Check out our ABG Case Bank, containing over 60 ABG and VBG cases with step-by-step interpretations and detailed explanations: app.geekymedics.com/purchase/blood-gas-cases/
Thanks to this video I was able to take 5 ABGS in a row in under 25 minutes. Which was amazing considering before I would waste 30 minutes on just 1 ABG.
Loved this, not a med student but a brittle asthmatic, I've had a few of these done and from a patient point of view I find it nice and calming/reassuring when doctors explain what they're doing beforehand like in the video (unless its an emergency of course)
Not to mention that reperfusion of hand being so classic : the lateral part having quicker reperfusion, and the medial, while slower, will eventually be reperfused
I had one done a few weeks ago bc I’m an asthmatic, dunno why I’m now suddenly extremely interested in this since i’ve had them before 😂😂 major props to the volunteer!
” Lovely job obtaining necessary demographic information and the segue “Nice to meet you James” humanizes and dignifies the interaction. Andrew, you did a nice job eliciting the medical history pertinent to the procedure, the checking of the hand circulation. Brilliant!
Only thing to note, always safety net the patient after the procedure. If you notice any bruising, swelling or you continue bleeding for a prolonged period, get back into back with us or your GP etc.
Very helpful video. Only thing that always worries me when taking ABG samples is the possibility of injury while removing needle and applying firm pressure immediately with the other hand. Is that a thing?
1. You do not need, and will not be able to, in clinical practice, give local anaesthetic before doing ABG. they are done primarily in emergency situations and when venous sampling is unsuitable and 2. You should engage the needle safety device by pushing the cover against a surface; definitely not with your finger as theoretically this increases the risk of needle-stick injury.
+Andythrax The British Thoracic Society recommends the use of local anaesthetic in all situations except in emergencies or when a patient is already anaesthetised. See guidelines here www.brit-thoracic.org.uk/document-library/clinical-information/oxygen/emergency-oxygen-use-in-adult-patients-guideline/emergency-oxygen-use-in-adult-patients-guideline/ In regards to the way in which the safety guard on the needle is engaged, see the device makers instructions here www.bd.com/hypodermic/products/safety_needles.asp
I’ve had this done to me a few times now in resus and never been Anaethetised, actually one of the students docs had a couple of goes - after having quite a few needles punched into me another one didn’t hurt too much! No anaesthetic needed I’d say!
I had this done, apparently by a person who was either new or just not good at it. There was no anesthetic. It was the worst torture ever. I was clenching my teeth to keep from screaming. She was unsuccessful on my right wrist and tried the left with no luck until I made her stop. If I thought I was going to go thru that again, I would run. Thirty seven years ago and I still get queasy thinking about it
I am going for a PFT study and don’t know if it will lead to an ABG test. I noticed in the video that there was an local anesthetic. I did not see that applied to his arm before they drew the blood from his artery. Was that just supposed?
I can't believe they used to do these on me as a child without numbing me first. Didn't even kno that was an option or what is supposed to happen until today. No wonder it was so fckn painful! Smh 🤦🏾♂️
does'nt always go so easy . i've had several done COPD. crunching in wrist several pokes results coming back as no good huge swelling of blood at withdraw site bruising down whole arm pain in wrist for days
Im not a medical professional, can anyone explain the reason for washing your hands and then put on gloves? Aren't the gloves serving the same purpose?
Blood gasses tell how much oxygen your blood is carrying from the artery, which contains the most oxygen because it comes straight from the lungs. Next to the oxygen saturation of blood, a blood gas tells us something about the pH and acidity of blood, blood being naturally a little bit basic (pH 7.35 -7.45), and if this balance is disturbed looking at components which build this balance can point us in the direction of where the problem is
Drawing blood from the underside wrist area (arterial and vein) tends to burn and pinch more for most people than a venipuncture elsewhere. It can lead to the patient reacting physically to the stress or just an uncomfortable stick.
Just one thing: if you're "washing your hands" as shown in the video, by using hand sanitizer, that's fine, but you might want to do a more thorough job of "washing" by spreading your fingers APART. Moreover, cover your entire hands (front and back) with sanitizer, and SCRUB.
Check out our ABG Case Bank, containing over 60 ABG and VBG cases with step-by-step interpretations and detailed explanations: app.geekymedics.com/purchase/blood-gas-cases/
Thanks to this video I was able to take 5 ABGS in a row in under 25 minutes. Which was amazing considering before I would waste 30 minutes on just 1 ABG.
James a livin mannequin
Right 👀😅
Loved this, not a med student but a brittle asthmatic, I've had a few of these done and from a patient point of view I find it nice and calming/reassuring when doctors explain what they're doing beforehand like in the video (unless its an emergency of course)
Watch our ABG interpretation video here: ruclips.net/video/nBRC1A87aDs/видео.html 💉
Learn clinical skills on the move and support us in producing more awesome videos with the Geeky Medics app geekymedics.com/geeky-medics-app/ 👾💉🎉
First time I saw the modified Allen's test! Goddamn!!!
Not to mention that reperfusion of hand being so classic : the lateral part having quicker reperfusion, and the medial, while slower, will eventually be reperfused
Supercharge your clinical skills with our collection of OSCE Stations, Questions and Flashcards 👾 geekymedics.com/bundles
Doing my clinicals, looking forward to getting these down.
Watching this because my girlfriend is explaining her day at work taking blood gas for covid patients
I had one done a few weeks ago bc I’m an asthmatic, dunno why I’m now suddenly extremely interested in this since i’ve had them before 😂😂 major props to the volunteer!
CI: Circulation problem, blood thinner ex. Warfarin, problem in blood clotting, allergy.
Love ur vidd
” Lovely job obtaining necessary demographic information and the segue “Nice to meet you James” humanizes and dignifies the interaction.
Andrew, you did a nice job eliciting the medical history pertinent to the procedure, the checking of the hand circulation.
Brilliant!
Thank you!! I have my MBBS OSCE the day after tomorrow. Wish me good luck!
+Hikari Elf Hope your OSCE went well! 🏆
Good luck
How did it go?
PLAB 2 in 3 days. Thank you James and Andrew❤
Good luck Faisal!
Only thing to note, always safety net the patient after the procedure. If you notice any bruising, swelling or you continue bleeding for a prolonged period, get back into back with us or your GP etc.
British English is so much more direct in terms of pronunciation. Take for instance how he pronounces blood, more like blúd
How do you pronounce blood where you’re from? And I think you mean English English, the rest of Britain pronounce it very differently
You actually demonstrated this on a real person? Taking one for the team!
I guess I can genuinely say that working on Geeky Medics for 11 years has involved blood, sweat and tears (Lewis - Founder/Hand model)
2nd year RT please be good to me
Thank you for posting this it was helpful.
Gonna drop the Geeky Medics intro at a post-OSCE rave, bust out the robot dance and inevitably be crowned King of the Universe.
Very helpful video. Only thing that always worries me when taking ABG samples is the possibility of injury while removing needle and applying firm pressure immediately with the other hand. Is that a thing?
Such a fine and detailed video keep making such videos 👍👍
Label specimen, document temperature & how much O2 (if any) of pt at the time of draw.
1. You do not need, and will not be able to, in clinical practice, give local anaesthetic before doing ABG. they are done primarily in emergency situations and when venous sampling is unsuitable and 2. You should engage the needle safety device by pushing the cover against a surface; definitely not with your finger as theoretically this increases the risk of needle-stick injury.
+Andythrax The British Thoracic Society recommends the use of local anaesthetic in all situations except in emergencies or when a patient is already anaesthetised. See guidelines here www.brit-thoracic.org.uk/document-library/clinical-information/oxygen/emergency-oxygen-use-in-adult-patients-guideline/emergency-oxygen-use-in-adult-patients-guideline/ In regards to the way in which the safety guard on the needle is engaged, see the device makers instructions here www.bd.com/hypodermic/products/safety_needles.asp
@andythrax Very well said
I’ve had this done to me a few times now in resus and never been Anaethetised, actually one of the students docs had a couple of goes - after having quite a few needles punched into me another one didn’t hurt too much! No anaesthetic needed I’d say!
Not to mention when you go to clinicals you will most likely not be allowed to perform these at your rotation sites
It is UNETHICAL to perform a routine ABG without local anaesthesia as it falls WELL BELOW the accepted current best practice standards and guidelines.
In how many minutes the sample should reach the ABG analyser machine....
less than 10 minutes
Within 15 on ice at my hospital
Very helpful! Thanks.
I had this done, apparently by a person who was either new or just not good at it. There was no anesthetic. It was the worst torture ever. I was clenching my teeth to keep from screaming. She was unsuccessful on my right wrist and tried the left with no luck until I made her stop. If I thought I was going to go thru that again, I would run. Thirty seven years ago and I still get queasy thinking about it
For an arterial procedure the site must be cleaned with what?
An alcohol swab
I am going for a PFT study and don’t know if it will lead to an ABG test. I noticed in the video that there was an local anesthetic. I did not see that applied to his arm before they drew the blood from his artery. Was that just supposed?
-Are your comfortable?
-No I’m not
Thanks for watching
oh my god I love your channel. the videos are good
Excellent.
Excellent video.Thanks.
Thanks sir
nice videos kindly upload a video on intradermal injection
Thanks
Nice work, minor comment: labeling the sample with pt's details is missing. :D
its described to do it 02:50
Great stuff
Thanks!
I can't believe they used to do these on me as a child without numbing me first.
Didn't even kno that was an option or what is supposed to happen until today.
No wonder it was so fckn painful! Smh 🤦🏾♂️
How to expel the heparin?
silver starlight the heparin is already lined in the syringe :). Edit: it says to expel in this video, in The USA I’ve always seen them already lined.
Nice work
Grt work
Thank you
does abg blood sample look bright red in colour???
Blood from arteries have oxygen that’s why it’s bright..
Definitely brighter than venous blood of same specific person. But patients with low saturation often even have dark arterial blood.
yes and a venous sample may be dark
does'nt always go so easy .
i've had several done COPD.
crunching in wrist several pokes results coming back as no good huge swelling of blood at withdraw site bruising down whole arm pain in wrist for days
New subscriber here👋
Also remember to safety net after
Are we not supposed to shake it?
It needs to be rolled within the hands to integrate the heparin, but right not shaken
Im not a medical professional, can anyone explain the reason for washing your hands and then put on gloves? Aren't the gloves serving the same purpose?
What is the purpose of this test
Blood gasses tell how much oxygen your blood is carrying from the artery, which contains the most oxygen because it comes straight from the lungs. Next to the oxygen saturation of blood, a blood gas tells us something about the pH and acidity of blood, blood being naturally a little bit basic (pH 7.35 -7.45), and if this balance is disturbed looking at components which build this balance can point us in the direction of where the problem is
good video
Why is local anaesthetic used for this procedure? It's not really that necessary the pain isn't that much and you are puncturing the skin twice...
Why anestetic????
Drawing blood from the underside wrist area (arterial and vein) tends to burn and pinch more for most people than a venipuncture elsewhere. It can lead to the patient reacting physically to the stress or just an uncomfortable stick.
Because abgs hurt lol
Good
Nice
Why heparinized syringe?
To prevent blood clotting
Last year finally 😂😂😂
Good work
#nursewinners
Phlebotomist and paramedic student here lol
Best
Just one thing: if you're "washing your hands" as shown in the video, by using hand sanitizer, that's fine, but you might want to do a more thorough job of "washing" by spreading your fingers APART. Moreover, cover your entire hands (front and back) with sanitizer, and SCRUB.
theres always a critic in medicine
anyone else catch that he was born the exact same day as taylor swift lol
Jams is a vampir 😅
Wish me good luck
CI: practical exam 100
It must be painful for the actor 😭😭
👍👍
Turkish subtitles will be even better
Nice