

Yes but in this video they only did a venous blood gas so would not be able to assess hypoxia from this

[@zaidsaad5273]

In that case, yes i do agree

[@GabrielleCameron]

Is that a real person they're giving CPR to?

[@Kalvin708]

Why didnt they shock first? Is it asystole?

[@grodfon1673]

First thing compressions

[@Jesus-boy-moses]

It's asystole

[@willowclay3137]

I like the excitement of Nursing! I'm in!!!

[@kishorevenugopal6191]

Try talking to nurses about their life before you really go for it