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Gary Heigel
เข้าร่วมเมื่อ 9 ส.ค. 2009
Assorted videos related to EMS and Paramedic education, ECG Interpretation, ACLS, and more...
We Had This Call…Strategic Storytelling in EMS
Stories have a unique ability to engage and resonate with EMS learners. When instructors share real-life stories, it helps bridge the gap between theory and practice, making complex concepts more relatable for EMS professionals. This webinar was presented on 8/27/24 for the National Association of EMS Educators (NAEMSE) and provides some tips and pointers for choosing, crafting, and sharing your stories in the classroom.
มุมมอง: 9
วีดีโอ
Cardiac Output Basics
มุมมอง 514 หลายเดือนก่อน
8-minute video explaining key aspects of how our bodies produce, sense, and adjust cardiac output to meet system needs and demands.
Acute Coronary Syndromes for ACLS 2020
มุมมอง 39211 หลายเดือนก่อน
A simplified description of the assessment and management of patients with Acute Coronary Syndromes (ACS).
Intro to ACLS Guidelines
มุมมอง 913ปีที่แล้ว
Introduction to the ACLS algorithms with tips and pointers for effectively using them, and understanding the classifications and recommendations of the AHA.
RCC REALITi 360 - Putting the units away
มุมมอง 169ปีที่แล้ว
Steps for shutting down and storing the units at Rogue Community College
RCC REALITi 360 Bag Configuration
มุมมอง 222ปีที่แล้ว
What goes in the pouches and how they need to be organized at Rogue.
RCC REALITi 360 startup procedure
มุมมอง 133ปีที่แล้ว
Powering up and starting the REALITi 360 system at Rogue Community College
RCC REALITi 360 Storage Cabinet
มุมมอง 74ปีที่แล้ว
Storage and access of the REALITi 360 devices at Rogue Community College
Med, Math, & Beyond, Part 3 - Calculating Drip Rates
มุมมอง 1842 ปีที่แล้ว
Assorted strategies and approaches to calculating medication drip rates when you don't have a pump.
Med, Math, & Beyond, Part 2 - Dosage per Kg
มุมมอง 1092 ปีที่แล้ว
How to calculate kilograms from pounds, and how to calculate weight-based doses.
Med, Math, & Beyond: Part 1 - The Basics
มุมมอง 1882 ปีที่แล้ว
A Basic introduction to calculating medications and dosages, for paramedic students, EMS providers or anybody responsible for calculating, drawing up, and administering medications.
Bradycardia Management
มุมมอง 11K2 ปีที่แล้ว
Everything you need to know about the ACLS Bradycardia algorithm in less than 9 minutes.
Debriefing basics
มุมมอง 2282 ปีที่แล้ว
Some Basic considerations and strategies for conducting debriefing sessions following EMS scenarios.
Paramedic Cardiac Pharmacology part 1
มุมมอง 2832 ปีที่แล้ว
Rogue Community College Paramedic course, winter term
Adding an ETCO2 receptacle to the REALITi 360 case
มุมมอง 1362 ปีที่แล้ว
Adding an ETCO2 receptacle to the REALITi 360 case
Not so Rapid...Paralytic-assisted intubation in EMS
มุมมอง 2843 ปีที่แล้ว
Not so Rapid...Paralytic-assisted intubation in EMS
Cardiac arrest part 2 non shockable - ACLS 2020
มุมมอง 22K3 ปีที่แล้ว
Cardiac arrest part 2 non shockable - ACLS 2020
Cardiac arrest part 1 shockable - ACLS 2020
มุมมอง 40K3 ปีที่แล้ว
Cardiac arrest part 1 shockable - ACLS 2020
Thank you
Beautiful clear explanation. Thank you! Can WAP rhytm be regular?
Glad you liked it! A WAP is typically going to be irregular since the beats are originating from multiple locations, but the irregularity may be very subtle, especially at faster rates.
@@bheigel64 thank you. The rate I have seen was much lower. between 50 to 55 bpm. Thank you!
Media is there if you click on the ICON
I keep coming back🤍
Thank you very much sir..for the good explanation.. God bless you..🎉
9:34 how am I supposed to diagnose that?
If you can you be more specific about what part doesn't make sense to you, I'll try to answer...
Thank you
Very good format and delivery.
Thank you so much for explaining junctional rhythm so simply and clearly!
I am using the app on Ipad and macbook. After one minute the patient starts crashing and i lose the ability to control the monitor. Any workaround around that?
It sounds like you are running it in the demo mode, which disconnects you after 1 minute. If you have a licensed copy of REALITi, you should contact iSimulate to have them walk you through the activation steps.
Another one of your excellent videos I will share with my paramedic students. It is my understanding Dr. Wenkebach first discovered 2nd type I before EKGs were invented, using his stethoscope. Then Dr. Mobitz rediscovered type I with an EKG, going on to discover type II describing the EKG findings for both. I was a little surprised you did not distinguish AV nodal (1st, 2nd type I, & narrow 3rd) from infranodal (2nd type II and wide 3rd) heart blocks. ACLS addresses this in whether to consider Atropine or pacing as first line treatment for symptomatic bradycardias.
Thank you for this video. Every instructor should look up this effect to better understand the students learning journey. I routinely show a version of the Dunning Kruger effect to paramedic students. In the last few years we now have the “YMCA” generation with the mind set everyone gets a trophy, and some not willing to invest effort for personal or professional growth. It’s my hope to reduce “arrogant ignorance” toward the end of the course, keeping them from reentering the beginning phase “I don’t know what I don’t know.”
AHA’s Atlas website is randomly kicking instructors off, losing access to their videos. Your videos are a life saver to share with the paramedic students during cardiology. Thank you.
Hello, I'm glad you are finding my videos useful for your paramedic students! After 20 years of using other people's resources to teach paramedic students (that often didn't meet my needs), I finally decided to create my own. Where do you teach?
Excellent video I will share with my paramedic students. I would add that adenosine in an atrial rhythm with an accessory pathway (e.g. WPW) may be fatal. Allowing the atrial impulses to enter through the Bundle of Kent ((et al.) unchecked by the safety mechanism of the AV. I look forward to watching your other videos and sharing them.
.In a scenario where shockable rythm goes into unschockable after for example 2 defibrilations, and then goes back to shockable, are we going to administer amiodarone right after one shock(being it now 3 shocks admonistered in total during the cpr) or do we have to count three shocks again and then administer amiodarone
When rhythms change, there is no need to start over at the top of the algorithm. It is more important that you keep track of what interventions have been done, not exceed the maximum dose of Amiodarone, and continue shocking at the end of each cycle of CPR (if the rhythm is still shockable). In other words, we continue our pattern of giving the next appropriate drug during our CPR, shocking at the end of that cycle, giving the next drug, shocking, and so on.
helped a ton!
You explained it very well. Thank you
Would a person have time to call an ambulance when they go into VT?
Possibly...V-Tach with a pulse can in some cases actually produce enough cardiac output for a patient to remain conscious and able to function to some degree, but for most patients it will not be tolerated for very long before they deteriorate. In other cases, V-Tach will not produce adequate cardiac output and could result in a patient immediately being unconscious, or at least compromised enough to not be able to call 911 (or do much of anything). Gary
Wow super informative indeed and easy to understand
Thanks! I'm glad you found it helpful.
Please post more videos. You explain everything in a way that's so easy to understand.
Thanks for the positive feedback and I'm glad you like them. I add when I can...
I wish I had found this sooner. This is great work !
You can not imagine how helpful your explanation has been to me ! The provider manual does not explain in this way...in such detailed...Thank you so much !
I am very happy to hear that you found my videos helpful. Best of luck on your ACLS exam!
Thank you so much! I am preparing for my ACLS exam and your explanation help me a lot !
Who makes that storage cabinet that you are using? It looks like a perfect setup that other training centers could use.
I searched all over for something like it and finally just designed my own. I took my sketches to a local cabinet builder in Southern Oregon and they tweaked the design a bit and custom built it for me. You can email me at rogueemsed@gmail.com if you want more details. Gary
love it👍👍Easy and clear explanation👏
Thank you so much verry helpful ❤
Thank you for this! Sharing with my EMT students!
REALATI IS A WONDERFUL SOFTWARE!!! I just got a secondary iPad, so that I can use the software! I'm suppose to get it this upcoming week sometime.
You really helped me to understand this algorithm and get practical view on what should be done instead of simple memorizing. Thank you so much!
I'm really glad you found these helpful!
Thank you so much!
Sir, thank you.
hello, in the video you stated CCB for a fib/flutter, Adenosine for SVT but also BB for atrial tachyarrythmias- they are all tachyarrythmias! how to differentiate
If you haven't checked it out, I also have a playlist for ECG interpretation (th-cam.com/play/PLxwfu1cwzciJjF95EdIqH5PnFKejcWVBv.html) and the video on atrial rhythms might help you make some sense out of these.
@@gheigel thank you for replying - ur vids are great
Far better explanation than any isimulate videos...they don't do a good job of it.
Your youtube channel will grow drastically, great educational video ❤❤
Thank that was indeed an awesome presentation..
There should be a way that somebody who only has access to one, (ONE), iPad can have access to the simulator. A user with an iPad and an iPhone should have the ability to control the instructor's app ON THAT iPhone! You need to fix this issue! Because it requires that somebody have TWO iPads. Not everybody is going to have TWO iPads!
I am gonna buy iPad mini 2 and upgrade to iOS 13 and make a box and cables and nicely fit the iPad into the case and I am gonna but the same iPad mini and pair them and simulate
@@masimo_spo2 If I had an extra iPad, I could do so much on that simulator, but that's not happenin. I only have one iPad, so I just deleted the REALITI app, from the iPad. It's not compatible with iPhone, so there ya go. No good simulators for me.
Do you like simulation
@@masimo_spo2 Yes, I do. Medical simulation! Full blown patient monitor simulators, ventilator simulators, defibrillation simulators. Etc.
The system purchase comes with two Ipads, normal and Pro, so it is not an issue if you make the full purchase. (i don't work for them)
Bad explanation
Ｐｒⓞм𝕠𝕤𝐌
Почему
With lyrics can u put sir...?
Thanks for the video 🌸🌸🌸
You really made cardio physiology easy.thank you
This is golden thank you for your help teaching. It’s a gold mine finding your channel on TH-cam
It been a great pleasure to find your videos on TH-cam. Thank you thank you and thank you ❤
you are the best. Thank you ❤
Hey there Debigdog, Thank you so much for all the positive feedback. I love teaching cardiac topics and find that a lot of the stuff others put online is overly complex and confusing. Thanks for letting me know that my approach works for you! Gary
Your approach to understanding ECG has made it so easy, that understanding the terminology is key and makes it easy to understand. Thank you and God bless you.👏🏿👏🏿👏🏿👏🏿👏🏿
The best ever teaching. Every one that wants to learn ECG needs to watch this. 🙏🙏🙏🙏🙏🙏🙏
Brilliantly explained. Thank you 🙏
Another great video . Thank you I would really encourage you to continue if you can,because there isn’t another video on TH-cam that is as comprehensive as your videos. Thank you again for teaching
This has been very amazing. Thank you for teaching 🙏🙏🙏🙏🙏🏅🏅🏅🏅