Dr. Bruce Janiak's Cardioversion from Atrial Fibrillation

I am in the process of preparing multiple videos to be used without charge by an emergency medicine textbook. This is a revision of one of those videos that deserves to be reposted because its informational content is rich and serves both clinicians and patients extremely well.

[elizabethpages]

I appreciate how he only wanted ER providers in the room and not a cardiologist. He wanted to enjoy the rest of his day 😆

[Properminx]

Sincerely appreciate your educational videos. This type of clinical education is so valuable, but fortunately, it becomes rare

[AlexanderWu]

I was looking online and found out that Dr. Janiak retired 2 years after you uploaded the original video. What a remarkable career and legacy he leaves behind.

[robynneRN]

This video drop aligned PERFECTLY with what I just learned in class. It's on my exam next week too!! Thank you! The doc was such a good sport. My favourite part was when he woke up and he said "I'm in normal sinus rhythm!" ..Like doc, yes we know how great it is already lol. Still preaching the benefits of the cardioversion right after and educating people even while he's the one on the stretcher. Man's going to be a doctor til he's 100 with that attitude.

[adami]

Wow what a simple process, and some really good points to learn, electrical vs chemical cardioversion, propofol and decreased o2 sats. Thanks!

[joselyons]

Fantastic learning video on how to cardiovert for unstable rhythms. However, I would highly recommend whoever is working the defibrillator to always press sync first each time if needed before energy setting. That way you won’t make that mistake and manually defibrillate. That will not be a good outcome! I’ve seen this happen before! what a fantastic teaching video doc’s. thank you!😊

[stunna]

These nurses and Drs are amazing. Like machines

[merianharper]

I've loved this video for years! How is Dr. Bruce these days?

[shirleylaboy]

My Mom was diagnosed with A fib when she was 70. The Dr. said it was age related. She was put on warfarin and lived until she was 85 without further complications.

[Zippy-long-line]

Watching this video as a break from Step 2 studying. Love your videos, please keep it up!

[robbjr]

I was worried Dr. Janiak was getting cardioverted on camera for a second time!

[cristianacriss]

At my hospital, they're doing this procedure without any anesthetic at all. The patients scream like hell and the doctor gets upset at them for making too much noise. I'm like WTF

[michaela]

Why not have the surgery done? I had mine done six years ago and have not skipped a beat since.

[JohnDoe-sgpd]

This was (is) such a good video with a very interesting patient!

[Scuba]

A lot of ems don’t like Propofol, I’ve had it few times for procedure and I love using it for patients

[oxfd]

OMG Dr. Janiak god bless you. No cardiologist and why you don’t want them there that’s too funny. I would work for you in a heartbeat.

[ralphg]

A nice healthy amount of prop always helps

[ahsenaftab]

hi there! the rhythm still didnt look sinus to me? or am i missing something. the qrs complex still werent equi-distant.

[patwatson]

What about ABLATION?
I have atrial fibulation and finally was treated with ablations & watchman. I was put on Metoprol but still had break throw a-fib. Heading to have one more ablation, did have one cadioconversion, bounced back shortly later.

[feeltheillinois]

I'm always amazed when people have arrhythmias for hours before being a bit suspicious that something is going on. i have one simple palpitation and I feel it like a gong being bashed on my chest. I'm ready to call the swat team and every doctor on the planet when I have more than a handful of skipped beats. Maybe I am just more sensitive lol