Advanced Life Support

Cardiac arrest response team. Instructor training video.

[tutatehaja]

This was awesome. The doctor leading did such a great job. Keeping calm and very encouraging of his team.

[bln]

The monitor arrived on the crash cart and then just vibed there for a minute or two until someone decided to stick the pads on, fantastic

[edsmyth]

Any signs of Life? No! “Fantastic!” 😂😂😂😂

[edtanedo]

So many incorrect things here:
1. Compression:ventilation ratio should be 30:2 with BVM and continuous (100-120/min) with an advanced airway
2. Epi/adrenalin is given asap if initial rhythm check is PEA or asystole, for shockable rhythms (VFib/VTach), do 2 minutes of CPR then give epi/adrenalin
3. They should have added ABG on the blood draw to rule out acidosis, also patient most likely had pulmonary embolism (from post hip surgery) rather than AMI unless supported by 12 lead ECG.
4. Putting feet/legs on bed can actually achieve good chest compressions, or designate compression to a taller person.
5. Amiodarone 300mg should have been given when the rhythm was shockable and second dose of 150mg for refractory Vfib. Giving antiarrhythmic drug as soon as possible for a shockable rhythm increases the chance of converting the rhythm to a perfusing one. May consider lidocaine as alternative.
6. Pulse check is done when there is organized rhythm to rule out PEA, frequent checking of pulse is unnecessary as it decreases chest compression fraction (CCF) that could lead to hypoxia and eventually coma. Chest compression interruptions should be no less than 5 or over 10 seconds.

I am an AHA instructor and the comments above are based from AHA 2020 guidelines, these are from evidence and research based practices, not sure if they they were using UK guidelines (if there is such).

[Drift]

5:43 What difference does it make if her feet was on the bed? If anything it aids in making sure chest compressions are of an acceptable depth. The way she was standing she was bending her elbows ever slightly.

[geejaygeejay]

Theresa feet off the bed, feet on the floor 😂 fantastic hahaha

[l_p]

DEFIB before airway/ventilation - follow the Chain of Survival - call for help, buy time with CPR until defib/trolley arrives, restart the heart with defib, further care.

[henniealexandra]

What’s with the delay in starting compressions??

[anulasingh]

Video is not clear for a new student what is going on is not clear only I got about CPR but how many cycles and why no clue

[elrobert]

You're putting out a cardiac arrest call before even checking if the patient is breathing/having a pulse?

[babu]

@ loop 4:37, Adrenaline 1mg IV was prescribed. It would have been prescribed after seeing the rhythm on the defib if it was shockable or non shockabale rhythm.

[flatoutfitness]

Giving morphine to an unconscious patient who can't breathe on his own?

[l_p]

Jesus, her CPR position is a recipe for a shoulder injury! Someone lower the bed!

[Zumaray]

at the start, why is the person doing compressions also bagging? Why isnt the person holding the BVM squeezing?

[Maryam-rw]

After how many defibrillation shocks would a skin burn occur?does it occur from the 1st , 2nd , 3rd or more ror eg .10 or 12 times ?

[Saracen]

Why not check for trops at some point ?

[lio]

I was wondering if they put sth underneath the patien's back.. A bed seems to soft to perform cpr on it

[pisbakal]

300 mg of Amiodarone should have been given too after administering 1 mg of Adrenaline when the cardiac arrest shifted from non shockable to shockable rhythm.

[MyChannel-cfue]

That CRM bs from Aviation’s found it’s way in to medicine. Too much focus on interpersonal co operation at the cost of patient care. Talk talk talk blah blah blah huddle huddle I am the leader listen to

[VivekAnandan-isjb]

This is definitely not a effective strategy