Cardiac Arrest
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- Опубликовано: 21 сен 2024
- The most common cause of a lethal dysrhythmia is by a PVC hitting the peak of the T wave (known as R-on-T Phenomenon). This causes a pulseless shockable or non-shockable rhythm in at risk patients. 90% of cardiac arrests in adults are shockable (Pulseless VTach/Ventricular Fibrillation). This rhythm started with multifocal PVCs to a wide complex tachycardia (Pulseless VTach). This can only last from a few seconds to a few minutes before it becomes Coarse Ventricular Fibrillation (if no CPR and Defibrillatory shocks were administered). Coarse VFib can only last for about 4-5 minutes before it becomes Fine VFib. From then on, you have seconds for Fine VF to become Asystole.
INTERVENTIONS: Based on AHA 2016 Guidelines
For VF/pVT:
- High quality CPR
- Defibrillate 120-200 J biphasic or 360 J monophasic every two minutes
- Give Epinephrine 1 mg every 3-5 minutes, followed by a 10-20 mL flush of NS/LR
- May give Amiodarone 300 mg IV/IO bolus if refractory (if patient is not hypokalemic)
- May give Lidocaine 1-1.5 mg/kg IV/IO bolus if refractory (if patient is hypokalemic)
For Asystole/PEA:
- High quality CPR
- Give Epinephrine 1 mg every 3-5 minutes, followed by a flush of 10-20 mL NS/LR
- Correct possible causes (H/Ts)
Possible causes:
- Hypoxemia
- Hypo/Hyperkalemia
- Hydrogen Ions (Acidosis)
- Hypothermia
- Toxins
- Tamponade, Cardiac
- Tension Pneumothorax
- Thrombosis, Pulmonary Embolism
- Thrombosis, Acute Coronary Syndrome
If ROSC (Return of Spontaneous Circulation)
1. Optimize ventilation and Oxygenation
- Advance airway placement
- Ventilate 10-12/min
- Keep O2Sat greater than 94-99%, PETCO2 35-40 mm Hg
2. Treat Hypotension: Keep SBP above 90 mm Hg
- Give 1-2 L NS/LR
- May administer Dopamine 5-10 mcg/kg per minute IV/IO
- May administer Epinephrine 0.1-0.5 mcg/kg per minute IV/IO
- Treat H/Ts
- 12-Lead ECG
3. Consider TTM (Targeted Temperature Management) if ALOC
- Give cold NS/LR 4°C to reach a core temp of 32-36°C for at least 24 hours or greater
- Other cooling measures are used to induce hypothermia (jell beds/pads, thermo-coolers, cooling blankets, etc)
CONSIDERING CODE TERMINATION:
- Unsafe scene
- If (central) rigor mortis exists. Patient's intercostal muscles already filled with lactic acid from prolonged CPR disallowing compressions and decompressions
- If DNR (do not resuscitate). It's obvious you don't start ACLS when you have the DNR papers on chart. This happens sometimes when the patient arrives in the ER first via ambulance and the family coming from somewhere else arrives with the DNR papers.
- MD orders
- Code Team decision
- Lividity
- Decapitation
- Family request
I expected the end of this video to be finished with a long, long beep.
But the end of this video was a sudden silence.
It made me think a lot.
yeah i feel you...
About what
@@christianvalencia4129 death..
@@carlcool20 silence made you think about death?
The silence can be deafening. Currently on year 2 of volunteer fire/rescue and every time a call comes in that gets marked DOA by the medic, the rig goes silent. No one talks, no one moves, the driver just drives and we wait to do what we're trained to do, and ride back home in silence.
The scariest thing is people can be alert and aware of whats going on at the start, see the monitor, understand whats about to happen, and be dead in only 60 seconds later
I would attempt to pull the remote control from the wall so it starts an code blue alarm
Being a paramedic, the most chilling words you're gunna hear is "Am i gunna die? Can I talk to my family?" Like if you're not there you couldn't feel what we felt like it was horrifying
They don’t die right when it stops beating, they’re still alive and can be saved for a few minutes.
@@EezoTheChezo once it's one of the first rhythms on the video it's okay. It's the flat line(asystole) and the still waves that gives us the chills. It will be hard to revive if that's our first rhythm,
@@dragonfireproductions790 very easy to revive trust me I’ve done it a thousand times
I can't believe how scary this is. Way scarier than any movie portraying hospital bed death. I knew about how it goes silent and not a long note, but man.
Why u have no replies but 1k likes
@@mumkichux I know right? Smh
@@mumkichux ok then i wanna add some reply.. Here u go😀
Hi-
Guys are you scared of death? You believe there is something after death?
I will never forget. That guy at grade 12, who's heart stopped becouse of seizures. Luckily, me and my sport teacher started doing cpr, plus there was a paramedic station near. Today this guy is 100% okay (for at least what I know). Thanks god.
good that he is okay, you are a life saver (:
should have taken the opportunity to play human drums, imagine the killer solo you could have put out
@@AmalekIsComingpretty good one man
I'ma venture to guess he just had a seizure, and his heart was fine lol
so fucking stupid to type all that shit out and end it by "thanks god"
Its weird to watch how the flatline just brushes away the last evidence of the person being alive
Patient will be alive for next 10 to 15 min . Hearing everything thinking but unable to move. Dreaming the bright light . Ketamine at work ultimately to shut the brain down. Creeepy
@@polrobinson1515 Not Creepy. That's fascinating to be honest. A glimpse of how this life comes to and end.
Flatline doesnt mean immediate death,its just asystole and still can be saved if the heart resources are raised.
@@beauboi3381 From what I have read - it is a very poor prognosis and chances of leaving the hospital are single digit percentages if a patient went asystole...
@@Cain-x yeah but still saveable
The silence is deafening. I can only imagine the horrible sense of dread and grief as you watch the person’s last signs of life quietly fade.
@Spruce
He just really likes Camel By Camel
@Spruce *ENOUGH ALREADY*
@Andrei Lacerda why are u everywhere
1000th like
imagine being the person hearing their own heart rate monitor, feeling their circulation slowly stopping
the fact that we just witnessed the last signs of life leaving someone is incredible yet terrifyingly morbid
Death is a part of life. Nothing terrifying about it.
@not Well, buddy in the video just left it if that's true.
@@Opethfeldt taking a shit is part of life too but sometimes it still hurts.
@@Opethfeldt death's terrifying exactly because it's very real and unavoidable, not the other way around. I'm not scared of being hunted by a T-800 Terminator with a phased plasma rifle in 40-watt range, or a clown living in the sewage system, because the probability they happen is zero.
@@ryderthesinful Taking a shit does indeed hurt sometimes
therapist suggested this video as exposure therapy due to my mom having a almost fatal cardiac arrest. absolutely insane that she survived I can’t imagine this is what she felt.
So exposure therapy is making the realization that yes, stuff like this happens all the time and that you should be happy about mom living through something like that?
based clash pfp
@@APKAK-1465 yup. that’s what I’m working towards, still not there though
My mom wasn’t so lucky
@@collin8175oh no. That's a bad sign right? R. I. P
This is one of the scariest things ever. That silence at the end is 10x worse when you know that it represents the death of someone.
🚨🚨🚨 AAAAAAHHHHH!!! 🚨🚨🚨 school is sooooo boring i am in 8th grate and its so boring i am having sucess on youtube so i think i will drop out of school. i dont have friends so i need your opinon the
@@AxxLAfriku You were born sideways
@@AxxLAfriku sorry, I’m not a future adviser…
@@AxxLAfriku don't drop out of school. Try your best to get good grades.
@@AxxLAfriku wtf
And everyone starts loving you once the line gets straight .
Lol
That line could be from a song
Cap, some people laugh harder
that's... so good, I can't even put it into words
Correction: Everyone starts logo you when the heartbeat monitor starts going BRRRRRRRRRRRRRRRRRRRR
I've worked in an ER for 8 years now, I've seen this too many times. One of the most humbling things I've experienced is people's phones right after death. Their family's don't know their loved one has passed away yet and the calls and text messages keep coming as if everything is normal... You want to answer it but you can't...
Horrible 💔
@N Y I understand what you're saying but I respectfully disagree
@@xINTENSORx why are some people on the ER floor assholes
@@Rust_Rust_Rust It’s never a good day in the ER.
How does one handle such condition, then?
My grandfather died of cardiac arrest on my 15th birthday. I feel like I just watched it happen. This hurt me in ways I didn't expect.
I'm sorry for your loss. I can't imagine how painful it must be to see one of your loved ones die on your birthday. Hope you find the strength to overcome it.
I always found dying heart rate monitors way scarier than any scary scene in a movie
why, its just beeping
@@lead_tv dying not normal rates
F
That and Geiger counters
True. With every beep fate dangles
The fact that you have less than a minute to react to a cardiac arrest is insane.
This was a simulation from different heart problems. First one was a heart attack whick you can recognise from the st elevation for example
Only once the heart is quivering,
older guy at my work was in a heart attack for over 3 hours
This is a simulation and it's not totally accurate and a lot faster than real life.
The fact I'm in rural Alabama with an ambulance response time of no less than 15 minutes I'm dead as fuck if I go into cardiac arrest
@@RAYTHEONGAMING nobody cares
As a critical care cardiac nurse, we have to act so fast when we see any new change in rhythm such as VTACH. We always say time is heart tissue. Especially during a code blue when the patient arrests. It is crazy how fast things can change but also how amazing it is that we can fix some situations even faster. The saddest part is that we can’t save them all despite every effort. I’m fortunate to get to help these people to the best of my ability.
I hv lost my mom in corona period....the reason on death certificate was cardiac arrest😰😰😰
pay ur taxes stupid nurse in the 2000s if u were in the year where spanish flu started ur gonna be driveing ur 12 volt brain 60degree off sides to not get infected and not treat patients ur an failure!
How do you deal with the mental strain that I imagine your job must be putting on you?
@@handlesrtwitterdontbelivethem I’m sorry you feel this way. I don’t understand this comment. It is not proper English. I hope your day gets better and you find a way to help yourself rather than go to the internet and act like this. It’s quite sad how people are these days.
@@sagarwadile1991 I am so sorry for your loss. It must be so hard. Sending prayers and love to you.
Let's break this down so no one else is confused, so here we go.
0:00: Here we see ST elevations, indicative of a STEMI, or widow maker heart attack.
0:03: Here we see the first premature ventricular contraction, becoming multifocal only moments later. Can be very dangerous if it occurs during T wave, called an R on T phenomenon.
0:10: Here we see 2 PVC's in a row, called a couplet.
0:17: 2nd PVC couplet. Condition worsening.
0:22: Here we see the first normal beat, immediately followed by a PVC. Dangerous R on T phenomenon is occurring.
0:24: R on T phenomenon has led to an extremely dangerous rhythm called ventricular tachycardia. Cardiac output is very minimal. Patient may or may not be responsive. Can lead to VF if not treated immediately.
0:37: Ventricular fibrillation is starting. Heart is quivering instead of beating. Patient is pulseless. Zero cardiac output. Immediate defibrillation is needed. Can lead to death if not treated immediately. Will become finer over time.
0:53: Much finer waves now. Much harder to treat. Less likely to respond to defibrillation. Death is imminent.
1:03: Fine VF evolves into asystole. All cardiac impulses stop. No oxygen to brain or rest of body. Requires CPR. Patient is dying or already dead. Chance of survival is less than 10%. Notify family.
yo thanks a million my dude, im tryna learn how to read ecg waves
@@sorlag2496 aye youre welcome
0:00 Myocardial Infarction
0:03 The first ectopic beat appears
0:24 After many ectopics, Ventricular tachycardia starts
0:37 Ventricular fibrillation
1:04 Asystole
We should pass through this once ,😥😥😥😥😥😥😥😥😓😓😪😓😪
@@Ch3rryflav0ur3d
No. Ectopic beats are actually very common. I work on a telemetry floor and I'd bet 50% of our patients throw the occasional ectopic beat.
0:37 isn't it torades de pointes?
Your name tho--
0:03 looks like a PVC
0:01 S-T segment is almost nonexistent, ventricles contract for a very short time.
0:03 you can see a premature ventricular contraction. Especially can result in ventricular fibrillation if happens at a vulnerable moment like the middle of T-wave.
0:10 premature ventricular contractions back to back can be seen here.
0:22 this is the first time we see a correct ECG pattern so far. It’s only lasts a single cycle.
0:25 marks the start of ventricular tachycardia. One of two patterns that require a defibrillator. If not treated, can cause ventricular fibrillation.
0:37 ventricular fibrillation is starting. Blood pressure is zero. Heart is just twitching without a pattern, blood is not being pumped. Approximately 5 minutes until brain death. Defibrillation is required immediately.
0:53 you can see much finer waves now. Much harder to treat. Less likely to respond to defibrillation.
1:05 all cardiac impulses stop. Hypoxia resulted from ventricular fibrillation is making heart tissue ischemic. Heart is dying.
Thank you
Based
Scary ain't it? I hope I will die without knowing I will die
d&t Can u guide me...
Is prehypertension dangerous...?I am totally rely upon exercise, yoga without medication..
@@dummybro499 better go to a doctor instead of asking in a comment section
This video is a heavy dose of reality for a lot of people. You never know when your last day will be, live life to the fullest, whatever that may be.
@PugnalatoRott ?
What exactly does this- live life to the fullest means huh? Partying all the time and don't give a fk about anything right?
@@the_batmobile0.4 it means to appreciate life while you have it and not take it for granted lol
yep, it could be right now or tommorrow
@@the_batmobile0.4 0 iq
The fact my dad had a cardiac arrest and lived to tell the tale is just crazy
My cardiac arrest: beep beep stop *dies*
@@DaravinKhuon you are funny looking
this is scary as hell, but useful for a story I'm writing.
Olivia. It's been a year sinds you post that comment. Was it useful?
What is the story? Where can I read it?
@@sofka2001 unfortunately, she died of 5 stab wounds
@Yo Momma Another one bites the dust. And another one gone and another one gone
@@sofka2001 lmao 😂
it changes so quickly its heartbreaking 🙏❤️
Literally
Literally
@Fedor Taráskin r/ihavereddit
According to another comment, it's a simulator.
Well, true
That was on a simulator. Medical Schools have these.
+Eric Owens ok thank god
+HI MY NAME IS JAJAHOI!!! (CERMET) yup, every medical school has to have one because they can't do this to a person for a variety of reasons, the main one being the person will die if there is no intervention for an extended period of time.
Eric Owens what is the name of the stimulator
They aren't free. The Laerdal LLEAP suite will set you back around a steep $4,400 USD.
what was the first 27 second arrhythmias ? Seemed to be pacs pvcs?
Just to relieve some anxiety, I worked as a cardiac monitor tech at a hospital, and I have never seen anyone go through the fatal process shown here in this short amount of time. I believe this is a simulation. From what I saw this process typically took many minutes or hours, and with medical intervention the odds were very good to save the patient. Obviously there are fatal cardiac events that happens suddenly, but for a huge majority of patients I was always surprised at just how resilient the heart was. You realize it when you are monitoring a 90 year old lady in AFib with a heart rate of 200+bpm for 2 weeks, who is just acting normal and walking around her hospital room. We even saw people in ventricular tachycardia who were fully awake and reported having no symptoms.
thanks
awesome
Thank you. This is one of the kindest comments I found on RUclips. Really. I don't know how I got here but in the end I was really unwell. It was a real relief to read you. Wish you the best.
@@whywhy7692Thanks that made my day :) Whenever you have a chance try to get an EKG at a doctor's visit or hospital so they have a baseline in the future and can spot existing conditions. I think they typically wait until you're 40, but I think it's a good idea for everyone to have a baseline. If you ever have a cardiac event, they can compare it to your baseline (which is unique) and it can help significantly with diagnosis. Just make sure you try to get it with the same medical system your ER is in so they have it in their electronic records.
This is definitely a simulation, the morphology is too smooth and perfect. The single cycle of perfect sinus rhythm before v tach also gives it away.
I HAVE ANXIETY FROM WATCHING THIS
Fakhrul Arif sane.
Same...and I feel like fainting
Chill out its a simulator
ok
F
My dad passed away from cardiac arrest
14 years ago. Within half an hour of hospitalization he was gone. I didn't see patterns like these because they didn't let me in icu but he must have felt terrible pain. Seeing this makes me sad. I miss my father.
condolences to your father, hope he’s resting in peace and i hope you and your family are healing. i couldn’t imagine how painful it is to go through this.
I'm so sorry for your loss, remember he is resting in peace now, and keep loving his memory for everything he has done, gave you the gift to live, to still have your beat carrying on. I wish you and your family the best and hope y'all are feeling alright, so sorry for this, keep your heart on for him :)
I hope youre doing okay, god bless
Stay strong
Man, Vivek i wish you the best!
When I was younger I thought Cardiac arrest was like, an actual crime you could get arrested for.
yeah and you get arrested and sent to the RIB CAGE 😂
😭
@@SplatRat30L I’m on the floor laughing rn 😂
Same
@@SplatRat30L unrelated but i just feel required to say kris cross applesauce
0:00 | Multifocal PVCs with an ST Elevation begin,
0:22 | R on T phenomenon happens when the PVC lands directly on a T wave. Heart rhythm transfers to Ventricular Tachycardia
0:35 | Rhythm transfers into a Ventricular Fibrillation, where ventricles quiver instead of beat, it will become fine VF in moments, which are electrical signals on the ECG are greater than 3mm in height
0:48 | VF waves become finer and smaller, indicating the heart is quivering less powerfully, this will lead to Asystole where the heart stops completely.
1:02 | Heart stops beating completely, no more electrical activity or contractions. No oxygen to the body will cause brain death if not treated immediately
looked like Torsades before the vfib
Will adrenaline injection help?
Can they stop this from happening
@@mkrp4 is cardiac arrest
I went into cardiac arrest during a cardio ablation procedure. Brings tears to my eyes. So Thankful to the great NYU Langone staff that saved my life that day. 🙏🏻. I’m truly grateful.
God used that staff to save you!! So thank him too.
@@somi4780 bruh
@@beans1637 why?
I need an ablation for my left outflow tract VT right now I'm on beta blockers I'm scared to get the procedure done
Glad you're alright man. Sadly there's risks to every procedure, but I'm very glad to see you've made it through.
The fact that a person experiencing SCA (Sudden Cardiac Arrest) only has 45-75 Seconds to be is terrifying, and the fact that all medical staff react even faster is insane, Kudos to all medical staff out there for making the world ten times better.
edit: hey guys, thanks to @DavyOtkn for telling me this but this is not a case of SCA. it is in fact Myocardial infarction. just wanted to let you know. lmao lots of likes tysm. hope you have a healthy life!!
You’re welcome.
You can see from the start that it is a Myocardial Infarction, the ECG has that cleared for us, you can definitely see it, and if any medic can't see this and treat the patient for a Myocardial Infarction in the first 10-25 secs giving medications he should have his licence revoked.
Medical bill gon make you fight off the paramedics
@@dr.bendover-md Yooo what's up Ben
And yet medical staff still get paid less...
my daddy died due to cardiac arrest on 24th March, 2014 & I hope no one died due to this from now, medical science please do ur best to fight & win against cardiac arrest.
Kaushal Parekh I feel soo sorry for you, my dad is a Memphis firefighter/paramedic, and made a cardiac call few weeks ago and sadly the guy smoked alot, and was old he didnt make it. I think that causes my dad to get mad at me from the PTSD.
Kaushal Parekh i feel sorry to this, but human as we are-everyone is expected to depart in no particular time thus we will all end up in death. as much as we would wanna fight against cardiac arrest, it is the last thing our body will suffer upon our demise. may your dad's soul rest in divine peace.
I can relate to losing loved ones. I'm sorry.
Shell Shock me too.
These days kids are being taught early on in school how to help someone going into cardiac arrest or having a heart attack making a brighter future for all of us.
For those that want to know the ecg, this patient was going through a myocardial ischemia ( heart attack) in which Premature ventricular contraction (PVC) are very common due to damaged heart tissue. Sometimes this PVC occur during vulnerable periods of cardiac cycle ( R ON T PHENOMENON) leading to Ventricular tachycardia which then leads to Ventricular fibrillation and finally cardiac arrest.
Infarction and Ischemia are kinda different though (one causes the other, one is reversible, the other isn't). Heart Attacks are Myocardial Infarctions. Myocardial Ischemia will inevitably lead to Infarction. Other than that, you're completely correct. The elevated ST intervals indicated ischemia has degraded to infarction, which most likely would be an STEMI, which is the most lethal of all heart attack types.
Saddest beeps in world..
Yes,,....
MorayShot. Saddest? More like loudest.
Maybe saddest silence at the end
not really
Beep-boop son. Beep-boop.
Literally seeing a line that doesnt move anymore is just depressing.
no thats still a line
@@hissukka6619 learn to read
@@verena9911 you didn't understand my comment
@@verena9911 it was a joke the guy said it became depressing when it didn’t move but the joke that the line does not become “depressing” cause the line becomes a line
@@roverclover3178 nyeh I did not understand the joke. Now I really dont understand what r u saying..........
When I was younger, my mom brought me to her hospital she worked in, I strangely yet vividly remember seeing this pattern on one of the heartbeat monitors on a computer screen. Like I knew someone died yet I didnt know I knew. Creepy.
Edit: now that I think about that's a big claim to make, but I still do remember seeing his exact pattern, but memories can be skewed so I'm not so sure.
Also 3k likes holy-
Oh god...
@@divyanshtiwari3547 nah, it's true, I mean I didn't go for the whole work day, it's more I'd go see her during lunch or she took me to sit and watch one of her lectures.
@@birdlisa58 so you saw this in your mother's lectures?
@@divyanshtiwari3547 no, the nurses on the floor she worked on liked me so they didn't mind me being behind the desk, and sometimes the computers displayed all the rooms heart monitors, and I just look at it, and for some reason some stranger having cardiac arrest as seen on a heart monitor stuck with me.
@@birdlisa58 bruh here in India nurses dont like me at all
My friend asked *"Who is Cardiac, why is he arrested"*
Clearly he doesn't know anything 'bout cardiology...
My sister's mother in law died of a cardiac arrest during sleep. She was perfectly fine and normal the day before. Cherish the moments when you're loved ones are alive and healthy.
My two grandfathers died at the same month and they were fine too the Last day... im sorry for your loss
What was the cause of death? It's terrifying to think that you can be perfectly healthy but not wake up the next day.
@@catherinebirch2399 ngl, but your heart can indeed just up and out at any moment. Every human, no matter how healthy, technically has a chance of dying in their sleep from some heart issue or strokr
@@KryptoKn8 If you're 100 per cent for and healthy, your heart won't just stop out of nowhere. When someone dies suddenly, they had some health issue that they were unaware of.
@@catherinebirch2399 there is so much wrong we do with our body every day like the things we eat or how much stress we take in daily life routine, i cant even keep the track of health issues i might not be aware about
This is worse than a horror movie. Difficult to watch.
+Otto Vainionpää I still love Medicine :) , u said true tho
I have a cardiac arrest now 😷😰
nono nana why 😂😂
Otto Vainionpää it is quite petrifying. It mostly reminds me of Michael Jackson. May he rest well in peace.
Otto Vainionpää yep! 😢
This is actually so depressing.
Hey man let me cheer you up a bit, you can't spell succes without succ!
@@thesaddestdude3575 what.........?
@@thesaddestdude3575 at least you tried☺️😔
It's depressing. The noise is just normal and recognizable. But seeing it go big, and just slowly lessen till it's flat. Just visually its sad.
It's a way of life. Hinduism talks about how inevitable it is. But don't worry, people will have multiple births and deaths to finally enter and be one with Brahman. Unlike abrahmics who says it's one life, one or never.
Here i am with multiple cases of Paroxysmal Tachycardia, i had 216 beats per minute, i realise how lucky i am that i have survived these, and after i had a surgery i had heart attacks no more
16th April 2021, my father passed away right beside me on a hospital bed. I hold his hand until his last moment and hearing this sound of his heart beat going down to a flat line always give me chills
I'm sorry for your lose take care love
Sorry for your loss man.
im sorry for your loss
Dang... that must've been really harsh to experience. I'm so sorry for your loss. 😔
İslam 💕 The person is with the one he loves.
I can't believe I was so close to this happening to me. For most of 2018, my heart rate was in the 30's and 40's, and doctors couldn't figure out why or what to do. It would occasionally spike when i was stand up, but starting in the fall it didn't even have the strength to do that, it just stayed low. My health was at the point that I couldn't walk without help and breathing was difficult, and as a last ditch effort, they were going to implant a heart monitor inside my chest to see if they could find anything.
By the grace of God, on the operating table, they quickly realized I needed a pacemaker. So what was supposed to be a 30 minute surgery turned into an 8 hour one, as they decided to do the pacemaker instead of the monitor (I had used heart monitors before, but never inside my chest like they planned here)
Before i woke up, I was sure I was going to die in a few months. When I woke up, everything felt better. I was still weak, the surgery aftermath was painful and walking was hard. But my breathing was normal again, it was like waking up in a new body.
Through testing they saw that my heart quickly, within a couple weeks, lost its ability to beat at all without a pacemaker assisting, meaning the pacemaker works 100% of the day. It also meant that 2 or 3 weeks after the day of the surgery, if I hadn't gotten the pacemaker, my heart would've stopped.
I stared death in the face for most of that year. I've had numerous health issues since, some just as painful, like rheumatoid arthritis which I'm currently on chemotherapy for. All of this happening and I'm only 19, the heart issues started at age 15.
But I'll always be grateful, extremely grateful, that I was on the edge of death and got to wake up from the operating table with decades left of my life. Most people in my situation never got that opportunity 🙏
I hope you have a great life
damn.
Never underestimate anything.
It could happen any second.
I hope that your pacemaker will cease to beat 300 years from now. Live a peaceful life. ✌️
Man’s stared at death and flipped the bird every time death reached out, the giga of all chads
🥹love u bro
Someone died and still educating us till now. That's something to think about
Edit: I know it's a simulation alright ?
How does the simulation actually created in the first place ?
A simulation works when the programmer includes real life data base to grasp the idea and encode those information into digital format for education purpose and then they'll create a simulation.
In that case this heart attack simulation solely based on the information/data of real life person in the death bed.
I hate who do that, just like Einstein and Newton.
@@submeitsfreebruh you hate people educating?
@@submeitsfreebruh uh why
lol
thats 12 years old video lmao you just saw this 1 week ago 🤣🤣
A football player yesterday night just witnessed a cardiac arrest. Prayers up for Damar Hamlin🙏🙏
Damn, this brought me back to when I was in a local hospital, I think I was admitted for a severe asthma attack (I was like 5 years old), I was left alone in the ward because it's night time already and visitors aren't allow to visit anymore, I remember hearing this sound from inside the same ward I was in and it was terrifying, I woke up around 2 AM or something to the sound of profuse bleeping and suddenly a monitor just flatlined, I didn't knew what that was when I was little but now that I grew up, I knew that that means someone died, so witnessing someone dying in the same ward is scary, especially at night and everyone is asleep, I think that person was just a few rows away from me and the next day I woke up, that person was gone. Still scared me till this day knowing that I've witness someone had died during that day.
Holy shit that’s crazy. I was just thinking about how creepy it would be to just be in a hospital and know someone died just by hearing some beeps from the other room. Super eerie
@@omni8568 yeah 😐
i’m so sorry that happened to you, are you okay?
@@mooniepiex no they’re dead
@@DigitalBroomstick It isn't me, it's someone who died lmao 🤣
This is so eerie. The slow decline, the speed up of the beeps, to the eventual stop. This gave me chills. Seeing the heart start to struggle and beat out of sync, is truly scary. It has the same feeling of the minute silence at the very end of Everywhere at the End of Time. It feels off.
my exact thought process
I didn't thought like that, but now I do
I didn’t need to think of that fucking thing after seeing this video
@@tylrod6076 same now I’m more scared
Well, you lose consciousness pretty damn fast so you won't suffer much at all if you die this way. Prostate cancer is what you should be scared of. Especially if you live in a shithole where assisted suicide is not an option.
GF: "Could you pass me the salt."
Me: *reaches for salt*
Dad:
I dont get it...
@@mttbmusic7652 salt causes high blood pressure
I don't get it either
For those who dont get it, the original joke was supposed to go like this:
Gf: Daddy, could you please pass the salt?
Me and her dad both reach for it:
Me:
They didnt include the "daddy" part.
@@takamikeigo7985 lmao now I get it
It's fascinating seeing the logistic equation in such a scenario. First it's a normal cycle, then it oscillates between two points, then four, eight and so on. Until it flatlines, which in the equation is when the graph becomes chaotic. Fascinating that such a simple equation can explain such complex behaviour.
I don't know why, but watching this is horrific. Simulation or not, these pulse readings freak me out.
I know right.
me at 3 am eating funyuns and looking up heartbeat flatline and then this comes on: huh
"They won't care about you unless that line goes straight"
- Paddy Flampeton
who is platty flamepton
@@kepiblop your mom’s boyfriend
@@House1131 OMG PLATINUM FLAMES JUST REPLIED!
who is platdfina pfulimntadductfygtwba ?
@@kepiblop whats that supposed to mean
The fact that We just watched someone die right in front of our eyes just makes it disturbing and sad.
It's a simulator for med school it's not actually someone passing away
@@Maseo. oh thanks for telling as I was sad after watching this
@@shibrajdey4764 yeah I understand and you're welcome. I think this touches everyone differently it has a depressing sad kind of feel to it but don't worry although this is a very real thing that happens this here shown in the video is only a simulator used for med school so it's not someone actually passing away.
Oh alright
@N Y i didnot know it was just a simulation
I thought it was real and people were making fun of it then only i said them not to make fun of it
Process from PVC, V Tach, V Fib and Asystole. Amazingly Demonstated.
My grandad had a cardiac arrest in 2009. If it wasn’t for my uncle giving him CPR he would have died right then and there, but he saved him and he survived another 17 days. Sadly he never spoke again but at least we were able to say goodbye to him thanks to my uncle.
He also saved my grandma in February of this year, he was supposed to be going out but was delayed. My grandma started properly choking on some food and if he wasn’t there to help her and call the ambulance, she would have been gone. I’m next to her right now.
My uncle sadly passed away last month in an accident. He saved both his parents, and in the end one of his parents outlived him. Life is strange AF sometimes…
im sorry for your loss. your uncle was a good man.
Yeah, a similar story happened to me as well. My uncle saved 7 people from a snakebite before I was born. He got married in 2011, and his wife was abusive. She tormented him and they got divorced. He ended up getting into a drinking addiction (He was never violent towards anybody when he was drunk) and died roughly ten years later, on May 11, 2022. Thing is, my grandmother outlived him, but my grandfather passed away in February of 2014. Guys, don't drink, it can really ruin your life, no matter how much of a good person you are.
man, your uncle must having a good later life. I truly believe in karma
i dont know if its normal or not for parents to outlive their kids bur my grandma died and my great grandma is still alive (shes in a nursing home and 93 with cancer but shes doing better than most people, she can still get up and walk)
The worst part is that we may never be 100% sure if this was a simulation or an actual cardiac arrest
it looks like a video of a screen, if it were a simulation on a computer they’d probably just use a screen recording of some kind, but since you can’t do that with heart monitors…. it seems more likely to be real
@@blizzard_the_seal9863 why would they have a camera right infront of the heart monitor
@@blizzard_the_seal9863 i mean they could be recording a simulation that's on a screen, i'm pretty sure if this was an actual person then we would have heard other noises than the beeping, like nurses and doctors giving each other instructions etc. around the dying person
it was a simulation lmao, it's against HIPPA to post real content like this
@@RuskiVodkaaaa What's hippa?
It's like heart is sending a morse code saying "im'ma dying please help"
I've seen this device before. It was really scary. It was given to my father when he had a brain hemorrhage. My father was in a coma, but he's now healed. I destroyed the woman who was next to my father with a heart attack. This really happened to her. I was always afraid for my father that this would happen to him, but now he is better and in good health. I thank God for this.
This is the first day he goes to work from four months away I hope that he lasts health and wellness and for all parents
guy : *is having an heart attack*
cameraman : "bro, look at these squiggles"
It's not a heart attack its cardiac arrest
@@Goober-5-p4p it’s the same thing
@@spaecyy No it’s not
@@livery955 bruh
@@auugh43546 heart attack is when blood vessels in the heart are blocked, cardiac arrest is when the heart just stops pumping and quivers. not the same
Oh my god when the heart started racing I legit gasped that’s scarier than any horror movie.
good thing it’s a simulation
@@brandonutgaming1426 Yup, I teach ACLS and used this tool all the time. Mega code anyone?
me too. i dont know why i always find 0:24 so scary.
A moment of silence for the silence at the end.
I think I shouldn't have laughed at that comment...
@@powandwow750 It was time for silence not laugh >:(
@@letsdothis1543 😄oop sorry 😭
the man who had to go into cardiac arrest for this video deserves and Oscar
Simulations deserve Oscar. Will Smith Slaps.
Damn this really hits home as someone who experienced a heart attack. I now experience PVC's every day for the past 4 years ever since (although they make up a super tiny percentage of my heartbeats), and am on beta blockers. Overall my health is completely normal now, I'm in good shape and I exercise often, and my doctor says the PVC's are completely harmless, but still, whenever I get them I cannot help but have a lingering feeling of dread.
I am sorry :( you are so strong. ❤keep taking care of yourself and keep pushing. Prayers to you.
@@julianajacksonnn thank you that is very kind :) God bless you
This ain't a heart attack.
@@tupakkaonhyvaa Any information to back yourself up?
@@LiterallyClay Yes. This ain't a heart attack, this is cardiac arrest.
God bless your souls for the people who suffered like this.
Wish for my dad as well he suffered
You see this in the monitor room rarely, even on telemetry units, but there is always that one patient who throws 6-7 beats of vtach my way. Sometimes 18 beats, which is enough for you to crap yourself...
Tru
Yeah..
One time, i was getting treatment for an injury (wont tell what for privacy reasons) and they had a heart rate monitor hooked up to me. I constantly looked at it for most of the procedure and then my heart decided to start a few beats of v-tach and i saw the nurse's face was like this: 😳
Thankfully it recovered after a few seconds. I think it was just a glitch.
@@heal0152 i think that if vtach hapens for less than 30 sec. Its not deadli
It happens to you without any desease and genetic syndromes?
@@foco5657 correct less than 30 sec is termed a "run of vtach" and over 30 sec is sustained vtach. sustained vtach patient more likely to lose a pulse
the most terrifying part of all of this is knowing somebody’s real body is hooked up to this monitor. Watching their heart go crazy before slowly stopping, then shutting down eternally. God bless their soul.
No, it's a simulation. The transition between ventricular tachycardia (That rapidly beating part) and ventricular fibrillation (squiggly lines) is practically instant. In reality, it would usually take minutes to even hours (depending on the circumstances) for that to happen
This is so scary. Literally feels like you're watching a dear one die.
Amazing how fast the ventricular tachycardia transforms into fibrillation.
Months pass my dear reader, yet I am brought back here to read a reply or two. I still can't help but admire the Morbid beauty of this twisted process. And the fact that it can happen to any one of us and in such a painfully short time.
It was only a few seconds really. And all it took was 61 seconds from the first arrhythmic beat to asystole. That's scary fas.
The muscles of the heart cannot sustain VTach for long and it will just start to fatigue and quiver into fibrillation when there’s no circulating electrolytes to correct the dysrhythmia.
What
What (2)
This is done with a machine to teach. The patient would of been cardioverted or defibrillated during the sequence.
the anxiety I get from watching the heartrate start stable, them fall into arrhythmia, then pure intensity, then slowly dying off.
It's terrifying how easily our lives can be taken from us
same bro
My grandpa escaped the germans in Narvik in ww2 as a soldier of age 19 and died of his third heart attack alone in his bedroom at age 80. hes last actions was fumbling with some papers that were seen tossed on the floor along with himself. He loved drinking, I wish I got to know him better.
I’ve never felt so damn small in my life, the joy of life can be easily taken away...
0:00 You can see the frequency dropping (which is commonly a sign of a cardiac arrest)
0:24 start of ventricular fibrillation (refers to that waves that you see in the ecg which commonly leads to a cardiac arrest.)
0:37 Asystole begins (small wave fibrillation | also refers to that dropping electrical activity in the heart.)
0:41 sudden drop in blood pressure
1:05 Electrical activity in the heart stops completely.
In the event of a cardiac arrest, CPR is necessary (30 pumps 2 breaths) In this case, defibrillation is needed. Idk if this is also IRL but incorporate the usage of adrenaline, and amiodarone. When in asystole, use atropine.
I only gathered knowledge from a simulator so you can roast me all you want.
@FlochBasedKing yes as I identify ventricular tachycardia it’s a rhythm that has a very high rate (usually 300-500 BPM) then seemingly has all four chambers of the heart beat at once And if left untreated can also be identified when the patient goes into v-fib
Also Cardiac Arrest in the cpr procedure you don’t need to breaths that is only in the case of a clogged airway or The person that isn’t breathing
@@help6606 oh okay :DD
Like I said there's some mistakes in here because I just learned this from a simulator :))
@@cantedsxghtgaming3393 ok just was checking because if you have A far away hospital and no AED or defibrillator if you did that for a long amount of time The amount of time now I was talking to get a protective barrier to stop pathogens and a time to actually take the breaths could add up causing lack of blood flow to the brain You only perform that when the patient is not breathing because the chest compressions to make the person breath and breaths to keep the lungs from a pneumothorax (because the diaphragm isn’t working)
Guys, be close to your family, do not disappoint them while they are. Sooner or later the moment will come when we all die. Therefore, we must live life so that at the end of lying at death we do not regret.
Damn dude I try not to disappoint my family but I do anyway
Disappointment is not something you have control over. But you can atleast be by their side.
Always disappoint your family members so they don't face the pain of losing someone that they loved so much, when you die....life hacks...😢😓
@@narayanabhishek dude you need help?
@@farhan3565 Thanks for asking, I'm fine 🙏🏻
I felt my own heart thumping away while watching this! Scary.
Doctors: He's in Cardiac Arrest, get a crash cart now! Push one of epi, charge to 50. Clear!
Push another 0.5 cc epi. Charge to 100 J. Clear!
Ohh goodness gracious, doesn't look like sinus rhythm at all...
WE GOT A VENTRICULAR FIBRILLATION, CHARGE 200J! CLEAR!
who in the right mind would use 50 joules for vfib or pulseless vtach
@@cpt_aj I'm bad at it :,D
@@waifuchann5173 It's all good, you're learning.
Lost my uncle few days ago. He was a diabetes patient as well as had problem in the kidney. He died in ICU due to cardiac arrest, after the operation. We all were sure that he will live and everything's fine. But suddenly it happened. Most Terrifying thing is you are never prepared to believe that you may lose your loved ones while they are being treated in the ICU.
Getting this recommended to me feels like the algorithm knows I’m about to die
I find it fascinating how our mind automatically feels frightened recognizing this, due to how we naturally relate this sound to death.
It's the same process that makes animal fear red: it is the color of blood, of death.
I don't really think they're scared of the red, since they don't all have the same vision as us, humans.
Those who have different views are not the majority, also the difference is often made just of color shapes, for example darker or brighter but it doesn't change much
To be honest, I don't think this fear of ECG beeping, you are talking about, is really that universal in people. I mean, maybe it works for you, but for exemple I am not frightened by it in any way, although I know that it is associated with death, of course.
And don't get me wrong, I'm not fearless or pretending to not fear death. For exemple, a sight of stranger with an opened/uncovered blade at the street at night will (obviously, lol) scare me and trigger fight or flight response.
I guess it may largely depened on personal experience. I haven't spent much time in hospitals, so I may not associate this sound with any strong emotions.
Well I didn't assume that every single human being fears this noise but for sure it is generically associated to danger. I've not been in hospitals that much times but still it is not a nice sound for me
Well, technically blood, and therefore its color, should be the color of life as without it we would die. Most animals arent even afraid of the color i think. It just appears less often in nature.
You know that your loved one is dead when his heart rate monitor starts speaking Minecraft Farlands...
minecraft is shit
@@maximany9506 YOUR BAD FOR SAYING THAT AND YOU SHOULD FEEL BAD
@@maximany9506 who hurt you?
@@xirsnow3025 minecraft
Maximany fortnite is worse
Why tf was this recommended to me after the Travis Scott concert tragedy?
Cardiac arrest is the reason why my grandma is now in a coma. Still can't believe she experienced that ☹️
That silence after the final heartbeats was horrifying. Even my inner ADHD dialogue went dead silent that’s how scary this is
This has to be one of the scariest things I have ever seen.
especially at 0:24
0:25 me when i let my parents see my grades
totally relatable
I too slip into V-Tach
Hi Guys
And when ur asian and u have a failing grade it’s 7x faster
Or your browser history
I Shouldn't have fucking laughed at that but god damn that was funnny.
I’ve seen this many times as a tele tech, and it never gets easier to watch.
This is anxiety provoking
The lowest my heart rate ever got was 36 bpm. I was not all there at that time. I just remember nurses coming in and strapping something to me and putting a machine over me. I was very out of it. I remember nurses telling me I was their favorite patient of the night. That stuck with me. But it was probably just because I laid there limp and didn’t give them crap lol.
my minimum heart rate was 56, usual 72-76, and maximum 182 (this is with a normal heart)
The lowest my heartrate i ever got was 45 bpm. This only happens when im sleeping.
ok
@@sweety5565i hit 192 on a treadmill before but im 13 so...
even at 6mph i go to 180
not even words can describe how terrifying this is. and its even scarier when this happens to someone you love.
I'm so glad I learned cpr in primary school because we don't have much time to save a life, sometimes if you break a rib, you don't care because all you gotta do is save someone's life
BRO LET MY BOY CARDIAC OUT HE AIN'T DO NOTHIN
Man it's something about death, literally a person died there, that's not funny at all.
@@realstormdancer True that shit ain't funny Cardiac was suffering in prison bro look at the ups and downs my boy had in life.
@@realstormdancer Simulation
@@jetstreamsad2458 people like you are the reason the earth is a bad place
@@ImGamingNow2010 But... we dont care. You should be happy we are going extinct later.
I remember being in the hospital with my friend and this suddenly happened.
Holy... Never going to forget that look on his face.
I can't believe this happened to Bob Odenkirk on the set of Better Call Saul but they brought him back to life after lots or CPR and defib. Thank the Lord, I love that guy. 💗
i need more
context
@@Hijkaq bob had a heart attack whilst filming season 5 and after being brought back up he kept going with the filming and now we have a masterpiece of a show
Damn I didn't know that. We love Bob
I like to imagine that the doctor was focusing on filming this rather then actually saving the patient.
What trips me out is that some doctors are like: *“Welp, another day on the job…”*
As an EMS professional, I see this all the time. You definitely do get used to it. It's a normal part of the cycle of life. What can really get to you is *how* it happened.
@@JohnnyWishbone85 (Just clarifying this for everyone else) No matter how used to death a medical professional is, a friend or family member dying still feels the same.
There is always another patient waiting for us. The triumphs help us accept the failures.
When saw this, I remembered my beloved friend who died of a cardiac arrest. So, I'm literally crying here. This is so painfull💔
omg I'm so sorry 😞
I'm sorry for your loss, I hope your doing all good.
This is terrifying. There are no jumpscares, there is no gore, just an oscilloscope of someone having a cardiac arrest, dying in front of your eyes.
Watching this is actually terrifying. The fear that this might also happen to you too, the concern... I hope I don't live this, hope you don't too. I swear to God that I will never vape, smoke or do anything that will cause heart problems.
Live a good life for me, stranger. ❤
Your hopes are for nothing. It WILL happen to you one day. You will die one day. You are not immortal. You are a kid.
Notice this beautiful R on T phenomenon before the VT on 0:23
...
It can predict VT and make you respond faster
0:01 VPB (Ventricular Premature Beat)
0:24 VT (Ventricular Tachycardia)
0:37 VF (Ventricular Fibrillation)
0:38
Everyone that said this rhythm looked like Torsades de Pointes, LOOK AT THE HEART RATE! IT'S REALLY COARSE VENTRICULAR FIBRILLATION!!!
Thx
yes
alright these are all words i don't understand can someone break them down for me?
Crystal_ Mint medical kid in training here
Its when ur heart kinda quivers/shivers instead of pumping blood due to the loss of action in ur ventricles. Hope this helps
r x s e w a t e r i’m looking into going to med
school but still in middle
I’m so thankful right now becuase my grandpa almost died from kidney failure and I’m just so blessed to have him here
0:01 Myocardial Infarction
0:03 First Ectopic Beat
0:26 Ventricular Tachycardia
0:37 Ventricular Fibrillation
1:05 Asystole/Cardiac Arrest
You missed the textbook torsades
You know all the big words. I'll be sure to call you up if I'm dying to explain what's going on.
stolen
@@Opethfeldt no he doesnt, he copied from another commentary.