Pulseless electrical activity (PEA) and asystole | NCLEX-RN | Khan Academy

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  • Опубліковано 7 лип 2014
  • Created by Bianca Yoo.
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КОМЕНТАРІ • 50

  • @lotabob
    @lotabob 7 років тому +9

    Fantastic video. Quick, clear and packed with info.

  • @jadz328
    @jadz328 4 роки тому +3

    Thank you...very well explained! So easy to understand!

  • @cassalynnvictoria1496
    @cassalynnvictoria1496 5 років тому

    Great video! Thanks!

  • @Tobonouille
    @Tobonouille 5 років тому +1

    Very well explained video for someone that is not in medical but still work for medical people, thank you !

  • @lulustoovintage4710
    @lulustoovintage4710 2 роки тому

    So well explained!

  • @atomicpuma492
    @atomicpuma492 6 років тому

    Great videos. Thanks

  • @VickiBee
    @VickiBee 9 років тому +10

    Cardiac tamponade: One of our patients died from that.
    The only thing you can do for it is get the person into surgery as fast as possible, bc trying to open the chest in ER (while you're waiting for all the conditions to be right to get them into surgery) hardly ever works. I've only heard of 2 times that it worked in such a case.
    You don't give someone with a pulse CPR either. The EMT Instructor kept saying to me "Don't give CPR to someone with a pulse, it pisses them off."

    • @kurdman12345678
      @kurdman12345678 8 років тому +1

      is it possible for someone with asystole and flatline to come back and recover.

    • @rick6011
      @rick6011 4 роки тому +1

      They usually do pericardiocentesis to get that blood out to begin with which doesn't require a thoracotomy. Something that has to be sterile to do, but not necessarily in the OR.

    • @rick6011
      @rick6011 4 роки тому +1

      @@kurdman12345678 yes

  • @faithbullockaustinbullockb8612
    @faithbullockaustinbullockb8612 3 роки тому +7

    My 15 year ok’d daughter died after Going into sudden cardiac arrest, I remember reading both of these terms on her EMT report. I wish I understood more of how and why this happened to her, after an autopsy and many EKGs before she died due to chest pain there was Never any reason found for her to go into SCA :(

  • @Anne-tp7ny
    @Anne-tp7ny 3 роки тому

    Excellent. Thank you

  • @mosaicrainbow6689
    @mosaicrainbow6689 2 роки тому

    Thank you!!! Soo grateful

  • @sunnytalukder1711
    @sunnytalukder1711 5 років тому

    thanks a lot!!!

  • @reemqu1999
    @reemqu1999 2 роки тому

    very clear thank u

  • @MrBlablobliblablu
    @MrBlablobliblablu 8 років тому +1

    Good video and up to date information. alot of bad info cirkulating on youtube. keep up the good work :)

  • @nolickspittle4753
    @nolickspittle4753 2 роки тому

    Brilliant and thanx

  • @odetayoomolarafoluke6251
    @odetayoomolarafoluke6251 Рік тому

    Great video

  • @muhammadhayatkhan3730
    @muhammadhayatkhan3730 4 роки тому

    Excellent...mem ...😍

  • @menderinabebe9578
    @menderinabebe9578 3 роки тому

    Life saving vedio 🙏

  • @tonydebaka3967
    @tonydebaka3967 4 роки тому

    With all objectivity, Khan Acad. I've gift to humanity. I live 7,000 miles away from the US and to be able to have all this medical info. At my finger tips is phenomenal. I say this even though I am not in the medical field but to get this detailed info. Is superlative, especially when you live in a part of the world where medical info. Is mediocre at best. Much obliged KA

  • @ShinichiKudou2008
    @ShinichiKudou2008 2 роки тому

    Can some specific kinds of PEA be diagnosed solely through ECG, or does it need other means to be diagnosed anyway? I know that a PEA can have a normal-looking ECG

  • @gloryodion672
    @gloryodion672 5 років тому +1

    Thank you soo much, this video was very informative and well explained, may God bless you!

  • @ivyrosales3582
    @ivyrosales3582 5 років тому

    So the heart stops? I thought there was just an arrythmia with some kind of ECG waves present but no pulse? For PEA.

  • @912sonic
    @912sonic 4 роки тому

    Can someone tell me, does the heart nodes (ex: SA NODE etca) use oxygen? Cuz I dont get how the NODES still work without oxygen?

  • @hellokayetty
    @hellokayetty 3 роки тому

    love this,, Now I understand the concept , thank you

  • @dingleberrythebuttplugger5253
    @dingleberrythebuttplugger5253 5 років тому +2

    Someone help me understand this: I know PEA is just electricity with no actual pump action, however, how does it create a NSR pattern if there's no actual contractility? The contractions are what causes the P, QRS and T wave forms, so how is there waves with no contractions?

    • @Lukania13
      @Lukania13 4 роки тому +4

      6 Months late and I assume you figured it out lol, but an ECG reads the electrical activity, not the contractions.

    • @Big_Chungus935
      @Big_Chungus935 2 роки тому

      So what happens physically in heart during pea?

  • @anthonymartinez5539
    @anthonymartinez5539 4 роки тому +2

    I've noticed when I'm on PEA the intense feeling isnt accompanies by increased heartrate.

  • @advancedxdirective
    @advancedxdirective 3 роки тому +1

    4:27 "we never shock anyone with a pulse"
    what about SVT? That rhythm can be shocked

    • @colonelkarl3053
      @colonelkarl3053 2 роки тому

      I'd guess they meant with unsyncronised cardioversion, not syncronised

  • @iwantmyfriescrispynotburnt3981
    @iwantmyfriescrispynotburnt3981 5 років тому

    Sounds good in 0.75

  • @sapmttamimi977
    @sapmttamimi977 Рік тому

    why do we defibrillate using AED to a patient in say during a sudden cardiac arrest, does that mean patient is in a V-Fib state causing his heart not to contract and produce pulse?

    • @TheFantomsLair
      @TheFantomsLair Рік тому +1

      The AED cheks automatically if it's a shockable rythm, and only defibrillates if it is. In that case it may restore the pulse, but if the patient is in a non-shockable rythm it just tells you to do chest compressions

    • @sapmttamimi977
      @sapmttamimi977 Рік тому

      @@TheFantomsLair thanks🤙

  • @mariamslowinsky3283
    @mariamslowinsky3283 6 років тому +3

    Great video but please bear in mind that many of the viewers are not native English speakers and clear pronunciation and quality of voiceover matters.

  • @youtubeppt.7991
    @youtubeppt.7991 3 роки тому

    I can’t focus with the nasally talk :(

  • @drew9160
    @drew9160 7 років тому

    Why not pace asystole?

    • @MChell87
      @MChell87 5 років тому +1

      with asystole, unless witnessed from a block to asystole, it is unlikely that pacing will produce appropriate cardiac output. Best to treat with CPR and meds to maintain a CO and try to quickly identify the cause of asystole (H and T's) l

    • @rick6011
      @rick6011 4 роки тому +1

      @@grilledcheese2285 you can shock other rhythms as well, like symptomatic narrow and wide complex tachycardia and symptomatic bradycardia.

    • @rick6011
      @rick6011 4 роки тому +1

      @@grilledcheese2285 shocking isn't just defib. It's defib, pacing, and cardioversion.

  • @joshuafuchs2791
    @joshuafuchs2791 Рік тому

    Good video overall but it should be mentioned that in some instances someone with a pulse can be shocked(cardioverted) if there is a pulse and they are in a tachydysrhythmia. Its called synchronized cardioversion and it helps to reset the heart. It is a different process however and requires synchronization of the R wave and not just a random Defibrillation shock.

  • @kamille6291
    @kamille6291 7 років тому

    how comes she said shock able rhythms are v fib and pluseless v tach dont have pulse and then say they never shock a pulseless person

    • @robertlee1771
      @robertlee1771 6 років тому +1

      She said they never shock a person with a pulse.

    • @standuba
      @standuba 6 років тому

      vtach and v fib are exceptions to the rule because you shock to basically reset the heart back to normal rhythm. Thats why she mentioned they belong in their own little special category.

  • @MamaSunnyside
    @MamaSunnyside 8 років тому +1

    the narrator talks very fast which has the effect of slurring and cutting off her words. I had trouble understanding what she was saying most of the time. Slow down!!!