How the FIRST Cardioversion probably went.
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- Опубликовано: 26 фев 2022
- I definitely wouldn't have wanted to be the first person to get cardioverted. Or ever for that matter. What do you think was the worst "FIRST" ever in medical history?
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The increasing horror as the other shocked patient were shown is priceless!!
I was expecting his heart to stop from that before they even hit the button.
The patient was shocked...and then he got shocked.
Especially when they got the guy where they "just closed their eyes, hit the button at random and hoped for the best"
I think the guy on the couch had been a success.
Until he saw his bill.
That's why he was keeled with his eyes bugging out.
I love the detail that the beeps stopped for a second when the doctor told the patient they would have to electrocute him, you can hear the patient's heart skipping a beat
Had to scroll way to far to find this comment! Loved that detail!
Oh I didn’t make that connection! I was confused by the sudden flatline alarm with a conscious patient. Thank you for pointing that out for me.
Underrated comment
@@ScientistCat I think they were talking about this part 0:16. At 0:33 I think the flatline is for the dead patient it's looking at. (For comedic effect, of course. I don't know why they'd still have the guy hooked up to a heartrate monitor)
He skipped at least 3 beats there
technically it worked on all of the patients. dead people can’t have a fast heartbeat
🤣🤣🤣that is absolutely correct.
It's all in how you write it up in the report.
😂😂😂
@@skydiverclassc2031
“Great news! We finally got the patient’s heart rate down!”
“Good work! I’m sure the family will be happy once the patient is safe for discharge.”
“Oh they already are discharged. We filled out the forms and the patient should be heading down to the morgue right about now.”
“The- what?! The morgue?! I thought you lowered the patient’s heat rate!!”
“Yeah we did. It is now at 0BPM. Completely down!”
@@skydiverclassc2031 I have heard this so many times from so many different professions haha.
I always like to wonder how the first person to do something figured it out. This is about what I envision lol.
Someone was the first person in history to try to ride a horse.
Someone else was the first drinking buddy in history to cheer him on.
Trail and error. Before malpractice existed.
Alot of caveman kill thing by accident or die by accident "oooh how did that happen?" Repeat process 50 times and *SCIENCE*
Makes you wonder what in the nine hells the person who found out beaver butt tastes like vanilla was doing. (Castoreum is a natural flavoring found there)
@@2MeterLP I did..... not really need to have that knowledge or thought in my head to be quite honest
omg I just finished cardiology rotation. We cardioverted 5 people in one day for afib. This hits home hard
@@bostonrailfan2427 Or hits home hard as in, you had five tries before it worked too😂😂
@@bostonrailfan2427 haha yeah! For me, "Is this going to work or not?!" Pretty wild stuff. 3 tries on one guy but finally got it back to sinus. They wake up from the sedation and don't remember it.
@@jonfilibuster8499 when I volunteered at my local hospital in the emergency room the Dr's would always hide in our room behind the desk for breaks and cookies and coffee. One day one of the docs looked like death itself and he couldn't tell us much because hippa but apparently they had spent nearly 13 hrs trying to get a toddler out of tachycardia transitioning to vfib or was it afib. This is nearly 10 years ago. But apparently the kid received nearly 20 shocks over the time period. He would return to normal but then 15-30 mins later almost like clockwork his heart would decide to start racing up into the 220s and above again. I can't imagine how he made it. I guess kids just bounce better than adults
@@Aztesticals well if it’s Vfib that’s not a cardio version that’s a defibrillation cause they dead. Uncontrolled Afib would make sense too although usually medication can help alot with that.
I've been on the other side, and been shocked while knocked out for afib.
Had to cardiovert a guy and we didn't give him a sedate him. We told him it was going to hurt. After the shock was given he said..."is that all ya got?"
I aspire to be like that guy lol. Not the needing cardioversion part though of course XD
Had a guy, young ish, 40s, 50s. Slow SVT, only like 160s.
Didn’t want to admit the lack of p wave. Tried hard to convince him it was ST. “Sooo…you’ve been sick lately, no eating or drinking” him: “no, ive been fine.” So…working really hard in the shed, lots of sweating….. him: no; just some light cleaning.
So. “Listen man, I’m sorry, I’m going to have to use electricity to restart your heart, it is beating to fast, and if it sounds like I am going to electrocute you and it is going to hurt, you’re right.”
Him: is that necessary.
Me: yes.
Him: Can you give me something for pain?
Me: nope, if I could do that I would be trying other medications first your pressure is to low.
Him: okay.
Zap:
Him: that really hurt.
Me: I told your
Him, yea…but I feel better now.
I have wpw syndrom I have been shocked that shit hurt like a mother fucker. I don't know what the what that dude was made made out of, but it felt like the human version of a hard reset button.
@@bkane573 I had a patient really nervous to get a pacemaker. Now granted, big surgery, I get the nerves, but they were worried about feeling worse. Me and the nurse immediately shut that worry down. No no no, you’re gonna feel better guaranteed.
I feel like if Im ever conscious and need an electric cardioversion I kinda wanna try it without much in the way of sedation. Im kind of an adrenaline junkie too though
as someone that has studied electrical engineering this reminds me of the story about Georg Ohm who found that different levels of electricity hurt differently and used that a basis for ohm's law, not sure how correct it is but it lead me to believe since multimeters weren't a thing yet he shocked himself to see how things in a circuit worked.
@@bostonrailfan2427
ohms law is V = R * I
V being voltage (in volts)
R being resistance (in ohms)
I being current (in amps)
your body is a resistance so when current passes through it a voltage is also created. and if there's voltage then there's inevitably a current.
the important part you really want to consider i think is the power created by the electricity.
P = V * I
P being power in watts
power is what we use to measure limits to electrical components so im sure it's relevant to lethality.
@@bostonrailfan2427 amps or volts being deadly is pedantic. Amps are technically what kills you because it's measuring the flow or charge. Think of a bird sitting on a high voltage line. That bird is +20kv to ground but he's not touching ground so he's fine. If he stretches his wings and touches ground, or there 20 amps flowing through him and he vaporizes because that's 400kw of power.
Electricity Georg was an idiot and shouldn't be used for education /j
@@bostonrailfan2427 Well Voltage is just a difference in potential. the current (aka the amps) is the charges actually moving. If we used every electronics professors ever favourite example: Imagine you have a mountain and a valley. The difference between the mountain and the valley is the difference in potential or the voltage. You are the charge and how fast you are moving down the mountain is determined by the current (Actually your speed IS the current, but that's too complicated for now)
Now at high currents, say you slip and fall down the mountain all the way to the valley reaching terminal velocity during your fall, you're with a very high likelihood dead. At low currents, say you leisurely walk down the mountain, you are most likely not dead. Does that make sense?
@@JL-dance What is and isn't lethal has many factors.
1) AC or DC?
2) What path does the electricity take?
3) How big is the voltage and resistance?
4) If it's AC, what's the frequency?
Basically if it's AC going through the heart you can die from that at MUCH lower currents than for example DC going into your right thumb and leaving through your right index finger.
Also frequency is important because AC has what is called the skin-effect where the current actually flows only through the outermost parts of the wire (or in this case the skin) and this is more pronounced the higher the frequency.
And as a rule of thumb as long as the electricity doesn't travel through the heart you are mostly fine. I say mostly because at certain levels of power you do suffer severe burns and can die from those, but you get what I mean
"Doesn't wrong start with R too?"😆
Dang it Jim! I'm a doctor, not an English major!
“Close enough for government work.”
my dad always like to" tie things up" before his inversions, mowing, edging & stuff j.i.c.
so he's out there using this old edger he found in a garage sale and bumps against it's spark plug with his wedding ring & it zapped him.
the next morning his cardiologist freaked when he told him why he was now in normal sinus rhythm... :D
i love my dad.
I've read enough about science experiments to find this totally believable, except for the part where they didn't find out this works by accident while studying something unrelated.
Or licking it. Too many great advances In science involve tongues too
@@bdough5012 "What's this substance? Welp, better eat a surprisingly large amount of it myself to find out." -Scientists discovering most drugs.
They randomly shocked chickens until a practical application was discovered, then spent the next hundred and fifty years doing it without understanding how it worked (and dismissing the handful of scientists who figured it out) until Johns Hopkins accidentally shocked a lab animal twice and realized that they could cure the thing they were inducing to study by doing it again.
That was a fun little adventure into medical literature. Also, I found a Royal Humane Society illustration of two doctors literally blowing smoke up a drowning victim's ass, which I have saved pending any excuse to show it to people. Worth.
@@rabureta the history of medicine is truly endlessly fascinating.
"Wait, doesn't wrong starts with r too?"
HOW ARE YOU A DOCTOR??!! was the look he had on his face 😂😂
I just heard of this in regards to my mom. I thought she was messing with me. Turns out this is legit.
I was shocked.
So were they
Hopefully only during R wave
Literally?
"Yeah, that happens." How many sketches could he make with that as the punch line? XD
Short Film [Series]: "Yeah, That Happens".
The best part for me was his heart skipping half a dozen beats when they said they were gonna shock him lol
"Doesn't wrong start with R too?" Just amazing, I love this
WHAT 😂
Medical version of "hold my beer."
As someone with Atrioventricular nodal reentry Tachycardia and Atrial Tachycardia... the fear is real! 😂
The first time I had it happen, my heart rate was around 250bpm. The paramedics came and told me to stick my thumb in my mouth, build up a lot of pressure like you're trying to blow up a balloon (but don't let the air out!) While simultaneously bearing down, pushing to take a poop... "but don't really poop!!!!!" - as one paramedic emphasized lol it made me wonder about what poor soul made that necessary for him to say.
Needless to say, but it worked! Those guys gave me better tools on how to stop an episode than any cardiologist/electrophysiologists I saw. I'll always be grateful for them.
I managed my own by doing this for 20 years. And then one day it wouldn’t work and we had to go to the ER.
@@graciehp I'm so sorry! It can be such a scary and helpless feeling.
I ended up needing cardiac ablation. Unfortunately they were only able to ablate one of the two arrhythmias but it's been so much better!
One of my arrhythmias was originating in an area 6mm from the phrenic nerve, so it wasn't worth messing with my diaphragm to get rid of. But still, I'm glad to be rid of the AVNRT!
I hope everything is settling down for you and it isn't acting up often! ❤
We do this often at the emergency cardiac care unit before injecting any kind of medicine. It’s called the Valsalva maneuver. You can blow as hard as you can on you thumb of on the back of your hand. It builds up the pressure in you thorax which will strongly stimulate the vagus nerve (causes the heart rhythm to slowdown). You can also do the modified vasalva but that takes longer. You can do this when the first Vasalva failed to work.
On the one or two verts i ever had to assist with, my medic never mentioned a potential fix without using the Zoll or drugs. TO be fair the pt was worsening fairly rapidly on one and the second one Fire had already halfway set him up when we took over. I gotta say though, thats what you call quality para-medicine right there. Least risky option.
Amarante #29 NorCal, Ik the ALS protocols can vary fairly widely state to state so I’m not entirely sure as I’m just a basic that’s been running 911 for a few years. From what I remember, Fire had been on scene a few minutes before we got there so they might have attempted a Vagal (which makes sense looking back as that pt was more stable than the other I mentioned) but our unit only was involved in the drug admin and vert. The other I was with a Medic that had moved from Florida but I only saw the drug/vert again. It’s entirely possible that I missed it while setting up the drugs possibly? Let me know if any of that helps make a bit more sense. I typed this out a little quick as I’m studying for my Phlebotomy final tomorrow.
I had afib and tachycardia between when I was 17 and 21 years old. My heart was young and strong so in extreme cases it would get up to over 300 beats a minute and sometimes would hover in the 200’s and wouldn’t convert for days.
I had two ablations but I’ve had over half a dozen of these cardioversions and one time when they did 3 back to back, I was awake for the last charge and that was pretty wild, not very fun.
They give you a drug that makes you feel all warm and talkative and honestly pretty amazing to out you to sleep before they shock you.
My last surgery was while I had Covid and was having partial heart failure because of it. The surgery seams to have fixed the issue and now I’m just living my life, it’s been about a year.
Damn dude, I'm getting to be in the same boat. I was hospitalized back in May for A-fib, felt like I wasn't breathing. Can't imagine being awake for the shock. Still getting checkups to see what the hell's goin on, hopefully don't have to get ablated like you. Hope you're doin better now man.
Damn my dude. I wish you the best
They give you Medazolam.
happy trails king
And I thought my heart hitng 150s-185 from alcohol withdrawal was bad. That's rough.
Worst first? I'd say it would be worst to be told that even though the empirical data was supporting it, my doctor didn't like Dr. Semmelweis' reasoning, so he wouldn't be washing his hands before surgery.
How dare Semmelweis suggest a Doctor and a Gentleman has dirty hands.
@@Randallw2008 Germ theory? HA! As if something not visible with the naked eye could make a body sick, Semmelweis must obviously have these tiny things float around in his brain!
@@Finkelfunk Yet farmers empirically observed that water helps plants grow and were irrigating crops for centuries before the Calvin Cycle was discovered.
As they say: Wash your hands, you filthy animals!
“Yeah, that happens…”
My mom had this done. I guess they give you some type of twilight anesthesia so she doesn’t remember but dad say when they shocked her, she opened her eyes and said “Holy shit!” 😂
On an ambulance ride in 2019 with SVT (diagnosed on my living room floor) I was given two doses of adenosine, which was wild to say the least. In between passing out and coming to over and over I could hear the EMT’s preparing the paddles. Not knowing much about SVT, I legit thought I was dying. Fortunately my heart decided to behave itself just then, so no ⚡️⚡️
I got the ablation in January 2020, which was thankfully successful.
I've never been this early. I love your skits, I watch them with my dad who is a firefighter!
Jason, we need more Green Screening! I've binge watched about half of your green screen and review videos multiple times a day for a few weeks now. It's still hilarious and we need more!
Keep it up, your content is awesome!
I had this done to me once after I had an allergic reaction to an epi-pen administered to me for a known allergen. Fun times.
One has difficulty believing there is anything in this world will wake your A$$ up faster than hearing the call for "Paddles... charge to 190... CLEAR!", while you are still concious. Then you actually feel the jolt and realize, "Oh F***!"
An allergic reaction to an epi pen so uh what happens now if you end up in contact with your other allergen?
You can't be allergic to epinephrine your body produces it naturally.
@@ozzyjames87 side effects from epinephrine do happen but there ridiculously rare from what I looked up
@@jameson1239 could also be to some conservant that might be added to the epi
Feel like that's pretty much how I'm treated by the medical establishment! Close your eyes and aim! 😄
Me, too. Just one big ol' human experiment. They should call it "Experimenting Medicine" instead of "Practicing Medicine." 🙄😁
Just as they shocked him, Windows made the USB disconnect sound. It was pretty funny, actually.
"I think I peed myself" LMAO
Yeah, that happens.
Yeah, I pee’d myself too. 2014 code blue post-OP my open heart procedure. Well it was two days later while still in the ICU, not directly after the surgery.
It’s very embarrassing and you have to lay there while 2 nurses ‘clean’ you up. You say you’re fine, I can clean myself now. They say no, lay still. They say ‘yeah, that happens. Don’t worry’.
I’m sorry, but no I can’t help it. I’m worrying. I’m a grown adult laying in bed with two complete strangers wiping my doodle and bum because I pissed myself. There’s nothing that you can say to reduce the embarrassment I feel/felt.
But of course I was appreciative then as I still am today for the work they do everyday. The literal crap they put up with while still smiling sweetly. I couldn’t imagine a world without the amazing dedication of healthcare and triage workers.
Thank you for cleaning my doodle.
These skits are so golden, keep up the good work!
Jason, you are the best man! Love all your stuff!
This is one of my favorite procedures to watch in the ER
These videos always make my day.
Editing absolutely on point
‘Anyways, CLEAR!’
*me rolling on the floor laughing*
This guy knows how 2 lift my spirits when I’m feeling low. Thanks man.
It would have been absolutely terrifying to be the first patient of a treatment
Therapeutic Electrocution!
Lmao. I went in with a racing heart. They did the chemical stuff twice, boy that was a scary experience (felt like I almost fell out of my body). I'm surprised they didn't shock me. I'm assuming they didn't due to the chemical stuff.
They ended up putting me on a drip, and the racing stopped over night. Ended up being atrial flutter. 1 ablation later, I'm good to go!
Been there with SVT. They use adenosine. Turns out it literally stops your heart to allow it reset. Feeling your whole body screaming for blood and oxygen isn’t fun.
Man these skits are in my top favorites, love your vids!
Bro you always make me LMFAO. Keep it up, it's great!
It's all fun and games until you hear "CLEAR"
"yeaaa that happens" at the end really got me😂😂
I always figured this came about as one of those "can't make them worse then dead" ideas
Love how ‘ we’re going to electrocute you’ is followed by his heart stopping
You could do a full TV series casting only you and would still be better than most TV shows.
Thanks for the laugh. Definitely needed it at the moment.
This video reminds me of some of the stupid shit we did to each other while deployed.
I’m 41 and I’ve been shocked about 16 or 17 times for afib in the ER. Narcotics are great
Love these videos! Also love the theme song, lol
"Yeah, that happens." The most accurate part there. It's all gold though.
Worst first - prostate exam . . "oh yeah, we should do this every so often"
Love the "heart skipping a beat" at 0:17
As they sing: ~~~~~~SHOCKED THROUGH THE HEART, and YOU'RE TO BLAME~~~~~~
Brilliant! Great job!
uuuugh, i had to have a cardio catheter exam done for reentry-tachycardia and an ablation, and while they didn't use the big buzzer on me, they DID tell me "170 is a nice bpm to work off of".
me, fully awake, if drugged into a puddle of "can't run", did NOT think so.
took 5 hours, and they jammed the catheter into my liver vein, and somewhere near my lung (weirdest feeling ever)
once i was done, i got to rest up and then proceeded to bleed all over the floor when the stitches of the entry port thingie opened up again
8D
fun times!
it did help, though, even if i still have smaller episodes a couple times a year
I'll never forget the day I spent an hour in the Cath/EPS Lab with my patient while they were in VTach for 45 minutes but somehow awake. The cardiologist finally found the spot & zapped it.😮
I’m not even a first responder and I don’t understand what these videos are about some of the times but hey this stuff is really funny anyway👍🏼👍🏼👍🏼
I went through that last month, SCARED THE HELL OUTTA ME!
These get better and better
Gawd you bring me joy.
boy one would think simply being threatened with this treatment would be enough to get the heart rate so high it'd stop.
Ha ha ha!
Remember the first time my dad had to undergo his first cardioversion.
For us regular mortals they stop the heart at the right point, then let's it restart itself.
Done correctly it will return with a normal heart beat.
But I was honestly worried when I heard the procedure was doctors stopping my dad's heart, and hoping it would return with a normal rhythm.
It's the same thing that happens when you do CRP. You provide chest compression until the heart goes from inactive to arrhythmia, then the defibrillator shocks the heart to stabilize the beat.
it is literally the medical version of turning it off and back on again.
I swear like 90% of non EMS people believe that the defib is a sure thing if the pt is arrhythmic. Lead to some stressful resuscitations with family on scene. Can’t blame them though, stressful as hell situation mixed with shitty TV shows that just show a flatline and the doc immediately shocking.
@@genericsocks7542 Only works if the heart can capture it otherwise it’s chemical and if that fails well....
Love this so much :)
00:30 I laughed so hard! Hope for the best hahahaha!
They did this to my mom and I am sooo glad this video wasn't around back then. Although, she'd have laughed at it. Eventually. (She lived another 3 years)
First time a surgeon mistook a patient for another and gave him unecessary surgery, and then he had no bro to turn to him and say "don't worry happens all the time"
Jason, you're awesome bro, you always make me laugh and you give info too. My favorite videos are, how firefighters eat, lol! :D My brother is a fighter fighter out in BC, I talked with him and he said loves channel too. :D
This is gold!
I have AFIB, I've had this done twice...Thank the Lord that my Dofetilide works...LOL
I have an ICD. 3 months after I got it put in I went into V-fib. Thank God I passed out before I was shocked!
My first “real” call as a paramedic was poor guy’s who was working very well. He never passed out.
@@bkane573 wow! I hear that's VERY painful!
@@maggiemcdowell2536 It seemed to be.
These are great
I like the tidbit where when they first tell him that they're going to electrocute him, the rapid heartrate beeps stop for a moment.
Screaming in the bowl of water got me! 🤣
Once had a masters student forget to R-sync and i caught it a second before he pressed the button. Funnily enough there were other specialists and nurses there and no one noticed.
Kinda adds a whole new perspective on the phrase "practicing medicine" really.
Man your a brilliant actor
was present when our Medic did their first cardioversion. They were very freaked out and well the patient was too pleased either. However it worked it got him out of A-Fib.
When I got shocked by a 50KV neon sign transformer, i am pretty sure my heart rate went up at the same time it felt like Alien just ripped through out of my chest.
Oh dear, I think I'm just peed myself a little too.😆 Thank you for the laugh ❤️I so needed it.
The comedy we all need
I had a chemical cardio version 1 year and 6 days ago. Nothing like feeling your heart go from 240 beats a minute to stopping. It hurts. And they did it twice. But I was also so grateful to have a normal pulse again! I was in SVT.
This reminds me. I need to take my five heart meds for the night
Im a student paramedic on my first placement and actually went INTO SVT (didnt know i had it) during the placement and i saw the straw in the video and choked on my tea. That hit hard lmao!
Fantastic.
I'd be terrified to see how the first catheter went.
I mean they were bound to get it right sooner or later! lolz
"Wrong starts with R too right?"
"wHaT?"
I've had this done twice
Fun times
Also, I always made sure to turn the life pack screen away from the patient and family when giving adenosine.
Amazing
I had 22 before, they finally got me on the transplant list. Muscle memory is no joke. I went out playing my video game. Then woke up, thinking, I Was still playing my video game. Nurses and the doc sat watching me. Playing a video game with nothing in my hand, when coming to.
I highly recommend having this done. It's an experience.
Did you have it done?
@@sarahmichell2438 Unfortunately, yes. I used to be a very heavy drinker. One time while going through withdrawal my heart went into V-tach. It was somewhere around 298 bpm. When I arrived at the hospital there were 4 people waiting outside the ambulance with a crash cart. When they wheeled me inside they told me they were going to zap me. It was like having a heavyweight boxer punch my chest from the inside. I don't drink anymore.
I think I peed myself, got my laughing so hard. 😂
I like how they just keep the dead bodies in the room
This is priceless!
This was the best one yet.😂😂😂😭
Absolute Golden!!!😂😂😂
Well this explains why I ended up in emergency room after visiting doctor for a normal scheduled visit lol.
Oof. Been there. Had my HR stuck in the 180s once and took hours for it to come down. Following night I woke up suffocating due to a lack of o2 exchange. I was ventilating but that was it.
Like I always wonder who got the brilliant idea of brewing coffee from the bean that passes the animal that’s eats it (don’t remember the name )
Can’t picture it 😅 seeing poop on the ground, picks it up. Sees a bean. And think “ ah I’m going to brew coffee from this”🤣