ICU NIGHT SHIFT: Day in the Life of a DOCTOR (Cardiac Arrest Cooling Protocol)
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- Опубліковано 3 жов 2024
- Join me for a night shift in the ICU and learn what a day in the life of a doctor is like! In this video we'll be discussing a man in his 40s who had a cardiac arrest at home. What caused this cardiac arrest? And why do we cool patients' body temperature after they arrive in the ICU? We'll explore this together and more!
THANK YOU to Lauren (ICU nurse) for collaborating on this video and to the whole team for their support!
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Instagram: Violin.MD
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Mail: PO Box 1, 119 Spadina Ave, Toronto ON, Canada, M5T2T2
See you in the next video!
~ Siobhan (Violin MD) ~
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📸 Image Credits:
ECG: By CardioNetworks: commons.wikimedia.org/w/index.php?curid=24370863
QTc: By PeaBrainC commons.wikimedia.org/w/index.php?curid=89699845
Diabetes: By www.scientificanimations.com
Brain death CT brain: Case courtesy of Dr Bruno Di Muzio radiopaedia.org/cases/78597
Props to his wife for staying so calm and taking care of him before the paramedics arrived!
Yeah, that's what I was thinking as well, what she did was awesome! I really hope her husband will recover and they'll be able to pinpoint the cause and manage it nicely in the future. Surely nobody would like to have a heart attack, but if I were her husband, I would be glad it happened when she was around and alert. Good luck to both if they ever stumble upon this video :)
@Coco agreed! My mom made sure to teach my siblings and I first aid, CPR and how to use an AED once we were like 14, 13 and 10. Oh and the heimlech. When I was 16 I used the heimlech on a 9 year old I was babysitting only 3 years later. It should be taught in schools or something. Hard to get a bunch of teenagers to not screw around and listen though.
Kudos to his wife for her quick thinking and CPR. I want to learn it. My friend is a paramedic and he is certified to do CPR.
7ee7e76e7e7e
Dhyydyyyys8 and the
I’m invested in the cardiac patient’s progression now 😂
Me too. Same thing happened to me in 2018 and not only did this video answer questions I had about what happened that day when I got to the hospital but I need to know that he’s ok!!
I swear Siobhan would work as a doctor even if she didn't get paid a dime, how does she stay so positive
because she loves what she does it’s amazing
True, she's so enthusiastic about her profession, we need more motivated physicians in Medicine
After decades in the field, so would I! A sense of mission and doing what you love.
Which is exactly the reason why doctors at different points in their career get shafted pay and work-wise xD
Doctors dont get paid i think
The fact you took the time to acknowledge the wife's pain... I just know that meant a lot to her. It's sometimes easy to feel like doctors aren't human like us because they see so much every single day. I'm glad you not only have a good head on your shoulders but are also kind and compassionate. At stressful times, that means so much!
That’s so true, im sure it’s easy for them to desensitize from things but some stuff you just can’t. That woman will remember how she spoke to her forever, in the best way ❤️
@@heatherlynsey3092 Absolutely right. 💜
🥰😍🥰
Eyeyeye and a 55⁵5556r6ee7s
Sgghshhs
Dr. Mike: “CHEST COMPRESSIONS. CHEST COMPRESSIONS. CHEST COMPRESSIONS.”
Siobhan: “CPR. CPR. CPR.”
I was thinking the exact same thing 😂
as soon as she said that i said the same thing
Yup
That's what I thought!
They need to collaborate ASAP.
Had to laugh at the fact that he seems to be normal "aside from the fact that he's unconscious and in a coma". I always thought being in a coma is very not normal...
Yes me too
Me too!
It's not. But everything else can be fine aside from that. that's what she meant.
It actually makes things harder when everything appears normal while something terrible is happen. It means that you have no basis for a diagnosis or treatment and have to dig a lot deeper to figure out what happened. That often requires time, and with a critical patient like this, it may be hard to find enough time to fully investigate when there are so many decisions that have to be made to stabilize the patient.
Chest compressions, Chest compressions, Chest compressions
Good old doctor Mike fans ;)
Ye6e3
Yeyeyey
Eyey3y33🎓🎅🎓🎅🎅🎓🎅🎓🎓🎅🎓🎅🎓🎅🎅🎓🎅🎓🎅🎓
Ey3y3ye3🎅🎓🎅🎓🎓🎅🎓🎅🎓🎅🎓🎓🎅🎅🎓
My Mom started out as A Candy Striper back when she was 17 year old and decades later she was so very proud to receive her 55 Year Service Pin as A Nurse. She would have loved your Channel Siobhan! Cheers From Ohio
I misread that as "candy stripper" as in the dancing kind lol...oops.
@@RedRoseSeptember22 omg me too !
Watching this from my hospital bed at Juravinski. Wanted to say thanks to everyone whos involved in making a hospital run.
My mother was a nurse there for 35 years. Small world!
She's really a testament to the saying "choose a job you love and you'll never have to work a day in your life"
It still doesn’t feel right to hear you say 4th year medical resident lol. You’re amazing and you have been doing so good all of these years. ❤️❤️
In under a month she'll say 5th year
This video hit really close to home. I had the exact situation as the man with the cardiac arrest, but I was 34 at the time. I was in the ICU for 5 days before being moved to the cardiac ward of the hospital. I, thankfully, didn't suffer any neurological damage. The doctors never discovered what caused my heart to stop.
We’re you doing anything before it started? Was the onset very sudden or drawn out over a period of time prior? Do you or anyone in your family have cardiac history? Possibly heart goes into SVT if you are working extremely hard?
@@ashtonduda9971 I don't remember much from that whole week. My wife said I was tired for a few days leading up to it. No one else in the family suffered as far as I know
Me too! I was 42. In the cold coma for 2 days and in the hospital for 7. Do you have a pacemaker or anything? I have a pacemaker/defibrillator and some short term memory issues but that’s it. I have to take notes sometimes now and there are several movies and books I get to experience again for the first time, so that’s cool :) We still don’t know why it stopped but through my detective work I discovered my heart had been stopping and restarting for about 8 months and that time it just didn’t restart 🤷🏼♀️
@@ChristinaVVM Yeah, I have an implanted defibrillator. I've only experienced it firing once. Hurt like hell.
@@ChristinaVVM How did you "discover" what your heart was doing in the previous 8 months leading up to it?
Props to his wife for being a nurse and staying to take care of all of those patients.
You are great at explaining ❤️
Thanks Yasha - glad you enjoyed it!
@@ViolinMD my mum worked as a cna for 15 years
ayyyyyy the purple shoes are back.
I also wanted to share a quick story. When I was in elementary school my principal passed away from a heart attack while riding his bike one day. He was only 42 and had no history himself of any issues that may have pointed towards something like that happening nor any family history. He ate incredibly healthy and exercised regularly. He wasn’t on any medication and refused to take even a Tylenol. But somehow, something got to him and unfortunately it became what I think would be considered a medical mystery because there wasn’t a single thing that should have caused that to happen to him and and they still haven’t been able to find out what caused it. (I’m still hopeful that one day once there’s more technologically and science or whatever else they need they’ll find a reason) The first patient you talked about just reminded me of him and his family and I just wanted to share his story. Who knows, maybe it can help inspire someone to make the technology that will make it so his family would finally have some piece of mind.
Love how she's always smiling and looks happy I admire these doctors amazing people
When I was diagnosed with LQTS in 2002 it was considered a zebra and most doctors I saw didn't know what it was. I have actually pointed out the QT interval on an ECG and worked the Bazett formula for them. It wasn't until 2017 that the mutation I have was verified by genetic testing. It is really good to see that it is being recognized now.
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My brain melted reading this O~o
I'm going to start my ICU residency next month as an RN & I cant wait! These videos are awesome to get an inside look
i’ve been an ICU RN for about 6 months and it’s great! i hope you love it!
@@christiinaa16 thank you!! Any tips??
@@seamuffin be confident and ask questions
Reesesrn on TikTok makes great ICU nursing content if you’re looking for more creators to follow! I think she’s starting a UA-cam channel as well
Your compassion and humanity are an inspiration. I have been a nurse for 8 years. Covid has burned us all out. You have helped me try to be more positive. Take care of yourself as well.
You've been helping Covid patients for too long when an ugly bone infection and a cardiac arrest make you "happy" - but I get what you're saying. In Switzerland - where I live - it also feels like things are going back to somewhat normal, and it feels good.
As always I am so impressed by your bedside manner. In that case the way you're talking to the wife, asking important question, telling her she did the right thing and showing compassion.
you are truely a positive (medical) person, hopegiving and heartwarming....quiet rare these times.... please stay healthy
As a healthcare worker, I feel for you - being excited about patients with something other than covid. I have been very fortunate that it has been months since I have had a whole patient load of only covid patients. I have them mixed in here and there.
I admire your endurance, I was feeling so burnt out and I haven't had a full team of patients with covid in months!
Thank you for sharing your joy, passion, and knowledge with us!!
"necrotizing fasciitis" I KNOW THAT ONE. SCRUBS HAS TAUGHT ME THINGS. -me when hearing Siobhan say it
My Mom had it...both her legs were infected
NOT SCRUBS- also recommend ER less comedy and more medical but still *amazing*
New grad RN who just got hired in the ICU here!!!! Hoping all docs are as approachable and educational as you are 😊 love watching your videos!
I wish the doctor's I see had her compassion, drive, and absolute passion to solve a problem!
Yes wish she was my dr🌸
You are gonna make an amazing freaking doctor! The way you spoke to the wife was so warming and soft and gentle. I've had some awful doctors handing news.
YESSSS, I really needed this vlog, I've been struggling with online med school exams and there's been a lot of cases of violence against doctors here in India, it's really making studying and finding inspiration impossible, THANK YOU for this vlog, reminds us we why I love this career I'm going into!
Keep up with your efforts. Best wishes from the USA
I'm so sorry to hear how much you're having to face now. India is on my heart and in my prayers always. Take care.
I wish all of the doctors in the world were so kind and understanding, and spoke so respectfully to patients' family members...
As a student nurse, am learning a lot from your videos. Thank you very much.
A few months ago the same exact thing happened to my father. Sudden cardiac arrest from an arrhythmia that was undiagnosed and he was in the ICU for weeks. He's home now and doing well but this was really helpful to watch.
Arrythmias are so hard to recognize in yourself, especially when you have other health issues, like I have random anxiety attacks, high blood pressure, severe GERD, and I'm on tons of meds for chronic pain so it would be next to impossible for me to tell the symptoms of an arrythmia.
You are so wonderful at radiating positivity in everything. It is great to not have every patient being covid, too.
Sending admiration and appreciation to you and all you do from florida USA!
It’s really nice to hear that you are so caring with patients and try to reassure them that they’re in good hands. Hospital environments can be pretty scary for some people and I’m sure having a doctor like you is very nice 😊
I am so glad I found your channel, i must say as a nurse myself i wish every doctor was as kind and helpful as you are. You have a wonderful bedside manner....never change you are awesome
I love the enthusiasm about her work...As an RN, love working with people like that but there are so few of them.
My hats off to that lady glad to hear he was stable overnight ! I had to perform cpr on a family member (who didnt make it) its a hard thing to do
You seem like a lovely and calm doctor, your personality and "aura" are so well suited for this profession...Idk if that makes sense. I really wish more doctors were like you!
I honestly love how down to earth you are! You are so kind to your patients.
This is so interesting wow!!
Greetings from Germany 🇩🇪
Hi! Greetings back from Canada!!
You and doctor mike should collab
Greetings from the USA!!🇺🇸
Dass du auch aus Deutschland schaust ist echt witzig 😄
WOW, this is amazing! I have Long QT Syndrome, it is so interesting seeing you diagnose and treat that! I was lucky enough to be diagnosed as a baby due to familial history!
Salute to the doctors ... working for us 24/7🤞🏻
Honestly watching your videos has really opened my mind about the reality that covid patients go through. How do you not cry or do you? Im sitting here with tears in my eyes.
Such a great doctor. So compassionate, smart with great bed side manners
So good to see you back!!!!
Hello my name is Cecelia I’m 18 years old, I am a former preeclampsia and HELLP syndrome patient. I had my son at 29 weeks gestation due to my unfortunate events. We spent 84 days in the NICU day and night. We witnessed intubation numerous times, C pap, ram cannula, proning, chest tubes, nasal cannula, decodron, etc just to keep him alive. After 84 days of sleeping at the hospital I had grown a comfort to it. My point to this story is I love watching your videos it brings me comfort. Although our times in the hospital were long and challenging seeing you saves lives in the ICU brings me back to all the doctors who saved my sons life. Thank you for that.
More videos like this please :D It helps me have a clearer picture of what is going on in the hospital setting and the technicalities and application of medicine. Books do not tell you completely what to do in shifts such as this including talking to patients and teamwork.
Love that your rounds involve the bedside nurse so much!
I was joining in with you on that feeling of elation about the number of your current COVID patients. It really felt good to hear from you that there were fewer cases and you were feeling better about it all.
All the best to you! ❤
so nice to see your joy in treating patients!
I just KNEW that once the call room lights went out I'd be hearing that pager go off... ;-)
I just discovered your channel yesterday and am becoming so informed because of them. I have been in Hospital several times since 2015.
Diabetes, Heart Disease and COPD mean I'm a frequent flyer. I used to get so frustrated seeing different Doctors and Nurses every few hours. Now I understand why that is and why it's necessary. Thanks So Much.
Good educational points and nicely produced video! Being on-call for the ICU and ER, however, is seldomly as quiet and calm as this portrays.
Hi Dr. Siobhan, I love your videos! As an ICU GN, one day is never the same. I love how you teach your viewers in your videos. Everyone deserves to have you as a doctor and it would be an honor to work with you! Keep being you!
I love how calm you are I a stressful situation
We’re here early today 🤝
Well done
🤣🤣🤣
Hi Bandstand I'm a fan
Lots of love from Palestine 🇵🇸 You are such an inspiration 🫀❤️
I’m 23 and have yet to decide what I want to do :( My sister is currently going through integration for midwifery and I’ve always been so interested for years! Ever since I found your channel years ago I’ve been more and more interested. Thank you so much for taking the time to educate myself and so many others!
Yay! A new vid always makes my day better ☺️❤️!
You inspire me with how passionate you are in your service to others and I aspire to be as excellent as you. You are one of my role models. With love from the PH! 🇵🇭💕
You make being a doctor look so fun and exciting!! You always seem so calm, collected, and cheery!
What an amazing shift (in the right terms) so happy to see your hospital is finally seeing a little bit of light again. 🥰🥰
Love your positivity in all of your videos! Appreciate all the time you put in to take us with you in the hospital so we can really see what it’s like!
Thanks for inspiring me so much! I knew I wanted to work in the medical field when I was little, but now watch these videos it makes me more excited and more sure that I want to work in the medical field!
I love how cheerful you are ❤️ much respect for people like you in the ER
I am a volunteer community first responder here in the UK, I have been doing this 7yrs now, the reason I do it is because the NHS saved my life and it's my way of just given something back.
I have done 17 cardiac arrests now and got one person back. These are all outside hospital so the rate of survival is a lot lower. Like the doctor said CPR and getting on the chest asap makes all the difference it really does.
I have been the 1st person on scene a lot of the time. I cover a 5 mile radius around were I live and I love in the countryside. I love what I do I am on call now and have been all day it is now 10.30pm. It's my choice how long I am on call. And I have carried being on call though out the pandemic, I did not have too but it was my choice to help out were I could.
I also go around the villages and give free CPR lessons and also what too do when someone is choking? And how to use a defibrillator plus putting someone into the recovery position, always have a good turn out. And I also did 100 scouts too that was good fun they all very good. I got my hands on 30 cpr dummies so they all can do cpr. There faces when they walk in and see all the dummies and that it is all hands on. I even have a choke vest so you can practice the abdominal thrusts. It's always a bit of fun doing that one as people love given back slaps to others.
I get so excited when you post. Stay safe and I love your videos
As an intern soon to be taking the licensure exam and aspiring to enter Internal Medicine, these kinds of videos inspire mo so much.
Thank you for sharing your experiences and hope to see more videos like this. ❤
I love your videos!!
Oh my god thank you so much for liking my comment!!! 😁😁
yess!! i’ve been looking forward to another upload! i haven’t watched it all yet, but i’m sure this is gonna be an amazing video as always. keep up the good work - you’re a huge inspiration to me and i learn so much from you. because of you i’m definitely considering taking medicine further in the future. thank you for all you do!
My day just got a whole lot better! So interesting!❤️😃
Hola !!! ER doctor here ! Amazing video as always ! Your teachings always on point. I did a few ICU's videos myself. We do the patient cooling post cardiac arrest in the ED all the time. Cool stuff guys !!!!!
Really cool intro Siobhan! I was not expecting the usual violin to get cut off by a page. Then again, I bet you deal with that a lot lol.
I have watched a lot of your videos and love them. I went to an outpatient appointment at a hospital ENT and from there to surgery. Spent the next 9 months there. Got to know a lot of folks and walked around a super lot. Observed how things work. I had many great caregivers from surgeons to cleaning crew, food service, nursing, consults, etc. They make a big difference. You look to be among those. Well done!
I love watching your videos over and over again
*Me and my anxious self watching this, knowing I'm going to be ruminating on this all day*: Simply riveting *eating popcorn*
I HAVE BEEN SLEEPING ON THIS CHANNEL FOLKS!! God, I love this video 😩❤️
Thanks for making this video. When you talked about the guy who had sepsis and had a long history of poorly controlled diabetes, it really reminded me of my dad.
He would get recurrent sepsis after his colostomy surgery. At the end, he died from that C. diff bacterial infection that got to his bone, aged 60. I hope that guy gets better.
Even though I've been vaccinated for weeks, seeing your call shirt was comforting. We've all been through such a long, tough time. Every bit of normalcy is another deep breath!
Genetics are strange, both my son's had the same surgery on their appendix at 13 years old. Their 10 years apart!! Thank you for what you do!!👍🙏💖🙏!!!
You are such a good and caring person .I hope you stay safe
Our world, our country need
doctors like shoiban she is extremely concerned and considerate about her patients
Your positive attitude and encouragement is so uplifting. Thank you for what you do!
I’m so impressed with your positivity and clear love for your work 😍 thanks so much for sharing, Siobhan!
I love the videos ur making I mean many people make vlogs in the hospital but ur not like any u really make me feel like I’m with u in the hospital and I’m involved in the case as a medical student and u show us as much as possible this is really helpful please continue doing what ur doing. Thank you so much it means a lot to me ! 💕
Love your vids! They inspired me to go into nursing school after high school.
Wow, this was super informative. Haven't seen any other resident tuber who went into so much detail on hospital vlogs
I’m so glad to hear that the Covid situation seems to be turning a corner up there!!
It’s so hopeful to feel like it *is* a light at the end of the tunnel, locally and globally, even if we do still have a ways to go.
I also just want to say how much I appreciate getting to listen in on snippets your work night: the compassion you showed the wife of the man who had the arrest, and the anxious Covid patient, maybe particularly her, because I’m the same age, and would be scared to death in the same position. It’s comforting to know, had I been in her shoes, there are people who aren’t only skilled clinicians, but caring, empathetic people too.
I went through Cooling Protocol about 18 months ago after a 40 minute cardiac arrest. I don't have a wife, but the EMTs were called for a heart attack before I coded and they promptly rolled me down the stairs and to the ambulance where they used a LUCAS device to do chest compressions. Apparently, my gag reflex was too strong for intubation, so they bagged me. They eventually got it in somewhere along the line, but then I got intubation pneumonia, collapsed lung, pulmonary edema, etc. Luckily for me, they identified the cause of the STEMI/VFIB: thrombosis in an under-expanded LAD stent.
I'm fighting a URI now, which is why I missed this video when it came out. I tested positive for Adenovirus, but it's acting more like Strep Throat (rapid test and culture were negative for Strep) and is causing mouth sores on the tonsils, gums and tongue so bad I can barely eat or drink and it keeps me up all night. Ever heard of Adenovirus behaving like that? (My Google-fu fails me.) On the plus side the fever finally abated last night after 5 days and nights hitting 101-102.5F. I was that guy outside in 99°F weather shivering in a fleece jacket and stocking cap. Oddly, now my temp keeps crashing to 97°F, so maybe I'm getting better, but the tickling in my trachea and bronchial tubes is making me wonder if round 2 is coming.
You are awesome! You are truly a hero.
Please take care. From South Carolina
I’m serious about this comment, if I ever co back to Ontario, I want to know where you work just in case a get ill (I have some pre existing conditions), but I have to tell you, after 11 years of weird things in my life (brain aneurysm, aortic aneurysm, sepsis, and many things in the middle counting about 1 year in the hospital during this 11 years and now a pituitary tumor) if I need something, I want to fall in the best medical hands and you fit the profile, you’re excellent, dedicated and most importantly, you love medicine, if I ever go to Ontario, I’ll send you a message!!
Congratulations on your channel, you’re doing such a great work! Is admirable!
Keep I going!!! I’m not a big doctor or anything at all, but I’m my opinion, you’re doing excellence in your work and the education you give us mortals about medicine and the life of a doctors
Keep it up!!! You have a new fan!!!
Welcome back! Take care Siobhan!
Seeing Siobhans face look like that after taking off her mask, what an amazing job you are doing!
Thank goodness that the COVID numbers appear to be going down. Thank you for all that you do.
That’s a good thing but there is a new variant called delta that’s supposed to be even worse
Thankyou your a breath of fresh air it’s so good to realize that other conditions are being treated in hospital as required , we’ve been fed a Covid diet for more than a year
What’s the recipe for your beans rice and curry 😀 that sounds good.
I can’t wait to be in the field and helping others make a difference in their overall health just like you do.
Soon to be Nurse next year 🙏🏼❤️
i cried a little bit while watching this video, during covid pandemic i didn't have the best exposure as a medical student to the hospital, and found this video exciting, really looking forward to learn more
Thank you for being a wonderful caring doctor ❤
Hi Siobhan, so nice to see your videos! Good to see you are safe and to see you smiling! So refreshing! Great videos! : cheers!
I admire your positivity 💖