RC (UK) Cardiac Arrest Management Demo

Description

[@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 😌😊

[@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?

[@Starvind1]

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

[@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

[@shellyremi4623]

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

[@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

[@peckymother]

As a student nurse I've just spent today in a recovery ward at a Nuffield hospital, and was amazed at the knowledge and experience of the resus team there.

[@sally9805]

Leeds?

[@sally9805]

In Leeds? Great city.

[@peckymother]

@@sally9805 Ipswich

[@binishbaby713]

kzbin.info/www/bejne/aGrZkHqag7aSZ9U

[@BritishTightEnd]

So is that the Acute Internal Medicine or General or like HDU?? There is multiple recovery wards

[@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

[@user-mu1dn5ej1b]

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.

[@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.

[@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!

[@nwaokochacalistus8777]

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

[@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 😂😂😂

[@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.

[@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 :)

[@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.

[@romz5330]

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

[@raghavendradevisetty324]

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

[@Nick-dk4od]

If only every code went as smoothly as such.

[@jems9145]

If only😄

[@Chickenlicken999]

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

[@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

[@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?

[@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.

[@xkyleprivatexig6769]

your welcome CARDIAC ARREST CYCLE 08:30 James: Hi, hello, hi my name is James and I'm the main resuscitation leader for today, I'm the registrar on-call. I think we've all met. If we allocate roles I think: John, you go for airway Keith, you'll be the scribe and manage the defribillation and then Yanni, can you do cannulation? 09:15 James: Bill, I'm the resuscitation leader for today. What's happening? Bill: This is Bernard. He's been admitted with chest pains, and was found collapsed. He's in cardiac arrest, so we've given him one shock with the defribillator James: so we're about a minute in? Bill: Yep James: So we've got good quality chest compressions going on 30-2. John, can you please take over the airway management, please, thank you. Umm, we've got Keith, excellent. Keith, we're about a minute in, if you can just check the timings for me, please, he's had one shock already. Bill, can you pass the patient's notes please. Keith: 20 seconds till the next 2 minutes. James: 20 seconds till we're coming in. Right, so at that point, Anneta, I want you and Yanni to swap over, within the rhythm check, OK? So we're going to swap over at that point, and Keith I'm going to hand over to you to deliver the shock. Keith: Absolutely. We're at 2 minutes. James: Stop CPR, please. Looking at the monitor, that's a shockable rhythm, straight back on the chest, please. Over to you, Keith. Keith: Lovely, I'm going to charge the defribillator and I'm not going to shock yet. remove the oxygen, and everyone else, step back. Charging Head is clear, bed space is clear. Anneta, in a second, I'm going to ask you to stand clear so I can deliver the shock, then I'm going to ask you to immediately restart CPR, are you happy with that? Anneta: Yep Keith: Stand clear Shocking now Restart CPR James: Excellent, thank you, OK, so we're in a shockable rhythm, and that was the second shock delivered. OK, so have we got those notes coming in? Yanni, can you please put up to 500mg of saline out. Can you also take some bloods through a vena puncture. I'd like an FUC, an UNE, a Venus blood gas, and a glucose, please. OK, so looking at the notes, this gentleman came in, you said it was chest pains he'd got. Um, can we get a definitive airway in with this man, please. John: Yea, sure ( Inserts endotracheal tube) James: Let me know when that's done, please, John. So with the history, I'm really thinking thromboenboic is the most probable cause. But let's just investigate the others while we're at that. Temperature wise, Yanni, what does he feel like? Yanni: He feels warm to touch James: he feels warm to touch. OK, Keith, thinking about ruling out H's and T's. Unlikely to be, ummm, hypothermia. And hypoxia. We've got a tube going in, we're going to connect that to 15 litres of oxygen. Error, no other signs beforehand, his sats looked OK earlier on the charts. Fluids are up, thank you, that's lovely. John: Erm, James, the tube is in and I've checked the position on auscultation and etCO2 is 2.3 James: 2.3, so we've got a good etCO2 for this so I would like synchronous chest compressions, please, so continuous chest compressions. Can we support his ventilation to ten breaths a minute. So we've got the bloods back. We're moving through the H's and T's... Keith. Keith: 20 seconds till the next 2 minutes. James: 20 seconds until the next 2 minutes. Drugs! we need to have some drugs ready please, in case. I'd like a miligram of Adrenaline, Yanni, and 300mg of amiodarone, preparing when we get to the next point. Anneta, I'd like you to swap with Bill when we do the next rhythm check, to manage the CPR. Ummm, Keith, I'm going to hand over to you for defribillation. Keith: we're at 2 minutes... now. James: OK, stop CPR, please. Looking at the monitor, we're at a shockable rhythm, I'd like you to deliver a shock. Straight back on the chest please. Keith, I'd like you to deliver that shock. Keith: Bill, continue CPR, I'm going to charge the defribillator, but I'm not going to shock yet. Leave the oxygen connected Charging The head is clear, the rest of the bed is clear. Bill, when the defib is charged, I'm going to ask you to stand clear to deliver the shock, I'm then going to ask you to commence CPR immediately. Happy with that? Bill: Yep Keith: Bill, stand clear please, shocking now, restart CPR. 3rd shock. James: Third shock delivered. We need to give some drugs, so we need to think about a milligram of Adrenaline, what is etCO2 doing... it's around 2 so let's give a milligram of Adrenaline, please, IV followed by 300mg of amiodarone, and can you let me know when that's done, please. Still thinking, chest pains, toxins, I'll have a look through his drug chart. Ok, he's had aspirin, he's had an setron, no surprises on the drug chart, I'm thinking of ruling out the toxins. Yanni: Adrenaline is given. James: Adrenaline is in, Keith, amiodarone is going in Thinking about potential pneumothorax, could you listen to the chest, please, John? John: Trachea is central, and I can hear air entry on both sides, I don't think it's a pneumothorax. James: Tension pneumothorax. If we can exclude that on the T's. Yanni: Amiodarone is given James: Amiodarone is given. The blood gas results, thank you. So looking at the blood results, we've got a potassium and a glucose all within a normal range. If you could give that to our anaesthetist, please. I'm thinking hypercholesterolemia is unlikely. Hypoxia and we've got 15 litres through there, John. Can we , can we order a, er, focus cardiac ultrasound, please. Bill, good chest compressions you've got occuring there. Keith: 20 seconds until the next 2 minutes is up. James: So what I'm thinking, when we get to the next 2 minutes is swap please. Bill, I want you to swap with Yanni, and Yanni, if you could take over at the rhythm check please. Are we still happy at the head end? Ok, and I'm going to ask for Keith, if you would handle the next defribillation. Keith: We're at the next 2 minutes... now. James: Ok, 2 minutes, stop CPR. looking at the monitor we've got something compatible with live there. Have we got, is there a pulse? John: I can't feel a pulse. James: Straight back on the chest, please. OK, so we've moved to the non-shockable side of the algorithm. We gave adrenaline in the last cycle, so we're not going to give it this time, but I'd like that prepared, ready for the next cycle, if at all possible. John: His etCO2 has just come up to 5.2 James: feel a pulse? John: I can feel a weak pulse, and I think he's trying to make respiratory efforts. James: Ok, let's have off the chest, please. Support ventilation, please, up to 10 breaths a minute. Bill, can you do me a chest x-ray and a 12-lead ECG. Yanni, what I'd really like you to be doing is to contact the family, we have to let the relatives know, ask them to come in, that's great. OK, um, I still need to do some writing. can I have the paperwork from yourself, please, Keith. I'm going to speak to the Intensive care team, and he cardiology team, as well. Great, we've got some spontaneous circulation, we're doing a Full reassessment. OK, great work team, thank you very much.

[@sashakale7265]

Tf bro

[@almostapples8967]

Thanks! You're a sweetheart for making all the effort! Appreciate it!

[@happymomchristina8211]

Oh my ! Such a darling..

[@xkyleprivatexig6769]

@@almostapples8967 took me 4 hrs lol

[@xkyleprivatexig6769]

@@happymomchristina8211 Ur welcome😁😁

[@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?

[@emergj]

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

[@salmaanhossain7001]

Great demonstration.

[@johnjamison7730]

Amazing she's so quick in decision making and critical thinking she is such an Inspiration to the new generation of nurses..... this is the vision of Florence nightingale In the 21st century of nursing...

[@aljack1979]

This is like a script.. For them lol

[@JohnSmith-gc4rm]

She's a doctor !

[@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.

[@juliusbullo]

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

[@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

[@RG-wl3fj]

Absolutely brilliant!!! Thank you

[@leahgodson2319]

Very helpful, thank you.

[@roselynmakaza1363]

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

[@franklinacelestial2007]

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

[@leahgodson2319]

Watched again, excellent assessment and resuscitation.

[@twagirimanacharles3619]

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

[@mubashir8339]

Thank you for an amazing demonstration!!!♥️

[@binishbaby713]

kzbin.info/www/bejne/aGrZkHqag7aSZ9U

[@nouna434]

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

[@connorholgate2560]

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

[@francesanthony1877]

What a team work ...excellent

[@garystrong2024]

Very useful and very well produced video

[@DrFour-nl4sq]

Great team. great doctor

[@MsLouisVee]

sifo inthachan RN, not doctor.

[@hazelwalker6174]

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

[@raznas1335]

Very helpful video. Thank you very much.

[@berlinSunRise]

the best video out there for ACLS

[@bijusubairkuttty3450]

IT WAS VERY HELPFUL, THANK YOU FOR THIS VIDEO 🌹

[@kathrynharwood2659]

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

[@almuslimaljazzab]

Great demo, thanks a lot

[@dmfaisal]

Very well execution of CPR.

[@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

[@backspaceenter8844]

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

[@backspaceenter8844]

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.

[@AdamSmith-rc2ez]

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

[@florsk2439]

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!

[@namanziu4211]

Excellent job really.

[@andythomson2706]

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

[@themainman975]

This is quite helpful honestly

[@asseelyako4338]

Where can I find more videos like this please ?

[@mustafawahidal_wakeel8480]

Good job, thank u for this video.

[@rejithamathew8675]

Good team work...excellent..

[@ola6482]

Lovely, brilliant

[@Bouncer1908]

Isn’t adrenaline normally delivered instantly other than several shocks

[@happymomchristina8211]

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

[@pisbakal8]

That's lovely! :)

[@mostafamohamedali605]

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

[@nilesh492]

Thanks very much!

[@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.

[@stephenmckenna8026]

Excellent video. Very well made

[@mohammadsafwansaharil6285]

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

[@deenursing8381]

wow, this was well done!

[@lillianlutaaya6777]

I appreciated this one

[@HorusFlint]

Communication on point.

[@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?

[@alextheguyuwant]

Good video, very well made!

[@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..

[@happymomchristina8211]

Is the ECG showing v flutter?

[@manuprasad9399]

Adrenaline after second shock, right??

[@AJ-zo1rk]

Thank you

[@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

[@boddumukesh7324]

Thank u 😊

[@bomhayhay]

thanks

[@nadeeshwickramasundara3866]

New practice is amiodarone bolus over 5 sec. Am i correct?

[@favourfavour5753]

Great team!

[@rehmantung9947]

I usually need a CPR myself at the end of compressions

[@willowclay3137]

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

[@kishorevenugopal6191]

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

[@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.

[@marlenesteenkamp3420]

thans very well done

[@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

[@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.

[@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?

[@Mira84roui]

this a waww presentation , thank you

[@user-xy7ce5qq1n]

Thanks

[@515coldfire]

Bloody hell this is a real patient!!!

[@hamidkhalefa8952]

brilliant

[@miaswenson6964]

This is the most polite Code I have every scene!

[@tpraba15]

Do we have to apply cricoid pressure since it is an emergency intubation

[@feemarshall967]

No you don't. You basically have to intubate as quick and safely as possible.

[@shanehtethan4133]

Bravo! Well-done, Team.

[@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

[@willowclay3137]

It's high stress but also interesting!

[@henchflex]

Why did they not check for ESR

[@drhamdaankhan3691]

nice job👍👍