Advanced Life Support CPR Test Demonstration
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- Опубліковано 19 тра 2024
- The approach to the deteriorating and arrested patient is a critical part of every doctors education!
In this video, our ALS coaching team steps through how we would approach the deteriorating patient who arrests.
This demonstration is with only 2 helpers as consistent with our final test for the ALS trainees. While this is a bit artificial from a normal resuscitation it helps us to demonstration the technical skills and flow of an arrest.
Thanks for watching!!!
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Thank you for helping me get the algorithm straight in my head. This sim was a good example.
Thank you for this video
It was very informative for my ALS certification. Thank you
great learning tool
Very helpful
excellent thank you!
Very helpful thanks
very good
Amazing x
Thankyou so much
Most welcome 😊
9:58 why is that a non shockable rythm ? Isnt that still a vf ? Or is it VT, which is why she ordered to take a pulse ?
some long awkward pauses on the CPR there - @ 7:20 i count around 22 seconds without CPR - as soon as that shock is delivered the leader needs to direct someone back onto the chest immediately
Again at 8:18 delivering the shock - around 10 seconds before instructing the compression provider
much better @ the 9:25 mark with recommencing
Good effort from this lady though - these simulations are the places to learn
It is easy sat watching from the comfort of my chair to criticize xD
thank you i found this very helpful 😊
Please correct me if I’m wrong, it’s for my clarification too, but at 9:30 are you supposed to give another 1mg of adrenaline since it’s after fourth shock? Thanks
She should have requested adrenaline after 3rd shock, so the next one would be after 5th shock. But you are right, it is given after every other shock.
Should be alternate every other shock after 3rd shock
Pad application is not normally placed when patient is conscious.
if you are worried about a patient who is unstable putting the pads on can be appropriate especially if they look unwell.
Airway wasn't secured?
What guidelines again you’ve used not to give adrenaline in 3rd shock? I know adrenaline and amio to be given after 3rd shock
I think adrenaline after 2nd shock then 2nd cycle and amiodarone after 3rd shock
At 4:55 there’s a 15 second period with no compressions taking place. That could be improved upon. Immediately after the shock is delivered, glance at the monitor (should be able to interpret a 4 lead instantly on sight) and jump right back into compressions if it’s still an arrest rhythm.
Rather than assessing the rhythm, you would be going straight back onto the chest after CPR, unless the patient is showing signd of ROSC. Even if it sinus rhythm, it is the patients breathing/conscious state that dictated CPR, not the ECG waveform.
where is the damn code blue team?
haha
Hiding in the tea room or charting meds.
“Oh shit it’s a real one?!”
I failed compressions today
Adrenaline after 3 shock!
adrenaline is after the 2nd shock amioderone is after the 3rd shock
@@kc1999kc adrenaline immediately in non-shockable rhythms
Noted Oxygen is still connected whilst shocking the patient!!!
Yes correct, ARC guidelines… keep
Oxygen connected for closed circuits (LMA, ETT). Remove for open- mask ventilation. :)
This is terrible. No one venting . Off the chest too long and for got the 3rd round of adrenaline as well as amiodarone
Its a simulation with minimal help. In a real hospital emergency you'll have people flocking to help. The policy here is adrenaline after 2nd shock and amiodarone after 3rd shock - exactly how it was done in this simulation.
Hh
ua-cam.com/video/ubH0GAMaN28/v-deo.htmlsi=P_RGq6moHyu7pYNI
Might want to look up the ARC guidelines before attempting to gasbag a well thought out yt video somebody has taken the effort in uploading
Amiodarone 3rd shock ✔️
Adrenaline after 2nd shock ✔️
There are literally 2ppl there for CPR. This is a hospital sim, not some roadside assistance so of course there will be more hands on deck for CPR
1 mg of Adrenaline and 300mg of Amiodarone should have been given after the 3rd shock. 😬
That might depend on Guidelines. The ANZCOR guidelines and Australia/NZ recommend Adrenaline 1mg after 2nd shock and Amiodarone 300mg after 3 shocks.
this is an absolute mess
I thought it was excellent. You can't just call it an 'absolute mess without clarifying why you think it's an absolute mess......