ACLS Megacode Scenario 3: Bradycardia to Ventricular Fibrillation to ROSC
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- เผยแพร่เมื่อ 31 ต.ค. 2020
- This is the third ACLS megacode scenario in the "Megacode Series" by Health Ed Solutions and it will cover Bradycardia to Vfib to ROSC. The megacode scenarios are intended to test your ability to put your algorithm knowledge to work. For each megacode simulator, there will be a scenario and you will have to identify rhythms, prescribe treatments, and recommend the next steps to properly provide optimal care for the patient. Rationales are included with the correct answers to support each clinical decision.
Thanks for watching and stay tuned for more lessons in our Megacode Series. We will be offering an entire free series of practice megacode simulators covering ACLS, PALS, NRP, and BLS scenarios - all up-to-date with the latest 2020 AHA/ILCOR guidelines and peer-reviewed by the Health Ed Solutions medical review board for clinical accuracy.
Here is some more information about Health Ed Solutions:
Health Ed Solutions is a leading innovator of online certification and recertification in Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Basic Life Support (BLS), Neonatal Resuscitation Program (NRP), as well as several additional certifications for health care providers and emergency medical responders.
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Thank you for watching! Please hit the like button if you enjoyed the video lesson. Feel free to leave comments if you have questions or feedback. We will try to answer them as soon as possible.
Watch the entire Megacode Series Playlist here:
th-cam.com/play/PLJ5kKhwVxA5LWvUYUzhtZIAFDKFibCiZp.html
Check out these other great lesson playlists from our Channel:
👉 Understanding and Interpreting ABGs: th-cam.com/play/PLJ5kKhwVxA5J9q3KXz-w5Er6itwzIriMw.html
👉 One Quick Question Series: th-cam.com/play/PLJ5kKhwVxA5JBIokh4ddyRWelvnXlRtcQ.html
👉 ECG Rhythm Review: th-cam.com/play/PLJ5kKhwVxA5LlDt9S-venJPYWNN7_TSEX.html
Visit our website for 100% online certification courses in ACLS, PALS, NRP, BLS and more. We also offer free practice exams, flash cards, study guides and other free educational materials:
🌍 www.healthedsolutions.com
Q2: Atropine 1 MG is the updated AHA treatment for bradycardia, NOT, 0.5mg. Otherwise EXCELLENT LESSON. THANKS!
For UK it's 0.5MG but up to 3MG max
Loved this mega code.
According to new guidelines 1mg atropine is recommended initially
Thanks for your feedback!
FANTASTIC channel!!! Megathanks for the megacodes!!
I am an orthopedic surgeon ...but this video made feel 'oh only if I were an ER doctor' .
Shared the video with a lot many who are preparing for their med exams.
Must say a great teaching video !!
We REALLY appreciate the shares. Thanks for tuning in doc :)
Well done. It covers everything.
Just an update: new guideline 2020
Atropine is given at 1 mg instead of 0.5 mg q3-q5 min.
Also, dopamine dose now is 5-20 mcg instead of 2-10 previously.
Epi remains the same.
Again, very good presentation. Thanks.
Most appropriate for revision.Thankyou.Keep the great work❤
Atropin 1mg is the latest update to treat bradycardia for question 2, thank your for excellent lesson
ED nurse for 13 years and these are GREAT for keeping those skills real sharp!!
I've learned so much in 13 mins than from a long lecture....love to learn with quizzes...keep up the work!!
Wow. Impressed….. the presentation…. The background music….. the voice …… the knowledge imparted …… all fantastic!!!! 👏👏. Many thanks 🙏🏻
These videos are pure gold, I'm learning a lot, thank you!
Please make more of these, this was awesome!
And the musical score/background music IS A MUST FOR EVERY CODE. 👍👍👍👍😎 VERY COOL.
These megacodes are so helpful! Thank you!! Looking forward to more!
Thank you Katelyn! We have many more to come for you!
I like how you ask a question first, you did a great job, thanks
Thanks for the kind words! Glad you enjoyed the megacode. More to come!
I'm absolutely subscribing.. Thanks a lot
Very practical teaching of high quality and relavance👏👏👏👏👏
This one was great, thanks!!
Very easy, clear, excellent video,, many thanks
Just watched this and omg i love it!!
Thank YOU for sharing this its very easy to understand i really love this!!!
Thank you.
Nicely explained 👍
Thank you very helpful.
Glad you found the megacode scenario helpful!
Great reviews of ACLS question
Thank you so much
Thank you
Very very helpful... Thank u🥰
Very useful
Too good
Great👍👍
The 2015 AHA guidelines recommend Epinephrine to be given after the second shock (defibrillation), not after the first shock.
You are indeed correct. We will be revising and updating on the next release of this megacode lesson. Appreciate the catch!
@@HealthEdSolutions ok, So in this incidence...after the initial defib, and 2 min cpr.. since it had not changed yet, continue with Dfib at 200j correct? Then if you get the PEA, you give the Epi, and continue high quality CPR...yes?
Please share a video following the latest AHA guidelines
Thank you for this comment. I was thinking the same when I was answering the question.
Agree
this is the absolute best teaching info, CUDOO'S
Thanks .....
Amazing
At 5.40, first need to give second dose of defibrillation, then only give epinephrine, as patient is still in VF after first dose of defibrillation.
Good !
Thanks!
Plzz do more videos about acls. Atls. Seizures also
We definitely will Kumar! Thanks for watching!
Pulseless Electrical Activity was present the first time you couldn't feel a pulse (3:04) not VF, and immediate epi is indicated, not defibrillation.
At 3:04 not PEA. V-fib immediately shock
PEA: "any organized rhythm without a pulse is defined as PEA, including sinus rhythm, atrial fibrillation or flutter, bundle branch blocks, and idioventricular or ventricular escape rhythms" - 2020 AHA ACLS Manual
so technically VF and pVT are not defined as PEA since the definition of these two rhythms is technically "no pulse, shockable rhythm"
Fantastic lecture 👍💞😂🌿🌿🌹🧡🕊🥰🧡🧡🕊🕊🕊🧡
Pre filled syringe of 3mg can be given as a single one off dose
The BP is 80 which immediately make this scenario an unstable PT. You would never dick around with adenosine when you have a monitor available and can pace. At least thats the current guideline.
Great input! Thanks for watching! More scenarios on the way..
yes, i immediately thought about pacing but i'm prehospital side and maybe hospitals do things...differently.
@@FelinePotato thanks for watching!
This is good information. However, the order is not exact for in field. You can't defib if pads aren't on the body. If you see Vfib.. chest compression immediately as pads are being put in place and charge aed.Never just wait. If heart is not pumping .. you do it. Remember, you can give all the drugs you want, but if you don't circulate it doesn't get to the areas in need.
With that said this video is very good
I have BLS exam this coming May 30, 2022.
Good
UPDATED GUIDELINES
Why are we not pacing right away since the pt is unstable with a systolic of 80
With a bp of 80/60 i would go for TCP before atropine
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I'd prefer pacing right away since bp is low in Q2
Correct
Would have been even better if the answers weren't listed in the title
Is this the updated acls guidelines? Thankssss
Yes it is
@@HealthEdSolutions thank you
May i know if you have available ACLS and BLS pdf? Thanksss
@@doremifasolatido-ro7zs thank you for watching!
We offer pdf study guides with our certification courses online. You can visit www.healthedsolutions.com to register.
Thanks you appreciated all the efforts and experience knowledge 🧡🧡💫👌🏽🤔🌸💛💛🍀🍀💋🌹🌹🌹🍀🍀🍀😗😗🕊🕊🕊🕊🕊
Update Atropine 1 mg
why 0.5mg? less dose can more cause bradycardia to the patient…. 1mg every 3-5 minutes for maximum of 3 doses
Atropine ,that is
Atropine 0.6mg not 0.5 mg