Who would've guessed? Administering *epinephrine* despite the patient's tachycardia would have raised his blood pressure to more stable systolic/diastolic levels and not affected his heart rate much :0 Live & Learn Let me know if you want to see more Full Code gameplays or other medical content! Ad Meliora!
I like this format, it’s cool to see someone with limited medical knowledge going into full panic mode when dealing with a case they have no idea how to manage. A few practical notes for the future: - unless the patient is unconscious and by themselves, you should start by taking an anamnesis - you should follow up with a physical examination. At least check neuro, cardio, pneumo and GI status. - check out the monitor and understand the primary complaint. In this case you focused on BP and gave fluids on a cariogenic shock: all the issues came from the HR, the shock was just a consequence. Lab exams, imaging, procedures and medications will be clearer once you’ll get into med school, there’s no rush to understand them now. In this case i would have: 1. taken an anamnesis: medical hx, surgical hx, family hx (focusing on cardio issues), current tx, allergies 2. performed a physical examination focusing on heart, lungs and state of consciousness 3. Attached the patient to the monitor noticing the shock state, the tachycardia and the SVT 4. put 2 IVs for future medications administration 5. Ordered a few blood exams for the future (these take a while): CBC, electrolytes, calcium, Tropo, creatinine 6. Ordered a 12-leads ECG 7. Cardioverted according to the ACLS protocol: - attempt vagal manoeuvre - attempt adenosine if vascular access - synchronised electrical cardioversion or amiodarone if adenosine fails or impossible to administer 8. Once the patient is stabilised, hand-off to cardio if first episode and if stabilised. Hand-off to the ICU if still unstable. The origin of the SVT should be explored in order to definitively cure this patient. Feel free to correct me down in the comments :)
Wow! Wasn’t expecting a thorough lesson on process improvment but much appreciated 👍 You must have quite some medical experience! Yeah, half the battle was learning where to find things in the app in a timely manner. It will be cool to revisit this and create another video when I’m in medical school and once I’ve completed med school-I’m treating this video almost like a baseline test 🚀 Thank you and Ad Meliora!
@@learningwithlanden To be honest it's a breath of fresh air seeing someone on the internet actually making mistakes, the world needs more of this kind of content rather than the usually fake "30s to guess the disease" we are bombarded with. I really hope you'll bring more of it and i'm sure you'll improve greatly overtime. Best of luck with your medical and military career. Per aspera ad astra 🚀
@@Icarofritto I’m showing what an educational journey looks like-the real, gritty highs and lows. I’m hoping many others are as fed up with fantasyland media as I am To the stars ✨ indeed
Obrigado. Aprendi que o Diltiazem é um bloqueador dos canais de cálcio. Funciona afetando o movimento do cálcio nas células do coração e dos vasos sanguíneos.
Who would've guessed? Administering *epinephrine* despite the patient's tachycardia would have raised his blood pressure to more stable systolic/diastolic levels and not affected his heart rate much :0
Live & Learn
Let me know if you want to see more Full Code gameplays or other medical content! Ad Meliora!
I like this format, it’s cool to see someone with limited medical knowledge going into full panic mode when dealing with a case they have no idea how to manage. A few practical notes for the future:
- unless the patient is unconscious and by themselves, you should start by taking an anamnesis
- you should follow up with a physical examination. At least check neuro, cardio, pneumo and GI status.
- check out the monitor and understand the primary complaint. In this case you focused on BP and gave fluids on a cariogenic shock: all the issues came from the HR, the shock was just a consequence.
Lab exams, imaging, procedures and medications will be clearer once you’ll get into med school, there’s no rush to understand them now.
In this case i would have:
1. taken an anamnesis: medical hx, surgical hx, family hx (focusing on cardio issues), current tx, allergies
2. performed a physical examination focusing on heart, lungs and state of consciousness
3. Attached the patient to the monitor noticing the shock state, the tachycardia and the SVT
4. put 2 IVs for future medications administration
5. Ordered a few blood exams for the future (these take a while): CBC, electrolytes, calcium, Tropo, creatinine
6. Ordered a 12-leads ECG
7. Cardioverted according to the ACLS protocol:
- attempt vagal manoeuvre
- attempt adenosine if vascular access
- synchronised electrical cardioversion or amiodarone if adenosine fails or impossible to administer
8. Once the patient is stabilised, hand-off to cardio if first episode and if stabilised. Hand-off to the ICU if still unstable. The origin of the SVT should be explored in order to definitively cure this patient.
Feel free to correct me down in the comments :)
Wow! Wasn’t expecting a thorough lesson on process improvment but much appreciated 👍
You must have quite some medical experience!
Yeah, half the battle was learning where to find things in the app in a timely manner. It will be cool to revisit this and create another video when I’m in medical school and once I’ve completed med school-I’m treating this video almost like a baseline test 🚀
Thank you and Ad Meliora!
@@learningwithlanden To be honest it's a breath of fresh air seeing someone on the internet actually making mistakes, the world needs more of this kind of content rather than the usually fake "30s to guess the disease" we are bombarded with. I really hope you'll bring more of it and i'm sure you'll improve greatly overtime.
Best of luck with your medical and military career.
Per aspera ad astra 🚀
@@Icarofritto I’m showing what an educational journey looks like-the real, gritty highs and lows. I’m hoping many others are as fed up with fantasyland media as I am
To the stars ✨ indeed
19:33 Really kept us on the edge with that one 😂
Seria bom dar diltiazem para diminuir a frequência cardíaca! 😊
Obrigado. Aprendi que o Diltiazem é um bloqueador dos canais de cálcio. Funciona afetando o movimento do cálcio nas células do coração e dos vasos sanguíneos.
I like this style of video
Glad you like it! Thanks for watching - now you can ID someone in supra ventricular tachycardia 😊
Supra ventricular tachycardia
21:33 Yep 👍
Have to talk to the patient first step
Haha! too true