Advanced Life Support CPR Test Demonstration

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The approach to the deteriorating and arrested patient is a critical part of every doctors education!

In this video, our ALS coaching team steps through how we would approach the deteriorating patient who arrests.

This demonstration is with only 2 helpers as consistent with our final test for the ALS trainees. While this is a bit artificial from a normal resuscitation it helps us to demonstration the technical skills and flow of an arrest.


Thanks for watching!!!

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Disclaimer:

The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.

Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such.
The medical information is provided “as is” without any representations or warranties, express or implied.
The presenter makes no representations or warranties in relation to the medical information on this video.
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant.
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’

Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing

The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.

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Thank you for helping me get the algorithm straight in my head. This sim was a good example.

lisadepass
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It was very informative for my ALS certification. Thank you

kyungdukko
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some long awkward pauses on the CPR there - @ 7:20 i count around 22 seconds without CPR - as soon as that shock is delivered the leader needs to direct someone back onto the chest immediately

Again at 8:18 delivering the shock - around 10 seconds before instructing the compression provider

much better @ the 9:25 mark with recommencing

Good effort from this lady though - these simulations are the places to learn

It is easy sat watching from the comfort of my chair to criticize xD

GeorgeCraws
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Meanwhile we give Amiodarone without diluting and whit a small bolus of fluid to push it through the line

dinosaurjr
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Please correct me if I’m wrong, it’s for my clarification too, but at 9:30 are you supposed to give another 1mg of adrenaline since it’s after fourth shock? Thanks

Nice
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What guidelines again you’ve used not to give adrenaline in 3rd shock? I know adrenaline and amio to be given after 3rd shock

twocents
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Pad application is not normally placed when patient is conscious.

kr
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At 4:55 there’s a 15 second period with no compressions taking place. That could be improved upon. Immediately after the shock is delivered, glance at the monitor (should be able to interpret a 4 lead instantly on sight) and jump right back into compressions if it’s still an arrest rhythm.

jejemorachi
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9:58 why is that a non shockable rythm ? Isnt that still a vf ? Or is it VT, which is why she ordered to take a pulse ?

evilherojoseph
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Bob wants me on life support so he can pull the plug on me, saying to me, mommy knows what best for me. Him being the mother in this case. I don't want to die. In other words, give him what he wants. Not his will be done. But my will.

yolandagrabowski
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This is terrible. No one venting . Off the chest too long and for got the 3rd round of adrenaline as well as amiodarone

gemmagrantham
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Noted Oxygen is still connected whilst shocking the patient!!!

respawnyshauny
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1 mg of Adrenaline and 300mg of Amiodarone should have been given after the 3rd shock. 😬

pisbakal