ACLS Megacode

Поделиться
HTML-код
  • Опубликовано: 19 июн 2024

Комментарии • 166

  • @mitchellturnbull3988
    @mitchellturnbull3988 8 лет назад +247

    This was the calmest code ive ever seen. Haha

    • @zeezeebo
      @zeezeebo 7 лет назад +9

      It's for teaching purpose

    • @LuvMusicTay
      @LuvMusicTay 7 лет назад +37

      In my oppinion this should be the correct posture. Loosing the calm makes you feel angry and take bad decisions.

    • @abiarumugam4527
      @abiarumugam4527 6 лет назад +11

      this is the new protocol of acls. advanced cardiac life support.. it's team management, no panic.

    • @deeprollingriver5820
      @deeprollingriver5820 4 года назад +1

      Mitchell Turnbull no kidding. Very deceptive

    • @trevor19qhshe
      @trevor19qhshe 4 года назад

      Compared to screaming, yes xD

  • @Siggyy88
    @Siggyy88 7 лет назад +148

    Just for people coming for information: we no longer use vasopressin in the 2015 cardiac arrest algorithm. (I know this is a somewhat older video)

  • @turtletortuise
    @turtletortuise 7 лет назад +81

    I know this came out in 2014 but I just wanted to say if anyone is watching now that Vasopressin has been out of the protocol for a couple of years now.

    • @Kickingcrush
      @Kickingcrush 2 года назад

      I see it used still

    • @madnoun77
      @madnoun77 2 года назад

      It’s 3rd line

    • @simonebascoe2801
      @simonebascoe2801 Год назад

      How come. I’m in my last year just wanna get some field knowledge.

  • @hvsm1944
    @hvsm1944 8 лет назад +17

    I always sit and watch BLS and ACLS videos to update my knowledge

  • @Kim-ou7lc
    @Kim-ou7lc Год назад +10

    This is how the codes are in my hospital… even with teaching. Some doctors are just chill and confident

    • @kevinlessman3999
      @kevinlessman3999 Год назад +1

      I agree! I'm a paramedic student and our er doctors are very chill running a code WHILE showing me the EKG and what it means

  • @jojo-cy1bq
    @jojo-cy1bq 6 лет назад +42

    showing the rhythms would have been beneficial and an explanation why each drug is given

    • @eddies366
      @eddies366 2 года назад +2

      You should know what to give, how much to give, when to give it and your route of administration by this point. If you don't know then get an RT to help you. They're the best!

  • @carenkurtz9437
    @carenkurtz9437 8 лет назад +13

    wow everytime I watch BLS,PALS and ACLS skills I have never remained the same. thnx AHA for this knowledge love you guys

  • @arneldelara7164
    @arneldelara7164 7 лет назад +53

    Mrs. Fernandez turned into a rubber.

  • @mallukwt89
    @mallukwt89 5 лет назад +1

    Thank you for uploaded this video,, who has attending the ACLS, it will more help full

  • @erickanew
    @erickanew 5 лет назад +30

    Why can't all doctors be like this, so calm and understandable

    • @MrJvasud
      @MrJvasud 4 года назад +3

      Because of Ego and Sarcasm

    • @sanadbenali6993
      @sanadbenali6993 3 года назад +4

      cortisol, saliva, adernaline stress effects on voice (interesting read)

  • @JakeObnial
    @JakeObnial 7 лет назад +26

    I remember having a code after eating lunch. I did compressions and I felt like I wanted to vomit in the first 30 seconds :( I had to switch really bad.

  • @leahlott1463
    @leahlott1463 4 года назад +9

    "BP 70/40, HR 45" doc was like, 2L NASAL CANULA!??? lol

  • @nancyobora6067
    @nancyobora6067 4 года назад +4

    Well coordinated assignment bravo

  • @andreaskristian1424
    @andreaskristian1424 5 лет назад +2

    Why was the endotracheal tube not inserted in the first time they found the patient was at cardiac arrest? has the algorhythm been changed? i used to know the intubation attempt should be given at the very first time we found patient having cardiac arrest.

  • @carolinebluekiss5050
    @carolinebluekiss5050 Год назад +1

    Thank you so much AHA for the good presentation

  • @likevin9815
    @likevin9815 2 месяца назад +1

    update from 2024, the hypothermia therapy(target temperature management, TTM) is aimed at 32-37.5 degree celsius. also, this is really quite a good video to illuminate how we should practice the mega code section.

    • @Bfair123
      @Bfair123 2 месяца назад

      Did u take your acls

    • @likevin9815
      @likevin9815 2 месяца назад

      @@Bfair123 yup

    • @Bfair123
      @Bfair123 2 месяца назад

      @@likevin9815 can you give an idea what to expect on the classroom, I will take my classroom acls tomorrow, thanks!

    • @likevin9815
      @likevin9815 2 месяца назад

      @@Bfair123 1. no rush, be calm, that's the most important thing and actively apply each team member's position if you are the leader. 2. remember to check pulse/vital signs whenever there is a rhythmic change. 3. if the p't's alive (w/ pulse) be sure to note if the rhythm is regular/irregular, having a narrow or wide QRS complex and whether the patient is stable or unstable and choose the joule of charge accordingly. 4. when ROSC is achieved, aside from a secondary ABCDE evaluation, order a 12 lead ECG to assess if ST elevation is the case. That's the tips my poor brain notices at the moment, hope you pass your test tomorrow!

    • @Bfair123
      @Bfair123 2 месяца назад

      @@likevin9815 thanks!

  • @Docbbop
    @Docbbop 2 года назад +1

    Wow great looking staff, but where are their stethoscopes? and havent seen such well pressed lab coats.

  • @theresadobbins9627
    @theresadobbins9627 8 лет назад

    This was great!

  • @mayquitan3988
    @mayquitan3988 2 года назад +2

    I wish all codes are as calm as this.

  • @TianJunLiu
    @TianJunLiu 8 лет назад +1

    Nice Video

  • @nicoleostoyich3850
    @nicoleostoyich3850 8 лет назад +3

    Grandma from Friday Night Lights!

  • @jerwinvillamero2051
    @jerwinvillamero2051 5 лет назад +4

    vasopressin is now removed on the latest ACLS.

  • @damellman
    @damellman 5 лет назад

    This was great if you want to know which to need to do but it doesn't so you procedures like a medic's case in a ministration in how you actually start the IO /iv . Or how you set up the monitor . To do what want it to do

  • @damonjackson6970
    @damonjackson6970 8 лет назад +26

    No, there is really no benefit. As a matter of fact they have now taken vasopressin out of ACLS with the new update.

    • @rotorn55
      @rotorn55 8 лет назад +4

      +Damon Jackson Vasopressin was removed to simplify the algorithm. This is unfortunate. Instead of expecting providers to improve their knowledge and skills. The update suggests providers can be remedial..

    • @damonjackson6970
      @damonjackson6970 8 лет назад +8

      Well I think that characterisation is a little unfair. Vasopressin was initially incorporated to give ems providers time to do other interventions, because no other vasopressors were to be given for ten minutes. We now know through science that its effectiveness was not what was originally thought. If you look Narcan was added to the algorithm, and its effect in situations can be very pronounced.

    • @ianlombardo9758
      @ianlombardo9758 8 лет назад +5

      +Damon Jackson Narcan, thiamine, and Epi were also standard code drugs. thiamine was removed because people were having anaphylactic reactions to it. narcan is making a comeback due to the increase of heroin and opiate overdoses

    • @ianlombardo9758
      @ianlombardo9758 8 лет назад +3

      ***** are you a healthcare provider? If so, I highly suggest that you surrender your license to the issuing agency as you are acting unprofessional and your attitude and decorum prove that you are unable to effectively provide care to patients and don't care about your job.

    • @ianlombardo9758
      @ianlombardo9758 8 лет назад +6

      +Judith Tardo Excuse me, but are you deaf, dumb, delirious or disrespectful? I do alot more than ride ambulances and I do not appreciate you undermining my training nor do I appreciate swine like you tainting the reputation of the profession. most of us have spent more hours in a classroom than the average school student and have way more experience than a 9 year old like you would have. your incessant swearing does not make you educated in anyway and it actually makes you sound beyond dumb. I know how to resuscitate patients, I know the algorithms used in ACLS, I know how to interpret ECG tracings and know the pharmacokinetics, interactions and effects of each drug given. I also know a lot more than that but can't use those skills as my level of certification will not allow me to. some of the things you mentioned make you a danger to patients and you should not be practicing, your conduct is absolutely disgusting and unprofessional. you either clean up your conduct or leave the profession because I don't have the time to deal with your ignorance and sheer stupidity. on that note, I will stop responding to your tumultuous insults and be the bigger man here. I almost forgot, GO BACK TO FUCKING SCHOOL!

  • @dukemd69
    @dukemd69 7 лет назад +14

    Somebody help my forgetful mind: What happened to the Pulse-Ox monitor the patient had on her finger when she arrived.? "Hypoxia"??? The PO not only measures oxygenation, but, also the quality of compressions during CPR. OK, i"m being picky. But, in this day and age, the PO is an indispensable monitor, which appears to be underappreciated in this video.

    • @jbuccilli1
      @jbuccilli1 5 лет назад +1

      etco2 is what now monitors effective cpr as well as tube placement. etco2 < 10 shows need for improvement in cpr. fyi, in the scenario, the pt was initially at 92 pao2 and then went up to 95 pao2 on 2 lpm O2 prior to coding. As actor playing doc said, coronary thrombosis likely culprit as confirmed with STEMI in 12 lead. remember that pulse ox takes a bit to drop and accurately show hypoxia where as etco2 readings are much quicker. good video on acls cert.inst re " waveform capnography" which demonstrates this.

  • @andrewding9958
    @andrewding9958 4 года назад +10

    lady said bp is 70/40 so calm lmao

    • @eddies366
      @eddies366 2 года назад +1

      Doesn't help anybody to have an excited nurse.

  • @Jingryl
    @Jingryl 5 лет назад

    Amazing.

  • @candacekeck2546
    @candacekeck2546 3 года назад +1

    Do you have the one that is the "wrong way" where the communication is chaos?

  • @solopicking
    @solopicking 7 лет назад +5

    This video is now outdated and you should look at the newer 2015 AHA guidelines.

  • @thehusbandofstardomfamily6152
    @thehusbandofstardomfamily6152 3 года назад

    Amiradone must be the go to medication?

  • @JohnAK72
    @JohnAK72 8 лет назад +2

    What a neat code!

  • @thehusbandofstardomfamily6152
    @thehusbandofstardomfamily6152 3 года назад

    The paths that they take cause many shocks...it is no different than the risk of medications.

  • @isabelsummers8017
    @isabelsummers8017 5 лет назад

    Can you please make video of more Simman family's

  • @shafirummun9728
    @shafirummun9728 8 лет назад +1

    Yeah but the pads should be really well in contact with thevskin before attempting def... :) excellent video

  • @chrismercuriobaltazar7445
    @chrismercuriobaltazar7445 6 лет назад +1

    tube in, while the guy in charge is not bagging. lol.

  • @DeficiencyProduction
    @DeficiencyProduction 4 года назад +2

    Damn it Mandel

  • @drkhalid.2420
    @drkhalid.2420 6 лет назад +1

    vasopressin has been removed from the ACLS guidelines 2015.

  • @Brok3nfocus
    @Brok3nfocus 8 лет назад +28

    We all work with a Mandell or two :/

  • @thehusbandofstardomfamily6152
    @thehusbandofstardomfamily6152 3 года назад

    If atropine the first line in Bradycardia had been administered from the beginning none of the other steps would have been needed. The patient went from Bradycardia to tachycardia, which leads to other after care for the patient.

    • @chewchin7052
      @chewchin7052 Год назад

      Maybe this patient was suffering from III AV block and during the preparation of transcutaneous pacing the code was called?

    • @rohithkumar3480
      @rohithkumar3480 11 месяцев назад

      ​@@chewchin7052bradycardia but no pulse,so they continued cpr instead of giving atropine.Also atropine can increase myocardial oxygen demand and aggravate ischemia?

    • @nassimamro485
      @nassimamro485 9 месяцев назад

      there is such a thing as pulseless electrical activity where it can show a rhythm like bradycardia on the monitor but the patient has no pulse, they are in cardiac arrest. plus even if it was real bradycardia a pulse, with the low blood pressure of 70/40 most doctors would choose to push epinephrine at that point in favor of atropine. atropine is for bradycardia that is symptomatic with fatigue sob or other signs of poor perfusion, not for a person without a pulse. in the video’s scenario the patient has just arrived and no iv access was able to be established, how are you going to give an iv medication without an iv? just stab a patient with a syringe hoping it will land in a vein (most of these patients who are sick enough to cardiac arrest will be difficult sticks to begin with)? going for the io access was the only way to go, most providers wouldnt waste time trying to get an iv in and just ggo for an io because they know theyre not going to be able to get an iv in a patient like that. we are treating the patient, not the monitor. always check for a pulse never forget your bls.

  • @recordandoelrancho2855
    @recordandoelrancho2855 Год назад

    Thanks for your video

  • @michaelpamintuan7855
    @michaelpamintuan7855 8 месяцев назад +1

    This is old video and we can still use this for future trainings

  • @Gandhi9579
    @Gandhi9579 9 лет назад +2

    BGM sounds like Dr. House's. ㅋㅋㅋㅋㅋㅋㅋ

  • @chrismercuriobaltazar7445
    @chrismercuriobaltazar7445 5 лет назад +10

    shocking on 3! 1 2 3 shocking! shock delivered.. 6 seconds wasted for compression!

    • @semdavidtimothysitanggang9491
      @semdavidtimothysitanggang9491 4 года назад +3

      Minimal interruption is 10 seconds i believe in 2015 and is allowed for rhythm analysis, ventilation and shock

  • @rezaandy1415
    @rezaandy1415 4 года назад

    after watching this, I realised that the doctor seems look like dr. John Carter in ER..

  • @lynvlog08
    @lynvlog08 13 дней назад

    Can amiodarone and vasopressin be given i.v bolus?they did not mention how they prepare meds of iv bolus amiodarone and vasopressin if without dilution or what dilution they mix with meds before i.vbolus to avoid confusion.

  • @thehusbandofstardomfamily6152
    @thehusbandofstardomfamily6152 3 года назад

    Atropine cause a increase in heart rate in Bradycardia but not tachycardia.

  • @Eerielai
    @Eerielai 5 лет назад

    Shouldn't the first dose of adrenalin have been administered after the 3rd shock (instead of 2nd)?

  • @MrElephantteo
    @MrElephantteo 8 лет назад +2

    Oh Shelly lol

  • @fossetteful
    @fossetteful 8 лет назад +6

    matt saracen's grandma!

  • @isabelsummers8017
    @isabelsummers8017 4 года назад

    Can you please make videos more videos of simman

  • @richardheiman6209
    @richardheiman6209 Год назад

    Vasopressin is pretty much out for 2023.

  • @kelinciputihlucu8251
    @kelinciputihlucu8251 8 лет назад

    do you have a guideline for this ?

  • @jaimeprada6819
    @jaimeprada6819 3 года назад +1

    air way?.....hipoxia???

  • @angelasmith6100
    @angelasmith6100 4 года назад

    Hey! Angela here from Philadelphia. Visit, it's a beautiful place.

  • @rgonzales1657
    @rgonzales1657 8 лет назад +2

    Shouldn't this be continuous ambu bagging???

    • @UnicornxApocalypse
      @UnicornxApocalypse 8 лет назад +8

      +rom z Continuous bagging only occurs with an advanced airway (like an endotracheal tube). Otherwise you follow 30 chest compressions with two breaths.

    • @rgonzales1657
      @rgonzales1657 8 лет назад +1

      +UnicornxApocalypse But the team leader decides how much shock should be delivered (unlike in BLS where an AED) and they're giving IV drugs. Isn't this advanced already?

    • @ianlombardo9758
      @ianlombardo9758 8 лет назад +3

      not until an advanced airway is placed

    • @neozeonsolid
      @neozeonsolid 7 лет назад +1

      Im glad you're not a doctor or nurse

    • @rgonzales1657
      @rgonzales1657 7 лет назад +5

      Zondares I'm studying to be one of that, which is why I asked a question to be enlightened. I see that you're a corpsman, and that's awesome! :D

  • @sinclair657
    @sinclair657 Год назад

    Thank you

  • @ahmadmansour8480
    @ahmadmansour8480 4 года назад

    thnx :)

  • @thehusbandofstardomfamily6152
    @thehusbandofstardomfamily6152 3 года назад

    Aortic in the stomach is in pain...they all usually complain of abdominal pain.

  • @Bfair123
    @Bfair123 2 месяца назад

    Who is watching 2024, have my acls this wk

  • @sapperlawrenson
    @sapperlawrenson 5 лет назад +2

    Why is Mandel wearing an earpiece?!

  • @TheMkoy
    @TheMkoy 6 лет назад

    Saben si lo puedo oir en español?

  • @henkyem1054
    @henkyem1054 6 лет назад

    Sinus bradycardia with no pulse and you shock it?

    • @TheGibby13
      @TheGibby13 5 лет назад

      PEA is the rhythm, pulseless electrical activity

    • @semdavidtimothysitanggang9491
      @semdavidtimothysitanggang9491 4 года назад +4

      @@TheGibby13 if pea is rhythm, you cant give shock, it should be chest compression unless VF or VT

    • @TheGibby13
      @TheGibby13 4 года назад

      @@semdavidtimothysitanggang9491 correct

    • @MrGamecatCanaveral
      @MrGamecatCanaveral 10 месяцев назад

      but they didn't shock it.

  • @sakanablesakanable
    @sakanablesakanable 3 года назад

    Mendel and Shelly have some chemistry there!

    • @OriLOK2
      @OriLOK2 10 месяцев назад

      I saw that 😏

  • @Vilatkahang
    @Vilatkahang 7 лет назад +1

    GOOD VIDEO. aint perfect but good somehow.. the second chest compressor should have been quicker in changing roles with the first compressor :) no unnecessary pauses in chest compressions..

  • @soniyavargese3554
    @soniyavargese3554 Месяц назад

    😊

  • @pacmangumby
    @pacmangumby 7 лет назад +4

    how they knw the pt went into vfib without any leads??

    • @rajshreesingh
      @rajshreesingh 6 лет назад +5

      Hbk Jgreezy defib can also assess rhythm

    • @jbuccilli1
      @jbuccilli1 5 лет назад +1

      defib patches when applied are "fast patches" for showing rhythm on monitor till either 3 lead or 12 lead are applied

  • @aashishshah6695
    @aashishshah6695 4 года назад

    Do we still vasopressin??

  • @MrJlaklak
    @MrJlaklak 3 года назад

    2010 ACLS guideline

  • @winniemakena4188
    @winniemakena4188 11 месяцев назад

    I am waiting for my assessment right now

  • @thehusbandofstardomfamily6152
    @thehusbandofstardomfamily6152 3 года назад

    Sinus Bradycardia...

  • @bren2232
    @bren2232 4 года назад

    cmon mendel. pick it up

  • @iniohos2
    @iniohos2 5 лет назад

    I think the acls leader needs to be shocked to get some energy.

  • @Samos12
    @Samos12 8 лет назад +3

    3:53 - Torsades!

    • @TheGibby13
      @TheGibby13 5 лет назад

      Nahh, artifact while administering compressions but good thought

    • @semdavidtimothysitanggang9491
      @semdavidtimothysitanggang9491 4 года назад

      They did say it was VF probably coarse VF

    • @leahlott1463
      @leahlott1463 4 года назад

      @@TheGibby13 Showed on defibrillator w/compressions paused, Torsades

  • @gasmno6507
    @gasmno6507 11 месяцев назад

    Vasopressin removed from acls protocol
    Should be updated

  • @thehusbandofstardomfamily6152
    @thehusbandofstardomfamily6152 3 года назад

    Oxygen, iv fluid resuscitation...

  • @thehusbandofstardomfamily6152
    @thehusbandofstardomfamily6152 3 года назад

    Fibrinolytic protocol...

  • @thehusbandofstardomfamily6152
    @thehusbandofstardomfamily6152 3 года назад

    Coronary artery

  • @mazzinger82
    @mazzinger82 9 лет назад

    This video in spanish please. Thank you

  • @user-me5ot1pu8p
    @user-me5ot1pu8p 2 года назад

    Gta sn doctor

  • @gasmno6507
    @gasmno6507 11 месяцев назад

    According AHA

  • @dannylee404
    @dannylee404 6 лет назад +2

    "shocking on three, one two three shocking....... ". what a waste of time. just CLEAR: and press button ! for christ sakes.....

  • @AthbAlwerd
    @AthbAlwerd 2 года назад

    O2

  • @DrGeneralkumar82
    @DrGeneralkumar82 5 лет назад +1

    Man the team doesn't seem to respect Mandel much... "pick up the pace"... and the doc didn't even acknowledge his "hypoxia" theory to him

  • @thehusbandofstardomfamily6152
    @thehusbandofstardomfamily6152 3 года назад

    Artery issue...

  • @xiaowang1800
    @xiaowang1800 7 лет назад

    The person with the breathing balloon did not do right work?Why?

  • @praveenparameswaran3437
    @praveenparameswaran3437 7 лет назад

    isn't 1g adrenaline.. or 1mg. .u r wrong

  • @geethustm6929
    @geethustm6929 8 лет назад

    g

  • @wadafefe
    @wadafefe 4 года назад +1

    Miss keesha Miss Kesha... OMG SHES FUCKING DEAD

  • @thehusbandofstardomfamily6152
    @thehusbandofstardomfamily6152 3 года назад

    Vfib...atropine treatment

  • @isko192
    @isko192 9 лет назад

    N

  • @Mojoissimo
    @Mojoissimo 4 года назад

    I had to check this wasn't a joke. 'Code' on its own is a pretty silly name for a cardiac arrest/medical emergency. 'Megacode' is completely puerile. Do the AHA/ACLS actively encourage ridicule?

  • @zdrasvui
    @zdrasvui 6 лет назад

    It doesnt work this way in real situation. Haha

  • @iniohos2
    @iniohos2 7 лет назад +1

    Fake!

  • @mbradsh2
    @mbradsh2 7 лет назад

    In ALL video codes the leader running the codes are always male! Haha

  • @bonjovilover06
    @bonjovilover06 7 лет назад

    He is not identifying the rhythm.

  • @andiachanz8509
    @andiachanz8509 Год назад

    Didn't like it. Racist and paternalistic towards nurses.

    • @sonjaswart9866
      @sonjaswart9866 Год назад +2

      Where's the racism? Are you for real????