How to take an arterial blood gas (ABG) - OSCE guide | UKMLA | CPSA
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- Опубліковано 16 лип 2024
- The video demonstrates how to perform an arterial blood gas (ABG) in an OSCE station.
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Chapters:
- Introduction 00:00
- Gather equipment 00:55
- Allen's test 01:10
- Palpate radial artery 01:46
- Prepare site 01:57
- Insert needle 02:03
- Complete procedure 02:41
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Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.
Some people have found this video useful for ASMR purposes.
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James a livin mannequin
Right 👀😅
Thanks to this video I was able to take 5 ABGS in a row in under 25 minutes. Which was amazing considering before I would waste 30 minutes on just 1 ABG.
Loved this, not a med student but a brittle asthmatic, I've had a few of these done and from a patient point of view I find it nice and calming/reassuring when doctors explain what they're doing beforehand like in the video (unless its an emergency of course)
First time I saw the modified Allen's test! Goddamn!!!
Not to mention that reperfusion of hand being so classic : the lateral part having quicker reperfusion, and the medial, while slower, will eventually be reperfused
Doing my clinicals, looking forward to getting these down.
I had one done a few weeks ago bc I’m an asthmatic, dunno why I’m now suddenly extremely interested in this since i’ve had them before 😂😂 major props to the volunteer!
CI: Circulation problem, blood thinner ex. Warfarin, problem in blood clotting, allergy.
Love ur vidd
Watching this because my girlfriend is explaining her day at work taking blood gas for covid patients
Such a fine and detailed video keep making such videos 👍👍
Very helpful! Thanks.
Only thing to note, always safety net the patient after the procedure. If you notice any bruising, swelling or you continue bleeding for a prolonged period, get back into back with us or your GP etc.
Thank you for posting this it was helpful.
” Lovely job obtaining necessary demographic information and the segue “Nice to meet you James” humanizes and dignifies the interaction.
Andrew, you did a nice job eliciting the medical history pertinent to the procedure, the checking of the hand circulation.
Brilliant!
PLAB 2 in 3 days. Thank you James and Andrew❤
Good luck Faisal!
Thank you!! I have my MBBS OSCE the day after tomorrow. Wish me good luck!
+Hikari Elf Hope your OSCE went well! 🏆
Good luck
How did it go?
Excellent video.Thanks.
Thanks!
Nice work
oh my god I love your channel. the videos are good
2nd year RT please be good to me
Excellent.
Very helpful video. Only thing that always worries me when taking ABG samples is the possibility of injury while removing needle and applying firm pressure immediately with the other hand. Is that a thing?
Thank you
Thanks
Thanks sir
Great stuff
Label specimen, document temperature & how much O2 (if any) of pt at the time of draw.
You actually demonstrated this on a real person? Taking one for the team!
I guess I can genuinely say that working on Geeky Medics for 11 years has involved blood, sweat and tears (Lewis - Founder/Hand model)
nice videos kindly upload a video on intradermal injection
Grt work
British English is so much more direct in terms of pronunciation. Take for instance how he pronounces blood, more like blúd
How do you pronounce blood where you’re from? And I think you mean English English, the rest of Britain pronounce it very differently
Props to the guy who gave its hand to take the sample. It hurts as hell sometimes...
It definitely gave me (Lewis - Founder) an appreciation of why we should only do ABGs when absolutely necessary!
The first video we filmed on this years before caused me to faint when I stood up to stop the camera recording - so we had to then re-shoot a week later. 🥲
Gonna drop the Geeky Medics intro at a post-OSCE rave, bust out the robot dance and inevitably be crowned King of the Universe.
Nice
New subscriber here👋
In how many minutes the sample should reach the ABG analyser machine....
less than 10 minutes
Also remember to safety net after
Good
For an arterial procedure the site must be cleaned with what?
An alcohol swab
I am going for a PFT study and don’t know if it will lead to an ABG test. I noticed in the video that there was an local anesthetic. I did not see that applied to his arm before they drew the blood from his artery. Was that just supposed?
Best
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good video
Good work
#nursewinners
-Are your comfortable?
-No I’m not
Thanks for watching
I can't believe they used to do these on me as a child without numbing me first.
Didn't even kno that was an option or what is supposed to happen until today.
No wonder it was so fckn painful! Smh 🤦🏾♂️
Last year finally 😂😂😂
does'nt always go so easy .
i've had several done COPD.
crunching in wrist several pokes results coming back as no good huge swelling of blood at withdraw site bruising down whole arm pain in wrist for days
How to expel the heparin?
silver starlight the heparin is already lined in the syringe :). Edit: it says to expel in this video, in The USA I’ve always seen them already lined.
Are we not supposed to shake it?
Nice work, minor comment: labeling the sample with pt's details is missing. :D
its described to do it 02:50
👍👍
Im not a medical professional, can anyone explain the reason for washing your hands and then put on gloves? Aren't the gloves serving the same purpose?
Wish me good luck
does abg blood sample look bright red in colour???
Blood from arteries have oxygen that’s why it’s bright..
Definitely brighter than venous blood of same specific person. But patients with low saturation often even have dark arterial blood.
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1. You do not need, and will not be able to, in clinical practice, give local anaesthetic before doing ABG. they are done primarily in emergency situations and when venous sampling is unsuitable and 2. You should engage the needle safety device by pushing the cover against a surface; definitely not with your finger as theoretically this increases the risk of needle-stick injury.
+Andythrax The British Thoracic Society recommends the use of local anaesthetic in all situations except in emergencies or when a patient is already anaesthetised. See guidelines here www.brit-thoracic.org.uk/document-library/clinical-information/oxygen/emergency-oxygen-use-in-adult-patients-guideline/emergency-oxygen-use-in-adult-patients-guideline/ In regards to the way in which the safety guard on the needle is engaged, see the device makers instructions here www.bd.com/hypodermic/products/safety_needles.asp
@andythrax Very well said
I’ve had this done to me a few times now in resus and never been Anaethetised, actually one of the students docs had a couple of goes - after having quite a few needles punched into me another one didn’t hurt too much! No anaesthetic needed I’d say!
Not to mention when you go to clinicals you will most likely not be allowed to perform these at your rotation sites
@@Chargedhalo It all depends on the hospital/country (I'm a Italian studying in France and still use their videos): I did two ABG's in my infectious diseases' clinical rotation
CI: practical exam 100
What is the purpose of this test
Blood gasses tell how much oxygen your blood is carrying from the artery, which contains the most oxygen because it comes straight from the lungs. Next to the oxygen saturation of blood, a blood gas tells us something about the pH and acidity of blood, blood being naturally a little bit basic (pH 7.35 -7.45), and if this balance is disturbed looking at components which build this balance can point us in the direction of where the problem is
Why heparinized syringe?
To prevent blood clotting
Phlebotomist and paramedic student here lol
Jams is a vampir 😅
Watch our ABG interpretation video here: ua-cam.com/video/nBRC1A87aDs/v-deo.html 💉
Why anestetic????
Drawing blood from the underside wrist area (arterial and vein) tends to burn and pinch more for most people than a venipuncture elsewhere. It can lead to the patient reacting physically to the stress or just an uncomfortable stick.
Because abgs hurt lol
Why is local anaesthetic used for this procedure? It's not really that necessary the pain isn't that much and you are puncturing the skin twice...
anyone else catch that he was born the exact same day as taylor swift lol
It must be painful for the actor 😭😭
Just one thing: if you're "washing your hands" as shown in the video, by using hand sanitizer, that's fine, but you might want to do a more thorough job of "washing" by spreading your fingers APART. Moreover, cover your entire hands (front and back) with sanitizer, and SCRUB.
theres always a critic in medicine
Turkish subtitles will be even better
Nice