The rhythm @1:23 is *not* ventricular fibrillation. It's probably sinus rhythm with artifact. You can clearly see sharp, normal-looking QRS complexes marching through the electrical noise at a rate of ~100 bpm.
The best thing to do is dual sequental defibrillation for refactory ventricular fibrillation and tachycardia Two devices on the patient two sets of pads in mirrored spots on the front and back of the patient, I am a survivor of RVF and RVT and Using a defibrillator along with my own internal device saved me They also needed the beta blocker but they used metoprolol with me because i have an extremely stressed heart due to lifetime heart problems at this point im awaiting a heart transplant
I’m a bit worried. I’ve had ectopic heart beats for around four years now and I’ve done a few 24 hour ECGs which didn’t find anything besides ectopics. This time they picked up something different - they picked up a brief 4 second ventricular tachycardia that I didn’t notice. They said this could progress to something fatal such as v-fib.
@@natashagates6280 still alive, still having palpitations every day, still no answers really. Doctors say I’m okay cos my heart is structurally strong. This 4 second ventricular tachycardia could just be 4 ectopic beats in succession originating from the ventricle, rather than a ventricular tachycardia itself. I’m a foreigner in China so getting the information from doctors is quite difficult.
Mine started in 2019 and still no straight answer as to why I have PVCs 🥲 I've seen 2 cardiologists and have done a few holters, echo, tons of ekg and recently a stress test and still no definite answer. My doctors say my heart is structurally good tho they need another holter and a tilt test cause mine usually happen when I bend over or sometimes when I sit, swallow food or even just by reaching for something. It's sudden body shifts trigger them and so I get a couple everyday minus the ones that I don't notice. 😢 My anxiety's been gettin worse and so more PVCs too
@@jemkasim2693 mine too get worse when eating and after, and also during stressful periods. When I am worried about ectopic beats, I have more of them too, but they can be there when I’m not worried also. One thing I’ve noticed is that I can go long periods where I have them all day every day, but then there are times when I notice just one or two a day. It’s been going for 5 years now and it’s not progressed into anything that has threatened my life. I’ve been terrified and almost in tears at times thinking I’m going to die, but realistically I’ve been exercising and I’ve never passed out or been short of breath with these palpitations, so it suggests the heart is coping. If your heart is structurally normal it can handle tens of thousands of these things a day for years upon years. I think we might be okay. Hoping you can find some answers and/or peace, and I wish you good health.
you can't. That's why you need to call for help, assess pulse, breathing, find sb to get an AED and dial 911. And start compression immediately when there's no pulse after that.
what's the difference between pulseless VT and ''normal'' VT? i understand that the patient has no pulse with pulseless VT, but what makes it pulseless?
Sorry, the DR didn’t read the rhythm strip. The vfib strip that’s used even comes from a research paper about artifact mimicking vfib. Had they not cropped the original, it would have shown where the researchers marked the sinus beats.🤦🏽♀️ not brilliant at all.
The rhythm @1:23 is *not* ventricular fibrillation. It's probably sinus rhythm with artifact. You can clearly see sharp, normal-looking QRS complexes marching through the electrical noise at a rate of ~100 bpm.
Lecturio is the best choice I ever made in medschool
I enjoyed the format
Lool she is amazing. The best video I have ever watched of Vf/vt
Excellent instructor. The voice sinks deep into the
subconscious
Very educative and on point.
Good refresher
You are one of the best teacher 👍
Your videos are so great, thankyou!
The best thing to do is dual sequental defibrillation for refactory ventricular fibrillation and tachycardia Two devices on the patient two sets of pads in mirrored spots on the front and back of the patient, I am a survivor of RVF and RVT and Using a defibrillator along with my own internal device saved me They also needed the beta blocker but they used metoprolol with me because i have an extremely stressed heart due to lifetime heart problems at this point im awaiting a heart transplant
Howl yourg hope you find one man Foreal May god keep you alive and live a long life !!
@@bamzsantana8492 I got a heart 2 days after that comment
Howl yourg thank god man thank god !!!
@@bamzsantana8492 yeah I feel loads better I am back on the helicopter today doing my work as an air ambulance medic
Howl yourg that’s super good to hear ! God bless man
I love how you said, v fib is "associated with this" and then just casually put up a gravestone on the screen behind you.😄😄😄
My vsd closed one C.m but right bundle branch block what is these treatment mam..,..?
I’m a bit worried. I’ve had ectopic heart beats for around four years now and I’ve done a few 24 hour ECGs which didn’t find anything besides ectopics. This time they picked up something different - they picked up a brief 4 second ventricular tachycardia that I didn’t notice. They said this could progress to something fatal such as v-fib.
How are you doing?
@@natashagates6280 still alive, still having palpitations every day, still no answers really. Doctors say I’m okay cos my heart is structurally strong. This 4 second ventricular tachycardia could just be 4 ectopic beats in succession originating from the ventricle, rather than a ventricular tachycardia itself. I’m a foreigner in China so getting the information from doctors is quite difficult.
Mine started in 2019 and still no straight answer as to why I have PVCs 🥲 I've seen 2 cardiologists and have done a few holters, echo, tons of ekg and recently a stress test and still no definite answer. My doctors say my heart is structurally good tho they need another holter and a tilt test cause mine usually happen when I bend over or sometimes when I sit, swallow food or even just by reaching for something. It's sudden body shifts trigger them and so I get a couple everyday minus the ones that I don't notice. 😢 My anxiety's been gettin worse and so more PVCs too
I had the exact same thing happen today!
@@jemkasim2693 mine too get worse when eating and after, and also during stressful periods. When I am worried about ectopic beats, I have more of them too, but they can be there when I’m not worried also. One thing I’ve noticed is that I can go long periods where I have them all day every day, but then there are times when I notice just one or two a day. It’s been going for 5 years now and it’s not progressed into anything that has threatened my life. I’ve been terrified and almost in tears at times thinking I’m going to die, but realistically I’ve been exercising and I’ve never passed out or been short of breath with these palpitations, so it suggests the heart is coping. If your heart is structurally normal it can handle tens of thousands of these things a day for years upon years. I think we might be okay. Hoping you can find some answers and/or peace, and I wish you good health.
Great video
Thank you
Omg! On point. Thanks.
Brilliant!
Very well explained.kudos!
Nicely said.
how to identify V tach or V fib in an outdoor setting , where you have no access to ekg ?
you can't. That's why you need to call for help, assess pulse, breathing, find sb to get an AED and dial 911. And start compression immediately when there's no pulse after that.
gracias
what's the difference between pulseless VT and ''normal'' VT? i understand that the patient has no pulse with pulseless VT, but what makes it pulseless?
That's literally it, the patient has no pulse in pulseless VT
experience and professional teachers
Great, Thank you very much
Glad it was helpful!
Is tachycardia harmful ?
Lol,
CLEARLY an alert person will be angry if u start CPR on them!
Sorry, the DR didn’t read the rhythm strip. The vfib strip that’s used even comes from a research paper about artifact mimicking vfib. Had they not cropped the original, it would have shown where the researchers marked the sinus beats.🤦🏽♀️ not brilliant at all.
bleblebleblee haha
but thanks.. well explained
Thomas Michael Brown Patricia Lee Sharon
Why wouldn't you give the patient 4 aspirin with water ?
Because the patient is unconscious in most of these events.
👍✳️👍✳️👍✳️
👍💓
1:39 thank me later