I've had a cardioversion for Afib Aflutter and SVT The first episode of SVT I had I was 16 years old then it scared the shit out of me and a cardioversion SUCKS I've also had a cardioversion with adenosine
So sorry you had to experience going through all of this. But on the flip side, you’re still alive and here to tell about it! Certainly not a procedure one wants to go through without some sedation!
Why is synchronised cardioversion used with a pulse? If a patient is in SVT, the machine will shock the patient on the R wave which is critical to avoid cardiac arrest. With defibrillation the shock is delivered at any point in the QRS cycle because the patient won't have a pulse. Therfore it doesn't matter in that situation
Nice video, but... would have helped to demonstrate how to apply the pads on the patient and the electrodes. ...and the pot without gown would be nice. Nic
You cardiovert because there's a pulse, then 85/40 unstable then why not defibrillate, what to sync in the r- wave when there's a chaotic rhythm, ah ok later you said there's still a pulse so cardiovert though not converted to normal rhytm after joules increase. Later you defibrillate hemodynamic and pulse assessment. Was CPR done and epinephrine ordered? How about Et tube , capnography and oxygen via bagging?
When you went to 7 joules you were choosing a different charge and it stops charging so it didn't work on the last shock because you never pressed charge but overall good video
Thanks for your response. We try not to expose the expensive manikins to much energy. The other reason is safety of our students who are on their initial journey learning about this technology.
No, defibrillation will only be performed in pulseless ventricular tachycardia or ventricular fibrillation...there is not a pulse generated in either of those rhythms. PEA will not generate a pulse, either, and should NOT be defibrillated. Hope that clarifies.
I’m going to point you towards the American Heart Association and their Advanced Cardiac Life Support course for more detailed explanations. Their guidelines are followed through much of the world. You will find what you need there.
I think I get what your saying.. If a person is in V-tech or V-fib you can still shock without a pulse because they have a shockable rhythm in the heart. With Asystole you can't shock because there is no rhythm what so ever in the heart and also is pulse less ( at this point your best bet is epi to jump start the heart again and hope for a shockable rhythm).
This probably not one of the newer models around. The video was done at a school used for training of students and familiarization of the process. Newer units are most likely being used today.
You need to be very careful with this defib. It is poorly designed and promotes use errors, that you really don't want during a code. If you are looking to buy a defib, I would stay away from this model. Some of its problems are shown in this video: ua-cam.com/video/vyQ_af3CvwE/v-deo.html
Our goal in the video was to primarily show the operation of the defibrillator unit. Appreciate the suggestions though.
Your Lifepak 20 machine are widely used. A trusted emergency machine. Thanks ma'am. :)
Great video.....and good for new nurses
very helpful thanks
Great video and very educational so thank you
I've had a cardioversion for Afib Aflutter and SVT The first episode of SVT I had I was 16 years old then it scared the shit out of me and a cardioversion SUCKS I've also had a cardioversion with adenosine
So sorry you had to experience going through all of this. But on the flip side, you’re still alive and here to tell about it! Certainly not a procedure one wants to go through without some sedation!
@@patvaughn9987 Yeah Verced is the shit
@@scottymacalister5436 Shit,
Why is a pulse needed when we use synchronized cardioverion but when we defibrillate we dont want a pulse?
Why is synchronised cardioversion used with a pulse? If a patient is in SVT, the machine will shock the patient on the R wave which is critical to avoid cardiac arrest. With defibrillation the shock is delivered at any point in the QRS cycle because the patient won't have a pulse. Therfore it doesn't matter in that situation
Can I get this
Nice video, but... would have helped to demonstrate how to apply the pads on the patient and the electrodes. ...and the pot without gown would be nice. Nic
Agreed
Where can i see that he has a pulse? I only see heart rate but its not the same.
This was done on an electronic manikin several years ago.....sometimes things don’t always match on them, or lag behind what’s programmed.
iam from srilanka if you can sir please do a video series about biomedical instrumentation and their working principles
I am sorry I am not the expert to do this. Please keep looking though, I’m sure the manufacturers have made those videos.
Vtach , prior to that was adenosine ordered, you defib with no pulse was the rhythm converted to Vfib? Was epinephrine and amiodarone prepared?
You cardiovert because there's a pulse, then 85/40 unstable then why not defibrillate, what to sync in the r- wave when there's a chaotic rhythm, ah ok later you said there's still a pulse so cardiovert though not converted to normal rhytm after joules increase. Later you defibrillate hemodynamic and pulse assessment. Was CPR done and epinephrine ordered? How about Et tube , capnography and oxygen via bagging?
When you went to 7 joules you were choosing a different charge and it stops charging so it didn't work on the last shock because you never pressed charge but overall good video
Thanks for your response. We try not to expose the expensive manikins to much energy. The other reason is safety of our students who are on their initial journey learning about this technology.
cool dog i would name him bruno or boris
awesome. thanks so much.
When you said you will use defibrillation if patient has no pulse, you meant if it's PEA? Defibrillation wont work if heart is in asystole state.
No, defibrillation will only be performed in pulseless ventricular tachycardia or ventricular fibrillation...there is not a pulse generated in either of those rhythms. PEA will not generate a pulse, either, and should NOT be defibrillated. Hope that clarifies.
@@patvaughn9987 What is pulseless vfib? Heart is beating in vfib, but it's not pumping blood. Is that pulseless vfib? How's PEA treated? With CPR?
I’m going to point you towards the American Heart Association and their Advanced Cardiac Life Support course for more detailed explanations. Their guidelines are followed through much of the world. You will find what you need there.
@@patvaughn9987 Thanks. I look forward to them
I think I get what your saying.. If a person is in V-tech or V-fib you can still shock without a pulse because they have a shockable rhythm in the heart. With Asystole you can't shock because there is no rhythm what so ever in the heart and also is pulse less ( at this point your best bet is epi to jump start the heart again and hope for a shockable rhythm).
thanks!!!!
Why mannequins are not talking or alive
They mannequins they not alive
good
3:40
I'm not familiar with lifepak20. Thanks for this.
This probably not one of the newer models around. The video was done at a school used for training of students and familiarization of the process. Newer units are most likely being used today.
The shock is gonna scare me
Im not available gonna full, heart will shock they have supraventricular tachycardia.
Use an AED plus
Pacing is chapture
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Might want to redo this without the stumbling and confusion.
You need to be very careful with this defib. It is poorly designed and promotes use errors, that you really don't want during a code. If you are looking to buy a defib, I would stay away from this model. Some of its problems are shown in this video: ua-cam.com/video/vyQ_af3CvwE/v-deo.html
Video is out of focus. Cheap camera? Dirty lens?