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Keep Calm and Learn On
Добавлен 4 мар 2021
May your coffee be strong and your scrubs be clean :)
This channel is composed of clinical education for nurses, paramedics, LNA's, EMT's, techs, respiratory therapists, pharmacists, and front-line clinical staff. Any and all information shared in these videos is the opinions of this clinical nurse educator and guest video hosts, and should not be used in place of medical advice or hospital or statewide guidelines.
This channel is composed of clinical education for nurses, paramedics, LNA's, EMT's, techs, respiratory therapists, pharmacists, and front-line clinical staff. Any and all information shared in these videos is the opinions of this clinical nurse educator and guest video hosts, and should not be used in place of medical advice or hospital or statewide guidelines.
Cardiac Rhythm Interpretation Course Part 5: Heart Blocks
Reviewed first degree, second degree type 1 (Mobitz I/Wenckebach), second degree type 2 (Mobitz II), and third degree heart block.
Просмотров: 159
Видео
Cardiac Rhythm Interpretation Course Part 4: Ventricular Rhythms
Просмотров 1022 года назад
Reviewed premature ventricular contractions, idioventricular rhythm, accelerated idioventricular rhythm, ventricular tachycardia, ventricular fibrillation, and asystole.
Cardiac Rhythm Interpretation Course Part 3: Junctional Rhythms
Просмотров 1242 года назад
Reviewed premature junctional complexes, junctional rhythm, accelerated junctional, and junctional tachycardia.
Cardiac Rhythm Interpretation Course Part 2: Atrial Rhythms
Просмотров 1252 года назад
Reviewed normal sinus rhythm, sinus bradycardia, sinus tachycardia, sinus arrhythmia, premature atrial contractions (PACs), atrial fibrillation, atrial flutter, and supraventricular tachycardia.
Cardiac Rhythm Recognition Course Part 1: Basics and Background
Просмотров 2262 года назад
Reviewed the A&P and electrophysiology of the heart, waveforms and intervals, measuring using EKG paper, and the five steps of rhythm interpretation (assessing regularity, rate, P & QRS complex relationship, PR interval, and QRS interval).
Ventilator Management with a Dash of ABG Interpretation
Просмотров 5 тыс.2 года назад
Overview of ventilator management, including settings, modes, complications, and utilizing ABG's to help with ventilator management.
The 8 P's of Intubation
Просмотров 5782 года назад
Reviewed the 8 P's of Intubation: 1. Patient assessment and preparation of equipment 2. Positioning of the patient and yourself 3. Pre-oxygenation 4. Plan for failed attempt (discussing back-up airways and other options) 5. Pause (getting everyone on the same page before the intubation takes place). 6. Paralysis with induction (review of the most common induction agents and paralytics, as well ...
12 Lead EKG and ACS
Просмотров 1072 года назад
Review of electrophysiology and coronary arteries, the 12 lead EKG itself (formatting, leads, placement, etc.), the basics of reading a 12 lead EKG (rhythm identification, R-wave progression, Axis deviation, assessing for T wave inversion, ST depression and ST elevation), STEMI mimics (BER, Pericarditis, Hyperkalemia, Bundle Branch Block, Left Ventricular Hypertrophy, Takotsubo Cardiomyopathy),...
Really Little Humans: Basics of Neonatal Resuscitation and Care
Просмотров 1752 года назад
Reviewed airway, breathing, circulation, and drugs for a neonatal resuscitation including equipment such as the infant warmer and T-piece resuscitator. Apologies for the coughing, I was recovering from COVID at the time of this video!
Procedural Sedation
Просмотров 7 тыс.2 года назад
Reviewed the procedural sedation policy at VRH by breaking down the levels of sedation, monitoring requirements and equipment, and common medications utilized.
Two for One Special: OB Management
Просмотров 262 года назад
Reviewed normal pregnancy, pregnancy complications, placental complications, normal delivery, and delivery complications.
Trauma: Blood and Guts and Bone, Oh My!
Просмотров 1872 года назад
Reviewed triage, primary and secondary surveys, trauma triad of death, head/face/neck/chest/abdomen/pelvis/extremity/spine injuries, estimated blood loss, impaled objects, pediatric and OB considerations, and traumatic arrest.
Mastering the Airway and Assisting with Intubations
Просмотров 1032 года назад
Reviewed primary survey, BLS airway maneuvers, the four indications for intubation, basic equipment, and the 8 P's of intubation (preparation, positioning, pre-oxygenation, pause, paralysis with induction, placement with proof, plan for failed airway, and post-intubation management).
The Down and Dirty: A Crash Course in Commonly Used ICU Infusions
Просмотров 4042 года назад
Reviewed hemodynamics and decision making process, shock, adrenergic receptors, vasopressors and inotropes (Levophed, Epi, Dopamine, Neo, Vasopressin, Dobutamine), vasodilators (Nitroglycerin, Diltiazem, Nicardipine), and sedation/pain infusions (Propofol, Precedex, Versed, Fentanyl, and Ketamine).
The Big Burst Pipe: Aortic Aneurysm and Dissection Management
Просмотров 8322 года назад
Reviews the difference between aortic aneurysms and dissections, thoracic versus abdominal, the assessment pearls and risk factors for dissections, lab and imaging abnormalities, and surgical interventions.
If Sasquatch Doesn't Get You, the Weather Will: Environmental Injuries
Просмотров 462 года назад
If Sasquatch Doesn't Get You, the Weather Will: Environmental Injuries
Little Humans: the Basics of Pediatric Care
Просмотров 1663 года назад
Little Humans: the Basics of Pediatric Care
Pediatric Code Syringes: How to Draw up the Appropriate Dose
Просмотров 11 тыс.3 года назад
Pediatric Code Syringes: How to Draw up the Appropriate Dose
Hi, that’s a great point to clarify about phentolamine and absorption! You are right, it doesn’t directly absorb the medication; how I think of it is that the vasodilation caused by the phentolamine allows for increased blood flow, in which the medication can be better absorbed and removed from that area via the circulatory system. Great point though, I’m glad you asked so I could better clarify!
Thank you
This would be a 0.01mg/kg dose?
Yes
Thank you
This was so helpful thank you!!
Great video! Clear, simple and super useful. Thank you.
Very useful, very helpful!!! Thank you!
Most gastroscopies are not painful, yet these patients routinely get sedation. Yet patients having painful bone marrow aspirations and bone marrow biopsies are offered only local anaesthetic which does not address pain occuring when bone is penetrated and marrow is aspirated. If any procedure causes patients to have pain, it is only humane to offer sufficient sedation.
@7:16 the statement is "you are pushing point 17 mg epi." But the amount is one point seven, not point one seven.
Hi! I’m really glad you brought that up; this is what can make code Epi so confusing! This example is for a 17 kg child; so 1.7 mLs are administered from the 1:1000 syringe, but the dose is 0.17 mg. So it can be confusing, because one number reflects how much in VOLUME the patient is receiving (that is the 1.7 mL) and the other number reflects how much medication within that volume that the patient is receiving (which in this example is the 0.17 mg). This confusion can lead people to accidentally underdose patients because they draw up the mg number thinking it is the mL number. I hope that helped to clarify it a little bit more!
Is a left atrial rhythm considered a normal rhythm?
Hi Victoria! I’d argue that it is not a normal rhythm, as a true normal rhythm stems from the SA mode in the right atrium which yields normal, upright P waves in all 12 leads. Hope that helped :)
Thank you for this video!! Clarified a lot of my confusion on vent!
Thank you!!!!!!! I’ve started working in the ICU, worked with vented patients. This, of all the videos I have watched have been one of the best, as it really allowed me to get a full picture.
I’m so glad!! Good luck on your new career in the ICU :)
Greatly explained thank you so much doctor 💕
beneficial explanation, getting ready to take my TMC exam
I've been a paramedic for 3 years, learned the standard 0.01mg/kg of 1:10,000 formula, but always struggled and second guessed myself when it came to actually using it. This made it so stupidly easy! Thank you!
Awesome tips! Do you find that a sub code epi dose is ever called for during resuscitations? I’ve heard some providers call it an epi kiss, etc. If so, do you have tips on doing a quick dilution at bedside?
Good demonstration. I learned from this video thanks.
Please do a discussion of the complications of a Demerol-midazolam push for procedural sedation. Do hospitals require a full record of timing and dose of pushes, and all physiological and behavioral data? End-tidal CO2 monitoring is considered essential data during use of procedural sedation.
Ketamine is a dissociative drug, not considered a humane anesthetic, alone, in veterinary medicine, as it does not have significant analgesic efficacy. Why would human medicine even consider pushing ketamine, alone?
Sometimes, ketamine is used as an intramuscular, short-acting emergency restraint on an individual who is an imminent physical danger to themselves or others. However, this is often followed with other meds to address the underlying medical problem.
AMAZING video!! I’ve worked in Peds for years and coded many patients. This is always so stressful. You make this so peaceful and easy to retain what you teach! Thank you!!
I’m so glad it was helpful!! Thank you so much for your kind words :)
This is super helpful. May I please ask what is the difference between stopcock and connector adapter? Can you use 2-way stopcock? Thank you!
Thanks Cindy! The biggest difference between a stopcock and connector adapter is that the stopcock has the two female ports need to connect your code syringe and 1/3/5/10 mL syringe to, and a connector adapter typically only has a female port and a male port (so you would only be able to attach one syringe but not the other. You need to be able to attach both syringes to one device to make it work.) That being said, there are some 2 way stopcocks that have the ability to connect two syringes to, so if you stock those in your area you could absolutely use those! Hope that helped :)
This information is great. Thank you.
Lung cancer symptoms: pain in these parts of the face in Hindi 👉 www.someidea.in/2022/05/lung-cancer-symptoms-pain-in-these.html
I am very thankful, you made it so easy
Thank you! I’m glad it was helpful! :)
You are a great educator! You made a stressful task easy. Thanks
Thank you!! I’m so glad it was helpful :)
Thanks for the demonstration!😊