If ecg facility not available, 1)which drugs can be given,besides epinephrine? 2)how to differentiate between vt/vf and asystole? I ask this as many times emergency drugs are provided but not ecg machine in phc...
this scenario was done in a hospital so the ekg machine willl be available. in the scenario of outside the hospital you use tha AED which will analyse the pt rhythm and advise if shockable or not and outside the hospital you cannot give those meds. the way to differentiate between vt and vf is by looking at the rhythm on the monitor. so you must have some knowledge of different rhythms and know which one are shockable and which ones are not. all the best.
To increase vasoconstriction, and MAP, which increases cerebral and cardiac perfusion. It is an official part of ACLS guidelines for any type of cardiac arrest, including pulseless VTach
O2 is a gas which supports combustion but itself not combustible. Suppose during shocking the patient, a small spark appears, with external o2 supply, it will cause a large fire. So, it is always advisible to turn off Oxygen temporarilly during Defibrillation
Super. You have thrown a challenge to all corporate hospitals in maintaining standards
Excellent. Lots of respect from Pakistan
Very practical and useful before taking ACLS
Best...much needed
Seems that the heartcompressions were to fast? And when he changed persons there was a delay of 3-4 seconds.
Excellent presentation
Can you please add the dosage in the description box.... sometimes it gets hard to get what's being said.
drive.google.com/file/d/1oYmJm0gwNjGwV_V5SVSOEnpoM72XfO95/view?usp=drivesdk
Thanx
Kindly conduct class on debifrlator sir
Thank you for the amazing video❤
If ecg facility not available,
1)which drugs can be given,besides epinephrine?
2)how to differentiate between vt/vf and asystole?
I ask this as many times emergency drugs are provided but not ecg machine in phc...
this scenario was done in a hospital so the ekg machine willl be available. in the scenario of outside the hospital you use tha AED which will analyse the pt rhythm and advise if shockable or not and outside the hospital you cannot give those meds. the way to differentiate between vt and vf is by looking at the rhythm on the monitor. so you must have some knowledge of different rhythms and know which one are shockable and which ones are not. all the best.
If u dont mind can i see the documentation of code blue form of VT,VF
thank you
👏🏻👏🏻👏🏻
One question the epinephrine we give
Is it supposed to be diluted or undiluted
1:1000 dilution, followed by 20 ml saline flush
@@AETCMEmergencyMedicine the ampule of 1ml is alreary 1:1000 diluted?????
The strength what we get is 1:1000, 1 mg
@PinoyNurse in SAUDI yeah nicee
Awesome ❤️
How the amiodarone 300mg delivered as direct bolus or infusion over sometime?
Direct300mg iv bolus
Thankyou all.
If IV is already maintained then can v administer Adrenaline before dispensing shock ?
Excellent
What kind of medicine give the cardiac arrest emergency time?
Epinephrine
Sir.kindly show how to do cpr on a patient with pectus carinatum or excavatums.
Same as for all other pts
After 2 shocks adr and after 3 shocks amiodarone
Am i right?
Yes
If IV access there, can start adrenaline asap. No need to wait for a shock
Sir is it necessary to give adrenalin every 3 minutes in VT and V F
If Ventricular tachycardia is there
Why you give ,injection adrenaline???
After 2nd shock
I am confused as well
To increase vasoconstriction, and MAP, which increases cerebral and cardiac perfusion. It is an official part of ACLS guidelines for any type of cardiac arrest, including pulseless VTach
How to administer Amiodarone?
Dilute in D5 or IV push?
Ivp in ca
@@AETCMEmergencyMedicine thanks ❤️
@@AETCMEmergencyMedicine How about in stable Ventricular Arrhythmia sir constitute in 1pint D5 or IV push in Cannula?
That Vivek is very crazy
Sir why to switch of O2 during electrical shock
Chance of combustion
O2 is a gas which supports combustion but itself not combustible. Suppose during shocking the patient, a small spark appears, with external o2 supply, it will cause a large fire. So, it is always advisible to turn off Oxygen temporarilly during Defibrillation
we should be checking pulse with the rhythm check as well?
Yes
If it's VT should check the pulse, if no pulse go for immediate defibrilation
No
Check Pulse only if there is organized rhythm
Isn't bicarb dose supposed to be 100
1/4 th of deficit as bolus
Sir what is role of sodabicarb ?
Ph less than6.9
Hyperkalemic Cardiac arrest
Tca Toxicity
How to give amioderon
Iv bolus and Infusion
300mg diluted??
@@manishapatel4070 diluted in 100 ml D5w
After third schlock only Adrenaline and amiadorone
Pls read the guidelines
its 15 :2 when two rescuesrs are there
Please read the recent acls guidelines and comment
Code blue