Can amiodarone and vasopressin be given i.v bolus?they did not mention how they prepare meds of iv bolus amiodarone and vasopressin if without dilution or what dilution they mix with meds before i.vbolus to avoid confusion.
update from 2024, the hypothermia therapy(target temperature management, TTM) is aimed at 32-37.5 degree celsius. also, this is really quite a good video to illuminate how we should practice the mega code section.
@@Bfair123 1. no rush, be calm, that's the most important thing and actively apply each team member's position if you are the leader. 2. remember to check pulse/vital signs whenever there is a rhythmic change. 3. if the p't's alive (w/ pulse) be sure to note if the rhythm is regular/irregular, having a narrow or wide QRS complex and whether the patient is stable or unstable and choose the joule of charge accordingly. 4. when ROSC is achieved, aside from a secondary ABCDE evaluation, order a 12 lead ECG to assess if ST elevation is the case. That's the tips my poor brain notices at the moment, hope you pass your test tomorrow!
Can someone answer this question for me? I want to know why durring cpr with an advanced airway, are you able to give breaths without interrupting compressions. I thought the force of the compression would force out the air in the lungs anyways, which is why you couldnt do both at the same time. However it is expected to continue compressions while giving breaths every 6 seconds with an advanced airway. Why arent rhe compressions a problem in this scenario versus with a basic airway?
If atropine the first line in Bradycardia had been administered from the beginning none of the other steps would have been needed. The patient went from Bradycardia to tachycardia, which leads to other after care for the patient.
@@chewchin7052bradycardia but no pulse,so they continued cpr instead of giving atropine.Also atropine can increase myocardial oxygen demand and aggravate ischemia?
there is such a thing as pulseless electrical activity where it can show a rhythm like bradycardia on the monitor but the patient has no pulse, they are in cardiac arrest. plus even if it was real bradycardia a pulse, with the low blood pressure of 70/40 most doctors would choose to push epinephrine at that point in favor of atropine. atropine is for bradycardia that is symptomatic with fatigue sob or other signs of poor perfusion, not for a person without a pulse. in the video’s scenario the patient has just arrived and no iv access was able to be established, how are you going to give an iv medication without an iv? just stab a patient with a syringe hoping it will land in a vein (most of these patients who are sick enough to cardiac arrest will be difficult sticks to begin with)? going for the io access was the only way to go, most providers wouldnt waste time trying to get an iv in and just ggo for an io because they know theyre not going to be able to get an iv in a patient like that. we are treating the patient, not the monitor. always check for a pulse never forget your bls.
Didn't say CLEAR
300 J with monophasic défibrillators, vasopressin instead for Amiodarone...Those were the days of 2014
This code team is giving me anxiety
thanks
Can amiodarone and vasopressin be given i.v bolus?they did not mention how they prepare meds of iv bolus amiodarone and vasopressin if without dilution or what dilution they mix with meds before i.vbolus to avoid confusion.
😊
This is com bit u be right ?
I just have my ACLS provider yesterday, thanks God I pass my acls😊
Who is watching 2024, have my acls this wk
I'm
update from 2024, the hypothermia therapy(target temperature management, TTM) is aimed at 32-37.5 degree celsius. also, this is really quite a good video to illuminate how we should practice the mega code section.
Did u take your acls
@@Bfair123 yup
@@likevin9815 can you give an idea what to expect on the classroom, I will take my classroom acls tomorrow, thanks!
@@Bfair123 1. no rush, be calm, that's the most important thing and actively apply each team member's position if you are the leader. 2. remember to check pulse/vital signs whenever there is a rhythmic change. 3. if the p't's alive (w/ pulse) be sure to note if the rhythm is regular/irregular, having a narrow or wide QRS complex and whether the patient is stable or unstable and choose the joule of charge accordingly. 4. when ROSC is achieved, aside from a secondary ABCDE evaluation, order a 12 lead ECG to assess if ST elevation is the case. That's the tips my poor brain notices at the moment, hope you pass your test tomorrow!
@@likevin9815 thanks!
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This is clinical and very educative
Great job team
This is incorrect, the ratio of compressions to breaths should be 15 compressions to 2 rescue breaths, not 30.
Informative
This is old video and we can still use this for future trainings
Can someone answer this question for me? I want to know why durring cpr with an advanced airway, are you able to give breaths without interrupting compressions. I thought the force of the compression would force out the air in the lungs anyways, which is why you couldnt do both at the same time. However it is expected to continue compressions while giving breaths every 6 seconds with an advanced airway. Why arent rhe compressions a problem in this scenario versus with a basic airway?
Thank you ❤
According AHA
Vasopressin removed from acls protocol Should be updated
I am waiting for my assessment right now
tremendous helpful vedio,thank you.
Didn't like it. Racist and paternalistic towards nurses.
Where's the racism? Are you for real????
This is how the codes are in my hospital… even with teaching. Some doctors are just chill and confident
I agree! I'm a paramedic student and our er doctors are very chill running a code WHILE showing me the EKG and what it means
See more video Basic Airway Management: ua-cam.com/video/c7xUqNuPLZ0/v-deo.html
Thank you
Vasopressin is pretty much out for 2023.
Thank you
chin lift?
Thank you
Thanks for your video
Thank you so much AHA for the good presentation
Critical care is cool. Edapt sucks.
ewow.....so informative real situation
I came for the comment section in this video.
Pals mega code
O2
Disaster 🤦♀️😂😂😂🏃🏻♀️🏃🏻♀️🏃🏻♀️
En un niño menor de 10 años la forma correcta de reanimar es con los 2 dedos sobre el torax o se hace como si se hiciera a un adulto gracias ???
حلو 👌
I wish all codes are as calm as this.
Wow great looking staff, but where are their stethoscopes? and havent seen such well pressed lab coats.
A true shitshow…..
Way better than the average ER department in my country
Thanks for this video
Gta sn doctor
Mendel and Shelly have some chemistry there!
I saw that 😏
Amiradone must be the go to medication?
Atropine cause a increase in heart rate in Bradycardia but not tachycardia.
If atropine the first line in Bradycardia had been administered from the beginning none of the other steps would have been needed. The patient went from Bradycardia to tachycardia, which leads to other after care for the patient.
Maybe this patient was suffering from III AV block and during the preparation of transcutaneous pacing the code was called?
@@chewchin7052bradycardia but no pulse,so they continued cpr instead of giving atropine.Also atropine can increase myocardial oxygen demand and aggravate ischemia?
there is such a thing as pulseless electrical activity where it can show a rhythm like bradycardia on the monitor but the patient has no pulse, they are in cardiac arrest. plus even if it was real bradycardia a pulse, with the low blood pressure of 70/40 most doctors would choose to push epinephrine at that point in favor of atropine. atropine is for bradycardia that is symptomatic with fatigue sob or other signs of poor perfusion, not for a person without a pulse. in the video’s scenario the patient has just arrived and no iv access was able to be established, how are you going to give an iv medication without an iv? just stab a patient with a syringe hoping it will land in a vein (most of these patients who are sick enough to cardiac arrest will be difficult sticks to begin with)? going for the io access was the only way to go, most providers wouldnt waste time trying to get an iv in and just ggo for an io because they know theyre not going to be able to get an iv in a patient like that. we are treating the patient, not the monitor. always check for a pulse never forget your bls.