Emergency Cardioversion

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Probable AVNRT causing extremely fast heart rate and hypotension cardioverted in the emergency department.
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Patient laying there with heart rate 255 and looking very healthy.... crazy! Good to see he is ok now

maltimoto
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When your heart rate exceeds the BPM of the techno music it’s time for cardioversion, brah.

MrCerebellum
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At least the nurse was completely honest with him telling him it’s gonna hurt like hell for a second

Mayah_Abelman
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I am forever grateful to this patient for allowing the team to record his cardioversion, as I am studying for my PALS this is very helpful. Thank you for uploading the video as well.

doesgodstillspeakstoday
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His heart was about to burst, but damn that blood pressure is super low

buddyrebel_Garcia
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Dang! No sedation! He took it like a Champ!!

czarrevs
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Almost had this done to me in March of 2020. Luckily my heart reset itself and I did not need that to be done to me. Trust the polyvagal theory and much love given to the subject in this video!

RkivUnderground
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I have been troubled with SVT issues this past year. The highest was 223bpm possibly higher I’ve had issues with ectopic beats over the years and I learned to live with them but this recent development has been sudden. I was rushed into hospital several weeks ago because I had an SVT following a bad asthma attack. Probably due to the amount of salbutamol needed in the nebulizer to stabilise my breathing. Normally it will make my heart beat very fast but by the time paramedics arrived and had me hooked up to everything they started asking if I had a heart condition, so I said I have SVT issues and they said that I was having one. Initially I thought it was a mistake and they said no I became very dizzy. I thought I was going to pass out they said they needed to take me to hospital because my heart rate was sitting at 200bpm for half an hour. I tried to convince them to wait longer but they said no it was very dangerous! I was surprised because I didn’t think it was dangerous just uncomfortable to experience. They said they would have to use blue lights and not to be frightened by it but it was to make sure they got me to hospital faster. Normally it’s a half hour ride to the hospital. My heart rate was beginning to drop by the time we reached the hospital. The SVT often starts suddenly and disappears very quickly. It’s really weird and since that episode several weeks ago my heart is doing weird things. I haven’t slept much these past few days because constant ectopic beats and flutters are keeping me awake. It’s very uncomfortable and a lot of pressure sometimes pain in the chest neck and jaw. I can assure you that if I call a doctor they will ask things do I have any chest pain? The answer would be yes coming and going. Then they would immediately send an ambulance. The problem is I have other major medical conditions so I dread A+E I’m wheelchair reliant now so it’s extremely difficult to cope with. I will say that the paramedics have been hero’s and the nurses and doctors have been fantastic. I’ve been in and out lots this year for asthma and diabetes. They really are amazing! I am not a doctor so I have no idea why this is happening. I don’t know enough about it. The pain I’ve probably pulled a muscle again. Are these normal symptoms? It’s not usually frequent. I’m exhausted and just need to sleep 😴

PEACEinYESHUA-ojvcpkw
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Thank goodness for modern medicine and these excellent doctors.

SeanPGribbons
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Big thank you to the gentleman letting us see this procedure. Very interesting and educational!

lissakaye
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This happened to me. Zero risk factors. No history. Just happened one day. Went to ER and spent a night getting drugs to slow my heart rate down enough for cardioversion. Propofol, jolt, wake up, go home. Will likely never happen again.

abpob
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Haha, the nurse saying shock him now when the doctor was putting the mask on is hilarious. Bless those nurses in the room, you can tell the truly care about the people. Did I hear right that he may be detoxing? I love seeing care practitioners that still treat people like people even if they use. ❤

lissakaye
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I went through a bad period of Afib through 2021/2022 and was cardioverted six times over eighteen months. It felt like I'd stepped into a Hell from which there was no escape. My heart rate would rise to typically between 140bpm and 180bpm. I thought that was bad, but what must it be like to be 250bpm? I don't think I'd be able to survive that.

One thing I do know is that the sense of relief, peace and calm after cardioversion is beyond my ability to fully describe, but, it's the best feeling in the world.

I still live with paroxysmal Afib, and awaiting catheter ablation, but in the meantime I learned to recognise the triggers that set it off, and some methods to get it back under control. Even so, I've still had episodes that can last as long as 36 hours, and can still be just as frightening.

I hope the chap in the video gets his relief from his heart condition.

whitesapphire
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I used to do these with cardiologists. Miss doing these and TEEs.

stevendeakins
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That's wild! I wasn't that bad when I had a Cardioversion done two years ago. Glad to see that he is alright!

stevelawson
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Do they ever try to submerge the patients face in ice water? That would trigger the dive reflex and slow the rate down. I worked in an ER and we did this successfully with a pregnant woman.

cammyfayes
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255BPM SOLID WITHOUT A CARE WHAT A TANK!!

-OokySpooky-
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My dad just had this done yesterday morning 12hrs after his Heart Cath procedure. His heart was at 203bpm & BP was 70/40. They could only give 1mg of versed due to his low bp. He said it felt like he got kicked in the chest, seen flashing of a white light & swore he had burn marks on his chest. Thankfully he is back in normal sinus rhythm but now has to wear a life vest for 3 months in case of another episode.

A.Gmd
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12 years ago?!! Is he still alive?! I hope so he is amazing person may he soul be in peace

kimyuna
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My veins felt painfully constricting and oxygen affected at 165. How is the pt so chill??? Let alone at 236!!

emmettoransky