I am a first yr medico . I am so exited to see the beauty of life and blessing of this profession. I loved this section, getting a person back to life only blessed one will get the chance to do this
Fantastic demonstration /drill in a real life scenario setting. Very helpful. Kindly make more such real case study videos.., with the drugs used. Any videos on pharmacological management of pts as a GP will also be helpful. Because no one actually teaches that. We don't actually prescribe all the drugs we learn about. Thank you. 🙏
Absolutely an amazing video for medical students! Accurate representation of CPR according to different case scenarios. Literally you made it 10* better to grasp and understand the concept of CPR. Thank you, really appreciate your efforts.
I am a doctor of Indian soldiers I am searching some videos on TH-cam I got your i like that way I hope that one time you all will become a very good doctor
Very valuable and great presentation and team work. Just thought of adding some, hope hypoglycemia was said amoung the 5H in addition to hypo and hyper kalemia, Another thing don't we start with calcium gluconate before starting the sodium bicarbonate or insulin dextrose especially when there is an ecg change. Just wanted to get things cleard. Thanks again for the great video❤👍
After getting the ecg confirmation of ROSC. chest compression should have been continued. Probably we shouldn't stop to check for pulse immediately after ROSC.
assessment of chest compressions patency of airway iv assess 1mg of epinephrine 10 ml of NS cardiac monitor attach 2 rescue breaths fir 1sec after 30 chest compressions cardiac monitor check for rhythm repeat epinephrine
@@oOoironhideoOo huh what do u mean cpr rarely "goes by the book" lmao what's this stupidity? there is one internatione effective guideline for CPR which is a fast compressions
Why she said load epinephrine? She wouldn't have known until her colleague attached cardiac monitor and assess the rhythm. Am I missing something here?
Sir, just one question....Is it possible to hv normal sinus Rythm just after treating reversible causes of cardiac arrest or I think the patient will first hv V-Fib or V-Tach and then gradually improve with defibrillation and epinephrine. And should we intubate him/her in this case bcz we are not sure whether he will come back to life or not....Plz explain sir.....
First of all I want to say this is a great scenario. But it's hard to understand what they're saying because of the noise, which it's gonna be like this in the hospital
Calcuim plays very important role in the contraction of heart muscles ... If any person is having cardiac arrest that means his heart muscles are weak and we adminster calcuim gluconate for strengthening of these muscles which is very helpfull in cardiac arrest
Start seeing the video from the beginning, someone was brought with sudden unresponsiveness, rhythm is asystole.. So CPR was initiated as per ACLS guidelines
Death on arrival, it mandatory to do CPR as per standard guidelines. Of course there are exceptions like rigor mortis, decapitation injury, already have signed Donot attempt CPR form etc.
when someone has asystole cardiac arrest, they have like 5 minutes before the whole body dies from lack of oxygen. people with asystole cardiac arrest can be resusciated with CPR, adrenaline injection and defibrillator
@@AETCMEmergencyMedicine is 1 ml 1:1000 followed by NS flush equivalent to 1:10000 concentration . asked because studied that in cardiac arrest it is 1:10000 concentration..
Doctor said at 2.01 sec load epinephrine, i wanted to ask if the cardiac arrest is the result of ventricular fibrillation still we will give epinephrine???
Sir mere dad ko hospital me cardic arreset aya Dr unhe baccha nahi paye ye kaise ho sakta he dr ki laparbahi se ho gya ye hospital me Bo baccha nahi paye cpr bhi diya ye kaise ho sakta he
Its a million dollar question.. If you have an ETCO2 facility you can rely upon that. Even after 20mts of CPR ETCO2 is persistently less than 10 mmHg its unlikely that the patient is going to achieve ROSC and you can think of termination of CPR
In refractory anaphylactic shock where pt is not on beta blocker and in cardiac arrest as well , 1 ml (1mg/1:1000) in 100 ml ns = 1:100000) if dissolve in 9 ml 1:10000, i/v infusion.
1.Response 2. Asess pulse - in 10 s 3. Call for help Cardiac team 0.Leader Assign task: 1. Chest compression 2. Airway - 2:30 3. Iv line -abg 4. Capnography 5. Cardiac minitor 6. Document -asystole -epinephrine Ideal time for intubation?
Thank you for making such amazing elaborate videos. I am a MBBS student from GMC, Kota. And such practicals are much needed.
Very good explanation
Very nice presentation.
Can u plz mention the book referred...?
Don't stop CPR in between 30:2
1:1000 1mg epinephrine, followed by 20ml NS
Your case scenario presentation is awesome ....you have helped me alot.Thanks whole team ....
Thank You AETCM Mentors . Being a Medical Officer frm Far away , i am confident enough to handle all patients because of you sir/mam . ❤️
🙏
Exactly bro
Same here
Same here 2
I am a first yr medico . I am so exited to see the beauty of life and blessing of this profession.
I loved this section, getting a person back to life only blessed one will get the chance to do this
First year is always exciting 😂
@@aamir8965 👍😀😀
AETCM team, very helpful clinical videos all Nursing and medicine students thank you so much😊😊
Fantastic demonstration /drill in a real life scenario setting.
Very helpful.
Kindly make more such real case study videos.., with the drugs used.
Any videos on pharmacological management of pts as a GP will also be helpful.
Because no one actually teaches that. We don't actually prescribe all the drugs we learn about.
Thank you. 🙏
Absolutely an amazing video for medical students! Accurate representation of CPR according to different case scenarios. Literally you made it 10* better to grasp and understand the concept of CPR. Thank you, really appreciate your efforts.
Thank you for the practical lecture.. I am an ACLS provider and MBBS
These doctors are doing great..specially helping the students
Just One Word Excellent.....Topic you touched no one generally touches.
I am casualty doctor still i am learning lot from these channel
I am a doctor of Indian soldiers I am searching some videos on TH-cam I got your i like that way I hope that one time you all will become a very good doctor
Very valuable and great presentation and team work.
Just thought of adding some,
hope hypoglycemia was said amoung the 5H in addition to hypo and hyper kalemia,
Another thing don't we start with calcium gluconate before starting the sodium bicarbonate or insulin dextrose especially when there is an ecg change.
Just wanted to get things cleard.
Thanks again for the great video❤👍
Nice video
Head tilt chin lift maneuver should be included.
Thank you dear doctor's
Im From Sudan i really appreciated your effort
All the best
Great video . thank you so much
- ban
final year med student UITM malaysia
a day before my final professional exam in med school
Good video need more scenarios of cardiac arrest management
Super presentation .....u people doing great jobs ....All the best for ur futures....
Thank you so much team aetcm, really helpful demonstration
Subtitles should have been provided and recap of procedures at the end of video
Always hospital and machinery sound scared me on that situation
After getting the ecg confirmation of ROSC. chest compression should have been continued. Probably we shouldn't stop to check for pulse immediately after ROSC.
Agree, guidelines recommend 3-5 cycles after ROSC
well logically if someone regains a normal heartbeat then you need to stop CPR
I just got goosebumps while watching this video😮
If it is a 4-man team, how would you advise the role assignment?
it would be really helpful for revision if you guys make a written pdf for these demonstrations topics.
assessment of chest compressions
patency of airway
iv assess
1mg of epinephrine 10 ml of NS
cardiac monitor attach
2 rescue breaths fir 1sec after 30 chest compressions
cardiac monitor check for rhythm
repeat epinephrine
2 rescue breath 1 second each, which is 2 seconds in total
How do you take arterial blood for ABG in a systole patient?
Wonderful presentation, but the Rate of Compression was not adequate, there were lot of Pauses in compressions
Absolutely, but I think the beauty of these videos is that this is ACTUALLY how it goes in real life; CPR rarely goes "by the book"
@@oOoironhideoOo huh what do u mean cpr rarely "goes by the book" lmao what's this stupidity? there is one internatione effective guideline for CPR which is a fast compressions
Thanks for such a great video
Pls add subtitles to recieve every information
We can't control that.. Its done by youtube, try switching on cc in your video.. Some videos might have it
Thank you so much sir your team has great👍👍
How much of 25% dextrose to be given with 8 unit rapid insulin?
100 ml
Very nice all team members ❤❤❤
I appreciate their training .
Why defibrillator was not connected?
If i could be shockable rhythm we would give him shock too.
It's connected pls check the video
In gi bolous for hyperkalemia it is dextrose with insulin nt atropine..... She just say atropine if I am nt wrong
She said Human "actrapid" which might have sounded like atropine
@@rajmishra2621 ok
Till how long you can continue cpr.Should we stop cpr if we see pupils are fixed and dilated?
Why she said load epinephrine? She wouldn't have known until her colleague attached cardiac monitor and assess the rhythm. Am I missing something here?
Patient is in cardiac arrest so epinephrine will be required anyways. Epinephrine is given in both shockable and nonshockable rhythms!
@@rajmishra2621 ok got it. Thanks
Good video... I have one doubt... Adrenaline diluted with normal saline or flush NS after adrenaline...
Sir, just one question....Is it possible to hv normal sinus Rythm just after treating reversible causes of cardiac arrest or I think the patient will first hv V-Fib or V-Tach and then gradually improve with defibrillation and epinephrine. And should we intubate him/her in this case bcz we are not sure whether he will come back to life or not....Plz explain sir.....
If cardiac arrest is due to irreversible causes( severe extensive traumatic head injury) should cpr done ??
Yes
Why give 10 mL saline flush after 1mg Epinephrine ?
How can you take ABG in an Asystole patient??🙄
While cpr
First of all I want to say this is a great scenario. But it's hard to understand what they're saying because of the noise, which it's gonna be like this in the hospital
During chest compression ambu bag will cover mouth whole time or only after 30 compression it will give 2 times and again remove??
Both can be done
What's the role of inj calcium gluconate in such conditions sir. Please elaborate a bit.
Hyperkalemia
Calcuim plays very important role in the contraction of heart muscles ... If any person is having cardiac arrest that means his heart muscles are weak and we adminster calcuim gluconate for strengthening of these muscles which is very helpfull in cardiac arrest
excellent
with thanks from srilanka
Actually ca gluconate is the first choice for hyperkalemia..
Sir, IN this case patient was unconscious ECG MONITIR ASYSTOLE(FLAT LINE) SO PATIENT IS DEAD THEN WHY DID YOU STARTED
CPR
Start seeing the video from the beginning, someone was brought with sudden unresponsiveness, rhythm is asystole.. So CPR was initiated as per ACLS guidelines
Death on arrival, it mandatory to do CPR as per standard guidelines. Of course there are exceptions like rigor mortis, decapitation injury, already have signed Donot attempt CPR form etc.
when someone has asystole cardiac arrest, they have like 5 minutes before the whole body dies from lack of oxygen. people with asystole cardiac arrest can be resusciated with CPR, adrenaline injection and defibrillator
Abg finding Hyperkalemia - and the drug u advised to give is bicarbonate? Something is so wrong with the team
Bicarb for hyperkalemic cardiac arrest
Thank you so much for making elobaorate videos
Thank you🙏
Adrenaline direct IV push or diluted with normal saline... plz anyone clarify my doubt
1:1000 is 1 mg epinephrine plus 10 ml NS followed by 20 ml NS flush … is it ryt correct me if iam wrong ..?
1 ml of epinephrine followed by 20 ml flush
@@AETCMEmergencyMedicine is 1 ml 1:1000 followed by NS flush equivalent to 1:10000 concentration . asked because studied that in cardiac arrest it is 1:10000 concentration..
This video is very helpful👍👍
How to take ABG in cardiac arrest patients?
While doing cpr
From left side or right side of patient?
Thanks to AETCM team..
Good job docs.
Amazing❤❤
Very good performance
isnt epinephrine 1:10000 dilution to be given
1:1000
U analyse rhythm but u didnt check centeral pulse
How did u take asystole pt abg..??🤔
Sir can we give adranalin through IM route
Do nurses do anything in this situation or not
They can do any role if they are trained
Nurses are taking there tea in the nurse lounge
Thank you for sharing
Thank u all for this useful video❤
Doctor said at 2.01 sec load epinephrine, i wanted to ask if the cardiac arrest is the result of ventricular fibrillation still we will give epinephrine???
Watch the shockable rhythm video
What is adrenaline timing 2 mts or very 3 to 5 mts
Every 3-5 mts
Sir..... can we give inj atropine ?..in view of asystole
No
Wonderful.
Why was the abg taken?
post cardiac arrest management??can anyone elaborate?
We will do a video on that
Eagerly waiting!
Why soda bicarbonate is required in case of hyperkalemia?
Acidosis with Hyperkalemia Soda Bicarb can be given
Is there any role for atropine or ionotrope
no role for atropine in asystole
THANKS
Sir mere dad ko hospital me cardic arreset aya Dr unhe baccha nahi paye ye kaise ho sakta he dr ki laparbahi se ho gya ye hospital me Bo baccha nahi paye cpr bhi diya ye kaise ho sakta he
In English
@@AETCMEmergencyMedicine app samghe lo
So scare cardiac arrest death remains 😭
Is the abg taken before acheiving rosc 😂
During cardiac arrest to look for the reversible causes
@@AETCMEmergencyMedicine but pt is on asytole how will we find pulse?
No role for nurses?
Any role can be taken
What is the need for saline flush
faster delivery of drug in to the circulation
@@AETCMEmergencyMedicine
Can we load the adrenaline and NS in the same syringe?
Sir for how long Cpr should be continued if we dont get pulse or any rhythm?
Its a million dollar question.. If you have an ETCO2 facility you can rely upon that. Even after 20mts of CPR ETCO2 is persistently less than 10 mmHg its unlikely that the patient is going to achieve ROSC and you can think of termination of CPR
If Etco2 facility is not available..how we can take decision regarding termination of cpr ?
There is no clearcut timeframe recommendations to stop cpr
They should intubate ?? Immediately ?
No
@@AETCMEmergencyMedicine how sir patient is asystole best way to secure airway is to intubate
I learned CPR so I know how to do it
Thank u .......
Adrenaline 1mg +9ml ns =1:10000 is correct dilution maam in cpr
Please reply ..
1:1000
@@AETCMEmergencyMedicine 1:1000 given in anaphylactic shock not given in cpr (cardiac arrest)
@@AETCMEmergencyMedicine please reply .maam
Can we give 1: 100 solution every 3 min
1:1000 adrenaline 1 mg every 3 to 5 minutes
Where we should use 1:10000 dilution adrenaline
In cardiac arrest
It is given through iv route in cardiac arrest if pateint dosent response for Im /sc route of 1:1000 dilution.
For IV ROUTE
In refractory anaphylactic shock where pt is not on beta blocker and in cardiac arrest as well , 1 ml (1mg/1:1000) in 100 ml ns = 1:100000) if dissolve in 9 ml 1:10000, i/v infusion.
Weldone
Thanks u
1.Response
2. Asess pulse - in 10 s
3. Call for help
Cardiac team
0.Leader
Assign task:
1. Chest compression
2. Airway - 2:30
3. Iv line -abg
4. Capnography
5. Cardiac minitor
6. Document
-asystole -epinephrine
Ideal time for intubation?
Thanks Allah, the patient lives on, haha.
Is it necessary to go for advance airways before Acheiving rosc
If expertise available can be done
Adrenalin dilution 1 in 1000 or 1 in 10000.?..is there any upadation regarding it?
Adrenaline 1mg,1:1000 dilution followed by 20 ml saline flush every 3-5 mts
In iv always 1:10000 otherwise arrythmia will occur.
In Im or sc 1: 1000
10 ml ns flush will make 1 : 10000
@@unknown-qv1nu bro is 1 amp adrenaline already diliuted?..i read somewhere that adrenaline 1 ampule is already diluted to 1:1000
@@Drake57322 yaa..its already diluted as 1:1000
5
Remove your mask in videos
Sir can we give adranalin through IM route