This video got me married! I met my wife in the hospital when my patient needed synchronized cardioversion. She was a new grad and wanted to assist/learn. After the shock both our hearts were also in synch ;) I asked for her phone number so I could send her this video. The rest is history.
So awesome to hear this! I really appreciate the kind words. Thats so great that you are getting ready to begin your journey into nursing and I wish you all the best!
Thanks for this really informative, articulate video! Thanks to your video, I now know what happens while I'm in Propofol dreamland. I'm a patient who's had five synchronous cardioversions for AFib/AFlutter over the past 9 years. Had one last week, which thankfully returned me to normal SR. Let's hope it holds... If not, looks like I'll need a third RF Ablation. Deep respect for ALL who participate in these procedures -- you're my heroes!
@Smarie Gonzalez Hello, it was so bad I resigned after 5 shifts of orientation! The ratios were 1:4, but with one tech on the floor, no patient transport and high acuity, there was no way I could have stayed!
I have been a med-surg. nurse only. Since 1988. I just retired. However. I became a bit board. I applied for a job that required ACLS. Well I've never had ACLS, as there was no need for my position. I immediately started watching your videos. Not more than an hour later I called an ACLS instructor to see if she could get me in her class ASAP. She said she wasn't taking any new students. I told her I had studied. She started quizzing me. "Name the rhythms that are shockable?" Etc. Etc. At the end of the quiz. She accepted me. I now have my ACLS 96 score. All because of you!!!!!!! I thank you!
Wow, Helen, this is so amazing to hear! Way to go on your dedication to learning something new and to getting after your goal. Strong work and congrats on your ACLS and hopefully new position!
Thank you for the easy and thorough explanation. I am a 20 year RN now working at a cardiac stepdown unit and hoping to someday work in the cardiovascular ICU. I hope to keep learning so saving lives is second nature. Thank you so much for you videos!
Awesome! Its so cool how so often when I post a new video, it is perfectly timed for some people with whatever is going on in life, or school, or whatever! Pretty amazing. I hope you enjoyed. I'm in communication with the AHA about being able to do some videos on ACLS topics, but I don't think this process is going to be quick, and hopefully their fees are not outrageous. I know these would be great topics that I know many would enjoy.
Excellent presentation with straightforward descriptions. I work MedSurg with shifts as SCU (Specialty Care Unit). This was great information for me, thank you for your good teaching!
Thanks for the explanation. I had my 2nd a-fib cardioversion yesterday (the first one five months ago reverted itself after one week). This one is a success but time will tell if it holds. The nurses, docs and aides all answered my questions but we don't always know the questions to ask. I now know more than I did.
Wish you a billion subscribers for the good things you do. Will refer your channel any nurses who wants to expand the knowledge in order to deliver a safe patient care. How bad would be to wait the MERT nurse to apply a defibrillator because we have no idea while we could actually learn so much. Thank you for all the courses we continue achieve the unforgettable knowledge which in turn help us to provide a safe care proudly.
There are definitely studies that show the quicker we defibrillate a lethal arrhythmia, the better the mortality. Thanks so much for the kind words and really glad that you found it helpful!
I think that was a good review. I'd add just a few things: When the hand-held attached electrodes are used, a conducting medium (NaCl paste) must be placed between the metal and the pt's skin. When possible, it's wise for 2 people to be used with each holding one electrode. This makes accidental shocking of the operator impossible. I've seen that happen only once out of many hundreds of cases but a distinguished cardiologist was injured in the process. In thin pts. especially with VT, a very small energy (5-10 joules) may be very successful and isn't sufficiently painful to require sedation but does merit a warning to the pt. In cardioversion/defibrillation, delay and tissue acidosis are the most important factors in limiting success. With that said, I have converted at least a dozen (probably more) pts. with a chest thump. That brings up asystole: I have seen a number of pts. with asystole respond to very low energy shocks. But they are uncommon except in the OR where it's actually usually the case. AP electrode placement, as you stated, is much more likely to be successful. Shouting "everybody off" is not sufficient. It is the obligation of the operator to be sure that no one is at risk from defibrillation. LOOK carefully. It takes only 3 seconds. If you can't see the "sync. mark" on the screen, remember that many units will sync. only on a positive complex (R wave and not S wave).
Extenal Pacer is running. How do the provider change to transvenous or internal pacer? During giving shock it is also noticeable for the provider, so it Must be stoppt for a change to an other Devise? It takes Time to get a catheter into the Patient. How is there the Procedere to avoid any harms?
The output for pacing is nowhere near cardioversion. That said, theres some places that don't interupt compressions for delivering cardioversion shocks.
So for an ICD, how would you compare the pain or impact of the shock, as compared to an external shock? I've had sustained V-tach twice without a pulse but still awake and alert, and both times I was shocked with an external defibrillator without sedation. I will be getting an ICD implant, and it's so nerve racking because I have no clue how bad the shocks will feel if the ICD goes off. This is torture. Any words to help calm me?
My father died in ICU because of low oxygen level. When putted in ventilator oxygen saturation they could maximum made it to 86℅ and pulse was 72. Within 1 hour he died. He had broken heart syndrome and many times we saw before that his body shake when it happen and his neck gets stable ( hard and can't move). I am thinking its cardiac arrest? As soon as unknowlingly putted him in 45° then gave his relax message on his head then within 5 mins we saw improvement and neck get normal. I am just confuse when died doctor told me he had heart pump issue but I know its broken heart syndrome. Doctors made mistake when putting him into ventilator as loudly and forcefully putted it.
Hi there i wana have an insight on sync cardioveraion. This is given on unstable tachy may it be narrow or wide QRS of course with its corresponding joules. My question now is, is there a case or is it possible that you can deliver another shot of cardioveraion if the first shot is not working? If yes, whats the time interval frm the first shot? Thanks
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This video got me married! I met my wife in the hospital when my patient needed synchronized cardioversion. She was a new grad and wanted to assist/learn. After the shock both our hearts were also in synch ;) I asked for her phone number so I could send her this video. The rest is history.
wow
😂😂😂
😄😄😄😄😄😍😍🙏🙏🙏
Hi, I am a CVT surgeon. we use pacemakers and defib day in and out. still, there is a lot of scope to keep learning. thanks for the video
I love these videos. I work in the ED as a tech, and I'm soon going to be in nursing school, and this channel is gold.
So awesome to hear this! I really appreciate the kind words. Thats so great that you are getting ready to begin your journey into nursing and I wish you all the best!
It's great that you are already looking up this info! You will do great in nursing school!
I hope that everyone who has you as a co-worker consider themselves very lucky. Thank u. U will never know how much i needed this.
Thank you for the kind words!
Thanks for this really informative, articulate video! Thanks to your video, I now know what happens while I'm in Propofol dreamland. I'm a patient who's had five synchronous cardioversions for AFib/AFlutter over the past 9 years. Had one last week, which thankfully returned me to normal SR. Let's hope it holds... If not, looks like I'll need a third RF Ablation.
Deep respect for ALL who participate in these procedures -- you're my heroes!
Got my CCRN because of your videos!!! Thank you so much!
Awesome!!! Congrats on your CCRN. Thats a huge accomplishment and you should be proud. Way to go and happy to have been able to help in some way!
I'm transitioning into step-down after almost 20 years of med-surg and this was really helpful, thank you!
Awesome! Best of luck on your transition!
Hi! How was your transition?
What is your patient to nurse ratio in step-down?
@Smarie Gonzalez Hello, it was so bad I resigned after 5 shifts of orientation! The ratios were 1:4, but with one tech on the floor, no patient transport and high acuity, there was no way I could have stayed!
I swear, when I have to refresh a topic, I make sure to visit your page! Everything with you is very clear and simple.
Thank you from Switzerland
I have been a med-surg. nurse only. Since 1988. I just retired. However. I became a bit board. I applied for a job that required ACLS. Well I've never had ACLS, as there was no need for my position. I immediately started watching your videos. Not more than an hour later I called an ACLS instructor to see if she could get me in her class ASAP. She said she wasn't taking any new students. I told her I had studied. She started quizzing me. "Name the rhythms that are shockable?" Etc. Etc. At the end of the quiz. She accepted me. I now have my ACLS 96 score. All because of you!!!!!!! I thank you!
Wow, Helen, this is so amazing to hear! Way to go on your dedication to learning something new and to getting after your goal. Strong work and congrats on your ACLS and hopefully new position!
Kindly add simulation videos or animations for better clinical correlation. Great work by the way
Thank you for the easy and thorough explanation. I am a 20 year RN now working at a cardiac stepdown unit and hoping to someday work in the cardiovascular ICU. I hope to keep learning so saving lives is second nature. Thank you so much for you videos!
Thanks for taking the time to leave a comment Amy! Wishing you the best in your goals. If you want it, go for it! You can do it!
Right on time brother. Perfect timing! I’m currently holding my education sessions for mock codes. I’m staring our ACLS sessions tomorrow.
Awesome! Its so cool how so often when I post a new video, it is perfectly timed for some people with whatever is going on in life, or school, or whatever! Pretty amazing. I hope you enjoyed.
I'm in communication with the AHA about being able to do some videos on ACLS topics, but I don't think this process is going to be quick, and hopefully their fees are not outrageous. I know these would be great topics that I know many would enjoy.
Excellent presentation with straightforward descriptions. I work MedSurg with shifts as SCU (Specialty Care Unit). This was great information for me, thank you for your good teaching!
Thanks for the feedback. Really happy you found it helpful
I’m a new nurse in the ED. This was very helpful. Thank you!
Congrats on the new ED position and happy to know my video was able to help! 😊
This course was so helpful and a refresher for me. I'm an Echo Tech of 19 years and this course was amazing !!! Thanks so much!!!
Very cool! Thank you and glad you liked it Olacher!
I'm in psych nursing...used to be in ED...a refresher is always welcome...especially going into NP school...
Awesome! Happy to help and congrats on NP school.
These are my kind of videos. I love how you get right to the point.
Very good quick and crystal clear explanation. Keep the good work!
Thanks a lot!
Such a great refresher to our info you’re a genius
Very easy to understand.
Creatively and clearly explained the differences of each mode. Thank you!
You are amazing!! A blessing to everyone who got the chance to watch your videos 😍
Wow thank you so much Frida. You are too kind!
Thanks for the explanation. I had my 2nd a-fib cardioversion yesterday (the first one five months ago reverted itself after one week). This one is a success but time will tell if it holds. The nurses, docs and aides all answered my questions but we don't always know the questions to ask. I now know more than I did.
Wish you a billion subscribers for the good things you do. Will refer your channel any nurses who wants to expand the knowledge in order to deliver a safe patient care. How bad would be to wait the MERT nurse to apply a defibrillator because we have no idea while we could actually learn so much. Thank you for all the courses we continue achieve the unforgettable knowledge which in turn help us to provide a safe care proudly.
There are definitely studies that show the quicker we defibrillate a lethal arrhythmia, the better the mortality.
Thanks so much for the kind words and really glad that you found it helpful!
I think that was a good review. I'd add just a few things: When the hand-held attached electrodes are used, a conducting medium (NaCl paste) must be placed between the metal and the pt's skin. When possible, it's wise for 2 people to be used with each holding one electrode. This makes accidental shocking of the operator impossible. I've seen that happen only once out of many hundreds of cases but a distinguished cardiologist was injured in the process. In thin pts. especially with VT, a very small energy (5-10 joules) may be very successful and isn't sufficiently painful to require sedation but does merit a warning to the pt. In cardioversion/defibrillation, delay and tissue acidosis are the most important factors in limiting success. With that said, I have converted at least a dozen (probably more) pts. with a chest thump. That brings up asystole: I have seen a number of pts. with asystole respond to very low energy shocks. But they are uncommon except in the OR where it's actually usually the case.
AP electrode placement, as you stated, is much more likely to be successful.
Shouting "everybody off" is not sufficient. It is the obligation of the operator to be sure that no one is at risk from defibrillation. LOOK carefully. It takes only 3 seconds.
If you can't see the "sync. mark" on the screen, remember that many units will sync. only on a positive complex (R wave and not S wave).
THANK YOU, THIS VIDEO TOOK MY ANXIETY AWAY
Important to also check mechanical capture (pulse check) following confirmation of electrical capture.
THANK YOU ,YOU ARE NEEDED AND APPRECIATED BY US
Thank you so much Rose! I really appreciate you and everyone else as well!
@@ICUAdvantage thank you teacher
This helps ICU nurses a lot, even med students and fresh grad medical doctors 👍
SO happy to hear this!
Currently in Paramedic school and your videos are very much helpful and insightful. Thank you!
Glad you like them and great to know they are well received!
Simply AMAZING.
Thank you so much, cardiology resident❤❤❤❤
Thoroughly taught, always a 5 star review video. Leaving tons from these videos. Thanks a lot
Great video and explanation, thank you
Great refresher!
Awesome! 😊
Great Lecture ...i enjoy them...very simple and clear...thank you.
Awesome. So happy to hear this. Glad you liked the video!
Beyond excellent. Thank you!
Thank you so much Emma!
Good video I am a flight medical provider and we use a lot of these skills!! Thanks!!!!!
Yes you do! Glad you liked it!
Very helpful. Thanks.
You're welcome!
Thanks Eddie for all the great videos! I have been on maternity leave for 14 months so I am going though your videos to brush up on info!
Your videos seriously help me be a better nurse thank you!
Wow, this is so great to hear. Happy to be able to have helped!
Excellent video. You have talent. Impressive delivery.
Wow, thank you so much. I really appreciate you!
This clears everything up so well! Thank you.
Yay! So happy to hear this!
Please elaborate on mechanics capture.
Thank you....
Youre welcome
20 minutes of valuable information! Thank you
Glad you think so Kevin!
Simplified! Thank you…
Thank you again for your videos. You just make everything so easy to understand. I learn something new with each video, and refresh old knowledge.
So awesome to hear this! I'm really happy to hear you are finding value in the videos. Love the name btw! 😂👍🏼
Wow! What an amazing video....it just makes things so easy and simple for me as a paramedic student .
Ur not alone. Lol I’m a new medic here . Just got cleared to be on my own , refreshing constantly haha
Wow, thank you so much! Happy to hear it was helpful for you and wishing you all the best in your studies!
Excellent explanation. Thank you very much.
Thanks so much 🙏 💓
You're welcome 😊
I love your lectures!!! I recommend them to my fellow nurses!!!
Yay!!! Thank you so much Yanet! 😊
@@ICUAdvantage I just bought the membership!! Keep the great work!!!
@@yortizful Thank you so much! I really appreciate you!
Thank you so much
You're most welcome
WELL Appreciated. thanks a lot
Awesome! Youre very welcome!
Very informative.
Glad to hear it
This is well explained thank you
Thank you😊
wow Eddie, this video is so informative. Thanks man please give us more.
I will certainly keep making more! Glad to hear you liked it Kabelo!
Thanks so much.. very helpful to my practice
what is basic physiological mechanism of defibrillation vs cardioversion
Woow. I'm loving this
Thank you very simple and well explained
Great! Happy to hear this!
Thank you🌸
Very, very good.
Thank you very much!
Great one!
Thank you! Cheers!
Thanks, this was helpful!
Love the way you explain. Thank you:)
Great information! Thanks for taking time to educate and inform.
Thank you! It's my pleasure and glad to help.
amazingly explained and really helpful video!!
Awesome! Glad to hear it!
Thank you so much for this.. definitely draws it all together
Awesome! Really happy to hear this Terri!
Your fantastic thank you so much
Thanks you are too kind!
awesome video!
Nicely done!
Brilliant, many thanks
awesome and very informative. Thank you.
Amazing, thank you
Good information
Thank you!
Glad it was helpful!
Great job explaining as usual. Thank you!
:) Thanks again Kellie!
keep up the good work
Thank you!
Very simplified great lecture!!
Awesome! Happy to hear this!
Thanks Eddie
You're very welcome!
Excellent
Thank you!
Perfect 👍
This was great thanks man.
Glad you enjoyed it!
Extenal Pacer is running. How do the provider change to transvenous or internal pacer? During giving shock it is also noticeable for the provider, so it Must be stoppt for a change to an other Devise? It takes Time to get a catheter into the Patient. How is there the Procedere to avoid any harms?
The output for pacing is nowhere near cardioversion. That said, theres some places that don't interupt compressions for delivering cardioversion shocks.
Bless your generous soul 🥰❤❤
Thank you so much!
Why didn’t you turn the mode to cardioversion
Thank you so much...I almost cry watching this. lol
You're welcome. Why almost cry?
wonderful discussion... loved it
Awesome! So happy to hear this!
Thank you for the awesome video...
Glad you liked it!
So for an ICD, how would you compare the pain or impact of the shock, as compared to an external shock?
I've had sustained V-tach twice without a pulse but still awake and alert, and both times I was shocked with an external defibrillator without sedation. I will be getting an ICD implant, and it's so nerve racking because I have no clue how bad the shocks will feel if the ICD goes off. This is torture. Any words to help calm me?
In a nutshell, the way my Brain best remembers things. Thanks a lot! -Junior
Great to hear it. I try and teach things in a way that makes sense in my own head, so glad to know it is received well!
Brilliant
Thank you!
What’s all the fuss about these contraptions?
Good work!!
Thank you!
You're most excellent!
Thank you! 😃
My father died in ICU because of low oxygen level. When putted in ventilator oxygen saturation they could maximum made it to 86℅ and pulse was 72. Within 1 hour he died. He had broken heart syndrome and many times we saw before that his body shake when it happen and his neck gets stable ( hard and can't move). I am thinking its cardiac arrest? As soon as unknowlingly putted him in 45° then gave his relax message on his head then within 5 mins we saw improvement and neck get normal.
I am just confuse when died doctor told me he had heart pump issue but I know its broken heart syndrome. Doctors made mistake when putting him into ventilator as loudly and forcefully putted it.
Great job!!!!
Thank you!
Hi there i wana have an insight on sync cardioveraion. This is given on unstable tachy may it be narrow or wide QRS of course with its corresponding joules. My question now is, is there a case or is it possible that you can deliver another shot of cardioveraion if the first shot is not working? If yes, whats the time interval frm the first shot? Thanks
I am worried and here because my brother in law is going to get the shock nov 30
Good review. I am going in the morning for this procedure.
Great
before, they use defib on a flat line
now you need a shockable rhythm
why tho?