Absolutely an amazing video for medical students! Accurate representation of CPR according to different case scenarios. Literally you made it 10* better to grasp and understand the concept of CPR. Thank you, really appreciate your efforts.
I am a first yr medico . I am so exited to see the beauty of life and blessing of this profession. I loved this section, getting a person back to life only blessed one will get the chance to do this
Fantastic demonstration /drill in a real life scenario setting. Very helpful. Kindly make more such real case study videos.., with the drugs used. Any videos on pharmacological management of pts as a GP will also be helpful. Because no one actually teaches that. We don't actually prescribe all the drugs we learn about. Thank you. 🙏
Very valuable and great presentation and team work. Just thought of adding some, hope hypoglycemia was said amoung the 5H in addition to hypo and hyper kalemia, Another thing don't we start with calcium gluconate before starting the sodium bicarbonate or insulin dextrose especially when there is an ecg change. Just wanted to get things cleard. Thanks again for the great video❤👍
I am a doctor of Indian soldiers I am searching some videos on RUclips I got your i like that way I hope that one time you all will become a very good doctor
After getting the ecg confirmation of ROSC. chest compression should have been continued. Probably we shouldn't stop to check for pulse immediately after ROSC.
assessment of chest compressions patency of airway iv assess 1mg of epinephrine 10 ml of NS cardiac monitor attach 2 rescue breaths fir 1sec after 30 chest compressions cardiac monitor check for rhythm repeat epinephrine
Why she said load epinephrine? She wouldn't have known until her colleague attached cardiac monitor and assess the rhythm. Am I missing something here?
Sir, just one question....Is it possible to hv normal sinus Rythm just after treating reversible causes of cardiac arrest or I think the patient will first hv V-Fib or V-Tach and then gradually improve with defibrillation and epinephrine. And should we intubate him/her in this case bcz we are not sure whether he will come back to life or not....Plz explain sir.....
@@oOoironhideoOo huh what do u mean cpr rarely "goes by the book" lmao what's this stupidity? there is one internatione effective guideline for CPR which is a fast compressions
Calcuim plays very important role in the contraction of heart muscles ... If any person is having cardiac arrest that means his heart muscles are weak and we adminster calcuim gluconate for strengthening of these muscles which is very helpfull in cardiac arrest
1.Response 2. Asess pulse - in 10 s 3. Call for help Cardiac team 0.Leader Assign task: 1. Chest compression 2. Airway - 2:30 3. Iv line -abg 4. Capnography 5. Cardiac minitor 6. Document -asystole -epinephrine Ideal time for intubation?
Start seeing the video from the beginning, someone was brought with sudden unresponsiveness, rhythm is asystole.. So CPR was initiated as per ACLS guidelines
Death on arrival, it mandatory to do CPR as per standard guidelines. Of course there are exceptions like rigor mortis, decapitation injury, already have signed Donot attempt CPR form etc.
when someone has asystole cardiac arrest, they have like 5 minutes before the whole body dies from lack of oxygen. people with asystole cardiac arrest can be resusciated with CPR, adrenaline injection and defibrillator
@@AETCMEmergencyMedicine is 1 ml 1:1000 followed by NS flush equivalent to 1:10000 concentration . asked because studied that in cardiac arrest it is 1:10000 concentration..
First of all I want to say this is a great scenario. But it's hard to understand what they're saying because of the noise, which it's gonna be like this in the hospital
Doctor said at 2.01 sec load epinephrine, i wanted to ask if the cardiac arrest is the result of ventricular fibrillation still we will give epinephrine???
Its a million dollar question.. If you have an ETCO2 facility you can rely upon that. Even after 20mts of CPR ETCO2 is persistently less than 10 mmHg its unlikely that the patient is going to achieve ROSC and you can think of termination of CPR
Sir mere dad ko hospital me cardic arreset aya Dr unhe baccha nahi paye ye kaise ho sakta he dr ki laparbahi se ho gya ye hospital me Bo baccha nahi paye cpr bhi diya ye kaise ho sakta he
In refractory anaphylactic shock where pt is not on beta blocker and in cardiac arrest as well , 1 ml (1mg/1:1000) in 100 ml ns = 1:100000) if dissolve in 9 ml 1:10000, i/v infusion.
Thank you for making such amazing elaborate videos. I am a MBBS student from GMC, Kota. And such practicals are much needed.
Very good explanation
Very nice presentation.
Can u plz mention the book referred...?
Your case scenario presentation is awesome ....you have helped me alot.Thanks whole team ....
Absolutely an amazing video for medical students! Accurate representation of CPR according to different case scenarios. Literally you made it 10* better to grasp and understand the concept of CPR. Thank you, really appreciate your efforts.
Thank You AETCM Mentors . Being a Medical Officer frm Far away , i am confident enough to handle all patients because of you sir/mam . ❤️
🙏
Exactly bro
Same here
Same here 2
AETCM team, very helpful clinical videos all Nursing and medicine students thank you so much😊😊
Don't stop CPR in between 30:2
1:1000 1mg epinephrine, followed by 20ml NS
I am a first yr medico . I am so exited to see the beauty of life and blessing of this profession.
I loved this section, getting a person back to life only blessed one will get the chance to do this
First year is always exciting 😂
@@aamir8965 👍😀😀
Fantastic demonstration /drill in a real life scenario setting.
Very helpful.
Kindly make more such real case study videos.., with the drugs used.
Any videos on pharmacological management of pts as a GP will also be helpful.
Because no one actually teaches that. We don't actually prescribe all the drugs we learn about.
Thank you. 🙏
Thank you for the practical lecture.. I am an ACLS provider and MBBS
Just One Word Excellent.....Topic you touched no one generally touches.
These doctors are doing great..specially helping the students
Super presentation .....u people doing great jobs ....All the best for ur futures....
Very valuable and great presentation and team work.
Just thought of adding some,
hope hypoglycemia was said amoung the 5H in addition to hypo and hyper kalemia,
Another thing don't we start with calcium gluconate before starting the sodium bicarbonate or insulin dextrose especially when there is an ecg change.
Just wanted to get things cleard.
Thanks again for the great video❤👍
I am casualty doctor still i am learning lot from these channel
Thank you dear doctor's
Im From Sudan i really appreciated your effort
All the best
Good video need more scenarios of cardiac arrest management
Subtitles should have been provided and recap of procedures at the end of video
I am a doctor of Indian soldiers I am searching some videos on RUclips I got your i like that way I hope that one time you all will become a very good doctor
Thank you so much team aetcm, really helpful demonstration
Great video . thank you so much
- ban
final year med student UITM malaysia
a day before my final professional exam in med school
After getting the ecg confirmation of ROSC. chest compression should have been continued. Probably we shouldn't stop to check for pulse immediately after ROSC.
Agree, guidelines recommend 3-5 cycles after ROSC
well logically if someone regains a normal heartbeat then you need to stop CPR
Nice video
Head tilt chin lift maneuver should be included.
How do you take arterial blood for ABG in a systole patient?
If it is a 4-man team, how would you advise the role assignment?
Always hospital and machinery sound scared me on that situation
it would be really helpful for revision if you guys make a written pdf for these demonstrations topics.
assessment of chest compressions
patency of airway
iv assess
1mg of epinephrine 10 ml of NS
cardiac monitor attach
2 rescue breaths fir 1sec after 30 chest compressions
cardiac monitor check for rhythm
repeat epinephrine
2 rescue breath 1 second each, which is 2 seconds in total
Is epinephrine diluted with 10 ml of NS
I just got goosebumps while watching this video😮
Thanks for such a great video
Thank you so much sir your team has great👍👍
Pls add subtitles to recieve every information
We can't control that.. Its done by youtube, try switching on cc in your video.. Some videos might have it
Why defibrillator was not connected?
If i could be shockable rhythm we would give him shock too.
It's connected pls check the video
Good video... I have one doubt... Adrenaline diluted with normal saline or flush NS after adrenaline...
Very nice all team members ❤❤❤
Why she said load epinephrine? She wouldn't have known until her colleague attached cardiac monitor and assess the rhythm. Am I missing something here?
Patient is in cardiac arrest so epinephrine will be required anyways. Epinephrine is given in both shockable and nonshockable rhythms!
@@rajmishra2621 ok got it. Thanks
How much of 25% dextrose to be given with 8 unit rapid insulin?
100 ml
Why give 10 mL saline flush after 1mg Epinephrine ?
Sir, just one question....Is it possible to hv normal sinus Rythm just after treating reversible causes of cardiac arrest or I think the patient will first hv V-Fib or V-Tach and then gradually improve with defibrillation and epinephrine. And should we intubate him/her in this case bcz we are not sure whether he will come back to life or not....Plz explain sir.....
Till how long you can continue cpr.Should we stop cpr if we see pupils are fixed and dilated?
Wonderful presentation, but the Rate of Compression was not adequate, there were lot of Pauses in compressions
Absolutely, but I think the beauty of these videos is that this is ACTUALLY how it goes in real life; CPR rarely goes "by the book"
@@oOoironhideoOo huh what do u mean cpr rarely "goes by the book" lmao what's this stupidity? there is one internatione effective guideline for CPR which is a fast compressions
How can you take ABG in an Asystole patient??🙄
While cpr
If cardiac arrest is due to irreversible causes( severe extensive traumatic head injury) should cpr done ??
Yes
Abg finding Hyperkalemia - and the drug u advised to give is bicarbonate? Something is so wrong with the team
Bicarb for hyperkalemic cardiac arrest
In gi bolous for hyperkalemia it is dextrose with insulin nt atropine..... She just say atropine if I am nt wrong
She said Human "actrapid" which might have sounded like atropine
@@rajmishra2621 ok
During chest compression ambu bag will cover mouth whole time or only after 30 compression it will give 2 times and again remove??
Both can be done
What's the role of inj calcium gluconate in such conditions sir. Please elaborate a bit.
Hyperkalemia
Calcuim plays very important role in the contraction of heart muscles ... If any person is having cardiac arrest that means his heart muscles are weak and we adminster calcuim gluconate for strengthening of these muscles which is very helpfull in cardiac arrest
1.Response
2. Asess pulse - in 10 s
3. Call for help
Cardiac team
0.Leader
Assign task:
1. Chest compression
2. Airway - 2:30
3. Iv line -abg
4. Capnography
5. Cardiac minitor
6. Document
-asystole -epinephrine
Ideal time for intubation?
Sir, IN this case patient was unconscious ECG MONITIR ASYSTOLE(FLAT LINE) SO PATIENT IS DEAD THEN WHY DID YOU STARTED
CPR
Start seeing the video from the beginning, someone was brought with sudden unresponsiveness, rhythm is asystole.. So CPR was initiated as per ACLS guidelines
Death on arrival, it mandatory to do CPR as per standard guidelines. Of course there are exceptions like rigor mortis, decapitation injury, already have signed Donot attempt CPR form etc.
when someone has asystole cardiac arrest, they have like 5 minutes before the whole body dies from lack of oxygen. people with asystole cardiac arrest can be resusciated with CPR, adrenaline injection and defibrillator
I appreciate their training .
U analyse rhythm but u didnt check centeral pulse
From left side or right side of patient?
How to take ABG in cardiac arrest patients?
While doing cpr
1:1000 is 1 mg epinephrine plus 10 ml NS followed by 20 ml NS flush … is it ryt correct me if iam wrong ..?
1 ml of epinephrine followed by 20 ml flush
@@AETCMEmergencyMedicine is 1 ml 1:1000 followed by NS flush equivalent to 1:10000 concentration . asked because studied that in cardiac arrest it is 1:10000 concentration..
How did u take asystole pt abg..??🤔
Adrenaline direct IV push or diluted with normal saline... plz anyone clarify my doubt
Do nurses do anything in this situation or not
They can do any role if they are trained
Nurses are taking there tea in the nurse lounge
This video is very helpful👍👍
First of all I want to say this is a great scenario. But it's hard to understand what they're saying because of the noise, which it's gonna be like this in the hospital
excellent
with thanks from srilanka
Actually ca gluconate is the first choice for hyperkalemia..
Thank you🙏
Sir can we give adranalin through IM route
Why was the abg taken?
Thank you so much for making elobaorate videos
post cardiac arrest management??can anyone elaborate?
We will do a video on that
Eagerly waiting!
Amazing❤❤
Is the abg taken before acheiving rosc 😂
During cardiac arrest to look for the reversible causes
@@AETCMEmergencyMedicine but pt is on asytole how will we find pulse?
Sir..... can we give inj atropine ?..in view of asystole
No
Is there any role for atropine or ionotrope
no role for atropine in asystole
Doctor said at 2.01 sec load epinephrine, i wanted to ask if the cardiac arrest is the result of ventricular fibrillation still we will give epinephrine???
Watch the shockable rhythm video
They should intubate ?? Immediately ?
No
@@AETCMEmergencyMedicine how sir patient is asystole best way to secure airway is to intubate
What is adrenaline timing 2 mts or very 3 to 5 mts
Every 3-5 mts
Very good performance
Thank u all for this useful video❤
Why soda bicarbonate is required in case of hyperkalemia?
Acidosis with Hyperkalemia Soda Bicarb can be given
isnt epinephrine 1:10000 dilution to be given
1:1000
No role for nurses?
Any role can be taken
What is the need for saline flush
faster delivery of drug in to the circulation
@@AETCMEmergencyMedicine
Can we load the adrenaline and NS in the same syringe?
❤❤❤❤❤ helpful
Thanks to AETCM team..
Sir for how long Cpr should be continued if we dont get pulse or any rhythm?
Its a million dollar question.. If you have an ETCO2 facility you can rely upon that. Even after 20mts of CPR ETCO2 is persistently less than 10 mmHg its unlikely that the patient is going to achieve ROSC and you can think of termination of CPR
If Etco2 facility is not available..how we can take decision regarding termination of cpr ?
There is no clearcut timeframe recommendations to stop cpr
Sir mere dad ko hospital me cardic arreset aya Dr unhe baccha nahi paye ye kaise ho sakta he dr ki laparbahi se ho gya ye hospital me Bo baccha nahi paye cpr bhi diya ye kaise ho sakta he
In English
@@AETCMEmergencyMedicine app samghe lo
Good job docs.
Thank you for sharing
So scare cardiac arrest death remains 😭
Wonderful.
Adrenaline 1mg +9ml ns =1:10000 is correct dilution maam in cpr
Please reply ..
1:1000
@@AETCMEmergencyMedicine 1:1000 given in anaphylactic shock not given in cpr (cardiac arrest)
@@AETCMEmergencyMedicine please reply .maam
THANKS
Can we give 1: 100 solution every 3 min
1:1000 adrenaline 1 mg every 3 to 5 minutes
Where we should use 1:10000 dilution adrenaline
In cardiac arrest
It is given through iv route in cardiac arrest if pateint dosent response for Im /sc route of 1:1000 dilution.
For IV ROUTE
In refractory anaphylactic shock where pt is not on beta blocker and in cardiac arrest as well , 1 ml (1mg/1:1000) in 100 ml ns = 1:100000) if dissolve in 9 ml 1:10000, i/v infusion.
Adrenalin dilution 1 in 1000 or 1 in 10000.?..is there any upadation regarding it?
Adrenaline 1mg,1:1000 dilution followed by 20 ml saline flush every 3-5 mts
In iv always 1:10000 otherwise arrythmia will occur.
In Im or sc 1: 1000
10 ml ns flush will make 1 : 10000
@@unknown-qv1nu bro is 1 amp adrenaline already diliuted?..i read somewhere that adrenaline 1 ampule is already diluted to 1:1000
@@Drake57322 yaa..its already diluted as 1:1000
I learned CPR so I know how to do it
Is it necessary to go for advance airways before Acheiving rosc
If expertise available can be done
Thank u .......
Weldone
Thanks u
Thanks Allah, the patient lives on, haha.
5
Remove your mask in videos
Sir can we give adranalin through IM route