In my oppinion this should be the correct posture. Loosing the calm makes you feel angry and take bad decisions.
@abiarumugam45275 років тому
this is the new protocol of acls. advanced cardiac life support.. it's team management, no panic.
@deeprollingriver58204 роки тому
Mitchell Turnbull no kidding. Very deceptive
@trevor19qhshe4 роки тому
Compared to screaming, yes xD
@Siggyy887 років тому
Just for people coming for information: we no longer use vasopressin in the 2015 cardiac arrest algorithm. (I know this is a somewhat older video)
@pupsiuspupuliukas23944 роки тому
Could update this really
@semdavidtimothysitanggang94914 роки тому
This is 2010 algorithm I think
@xXAnthony619Xx3 роки тому
Thank you!
@jmitchell21588 місяців тому
Thanks!
@hvsm19448 років тому
I always sit and watch BLS and ACLS videos to update my knowledge
@carenkurtz94378 років тому
wow everytime I watch BLS,PALS and ACLS skills I have never remained the same. thnx AHA for this knowledge love you guys
@Kim-ou7lcРік тому
This is how the codes are in my hospital… even with teaching. Some doctors are just chill and confident
@kevinlessman399911 місяців тому
I agree! I'm a paramedic student and our er doctors are very chill running a code WHILE showing me the EKG and what it means
@mallukwt894 роки тому
Thank you for uploaded this video,, who has attending the ACLS, it will more help full
@arneldelara71646 років тому
Mrs. Fernandez turned into a rubber.
@turtletortuise7 років тому
I know this came out in 2014 but I just wanted to say if anyone is watching now that Vasopressin has been out of the protocol for a couple of years now.
@Kickingcrush2 роки тому
I see it used still
@madnoun772 роки тому
It’s 3rd line
@simonebascoe2801Рік тому
How come. I’m in my last year just wanna get some field knowledge.
@jojo-cy1bq6 років тому
showing the rhythms would have been beneficial and an explanation why each drug is given
@eddies366Рік тому
You should know what to give, how much to give, when to give it and your route of administration by this point. If you don't know then get an RT to help you. They're the best!
@erickanew5 років тому
Why can't all doctors be like this, so calm and understandable
@MrJvasud4 роки тому
Because of Ego and Sarcasm
@sanadbenali69933 роки тому
cortisol, saliva, adernaline stress effects on voice (interesting read)
I remember having a code after eating lunch. I did compressions and I felt like I wanted to vomit in the first 30 seconds :( I had to switch really bad.
@carolinebluekiss5050Рік тому
Thank you so much AHA for the good presentation
@andreaskristian14245 років тому
Why was the endotracheal tube not inserted in the first time they found the patient was at cardiac arrest? has the algorhythm been changed? i used to know the intubation attempt should be given at the very first time we found patient having cardiac arrest.
@nancyobora60674 роки тому
Well coordinated assignment bravo
@Docbbop2 роки тому
Wow great looking staff, but where are their stethoscopes? and havent seen such well pressed lab coats.
@nicoleostoyich38508 років тому
Grandma from Friday Night Lights!
@thehusbandofstardomfamily61523 роки тому
Amiradone must be the go to medication?
@candacekeck25463 роки тому
Do you have the one that is the "wrong way" where the communication is chaos?
@damellman4 роки тому
This was great if you want to know which to need to do but it doesn't so you procedures like a medic's case in a ministration in how you actually start the IO /iv . Or how you set up the monitor . To do what want it to do
@dukemd697 років тому
Somebody help my forgetful mind: What happened to the Pulse-Ox monitor the patient had on her finger when she arrived.? "Hypoxia"??? The PO not only measures oxygenation, but, also the quality of compressions during CPR. OK, i"m being picky. But, in this day and age, the PO is an indispensable monitor, which appears to be underappreciated in this video.
@jbuccilli15 років тому
etco2 is what now monitors effective cpr as well as tube placement. etco2 < 10 shows need for improvement in cpr. fyi, in the scenario, the pt was initially at 92 pao2 and then went up to 95 pao2 on 2 lpm O2 prior to coding. As actor playing doc said, coronary thrombosis likely culprit as confirmed with STEMI in 12 lead. remember that pulse ox takes a bit to drop and accurately show hypoxia where as etco2 readings are much quicker. good video on acls cert.inst re " waveform capnography" which demonstrates this.
@theresadobbins96278 років тому
This was great!
@mayquitan39882 роки тому
I wish all codes are as calm as this.
@Eerielai5 років тому
Shouldn't the first dose of adrenalin have been administered after the 3rd shock (instead of 2nd)?
@thehusbandofstardomfamily61523 роки тому
If atropine the first line in Bradycardia had been administered from the beginning none of the other steps would have been needed. The patient went from Bradycardia to tachycardia, which leads to other after care for the patient.
@chewchin7052Рік тому
Maybe this patient was suffering from III AV block and during the preparation of transcutaneous pacing the code was called?
@rohithkumar348010 місяців тому
@@chewchin7052bradycardia but no pulse,so they continued cpr instead of giving atropine.Also atropine can increase myocardial oxygen demand and aggravate ischemia?
@nassimamro4858 місяців тому
there is such a thing as pulseless electrical activity where it can show a rhythm like bradycardia on the monitor but the patient has no pulse, they are in cardiac arrest. plus even if it was real bradycardia a pulse, with the low blood pressure of 70/40 most doctors would choose to push epinephrine at that point in favor of atropine. atropine is for bradycardia that is symptomatic with fatigue sob or other signs of poor perfusion, not for a person without a pulse. in the video’s scenario the patient has just arrived and no iv access was able to be established, how are you going to give an iv medication without an iv? just stab a patient with a syringe hoping it will land in a vein (most of these patients who are sick enough to cardiac arrest will be difficult sticks to begin with)? going for the io access was the only way to go, most providers wouldnt waste time trying to get an iv in and just ggo for an io because they know theyre not going to be able to get an iv in a patient like that. we are treating the patient, not the monitor. always check for a pulse never forget your bls.
@Jingryl5 років тому
Amazing.
@likevin9815Місяць тому
update from 2024, the hypothermia therapy(target temperature management, TTM) is aimed at 32-37.5 degree celsius. also, this is really quite a good video to illuminate how we should practice the mega code section.
@Bfair123Місяць тому
Did u take your acls
@likevin981529 днів тому
@@Bfair123 yup
@Bfair12329 днів тому
@@likevin9815 can you give an idea what to expect on the classroom, I will take my classroom acls tomorrow, thanks!
@likevin981529 днів тому
@@Bfair123 1. no rush, be calm, that's the most important thing and actively apply each team member's position if you are the leader. 2. remember to check pulse/vital signs whenever there is a rhythmic change. 3. if the p't's alive (w/ pulse) be sure to note if the rhythm is regular/irregular, having a narrow or wide QRS complex and whether the patient is stable or unstable and choose the joule of charge accordingly. 4. when ROSC is achieved, aside from a secondary ABCDE evaluation, order a 12 lead ECG to assess if ST elevation is the case. That's the tips my poor brain notices at the moment, hope you pass your test tomorrow!
@Bfair12329 днів тому
@@likevin9815 thanks!
@jerwinvillamero20515 років тому
vasopressin is now removed on the latest ACLS.
@TianJunLiu8 років тому
Nice Video
@andrewding99584 роки тому
lady said bp is 70/40 so calm lmao
@eddies366Рік тому
Doesn't help anybody to have an excited nurse.
@damonjackson69708 років тому
No, there is really no benefit. As a matter of fact they have now taken vasopressin out of ACLS with the new update.
@rotorn558 років тому
+Damon Jackson Vasopressin was removed to simplify the algorithm. This is unfortunate. Instead of expecting providers to improve their knowledge and skills. The update suggests providers can be remedial..
@damonjackson69708 років тому
Well I think that characterisation is a little unfair. Vasopressin was initially incorporated to give ems providers time to do other interventions, because no other vasopressors were to be given for ten minutes. We now know through science that its effectiveness was not what was originally thought. If you look Narcan was added to the algorithm, and its effect in situations can be very pronounced.
@ianlombardo97588 років тому
+Damon Jackson Narcan, thiamine, and Epi were also standard code drugs. thiamine was removed because people were having anaphylactic reactions to it. narcan is making a comeback due to the increase of heroin and opiate overdoses
@ianlombardo97587 років тому
***** are you a healthcare provider? If so, I highly suggest that you surrender your license to the issuing agency as you are acting unprofessional and your attitude and decorum prove that you are unable to effectively provide care to patients and don't care about your job.
@ianlombardo97587 років тому
+Judith Tardo Excuse me, but are you deaf, dumb, delirious or disrespectful? I do alot more than ride ambulances and I do not appreciate you undermining my training nor do I appreciate swine like you tainting the reputation of the profession. most of us have spent more hours in a classroom than the average school student and have way more experience than a 9 year old like you would have. your incessant swearing does not make you educated in anyway and it actually makes you sound beyond dumb. I know how to resuscitate patients, I know the algorithms used in ACLS, I know how to interpret ECG tracings and know the pharmacokinetics, interactions and effects of each drug given. I also know a lot more than that but can't use those skills as my level of certification will not allow me to. some of the things you mentioned make you a danger to patients and you should not be practicing, your conduct is absolutely disgusting and unprofessional. you either clean up your conduct or leave the profession because I don't have the time to deal with your ignorance and sheer stupidity. on that note, I will stop responding to your tumultuous insults and be the bigger man here. I almost forgot, GO BACK TO FUCKING SCHOOL!
@solopicking6 років тому
This video is now outdated and you should look at the newer 2015 AHA guidelines.
@chrismercuriobaltazar74456 років тому
tube in, while the guy in charge is not bagging. lol.
@thehusbandofstardomfamily61523 роки тому
The paths that they take cause many shocks...it is no different than the risk of medications.
@isabelsummers80175 років тому
Can you please make video of more Simman family's
@shafirummun97288 років тому
Yeah but the pads should be really well in contact with thevskin before attempting def... :) excellent video
@JohnAK728 років тому
What a neat code!
@kelinciputihlucu82518 років тому
do you have a guideline for this ?
@rezaandy14154 роки тому
after watching this, I realised that the doctor seems look like dr. John Carter in ER..
@Gandhi95799 років тому
BGM sounds like Dr. House's. ㅋㅋㅋㅋㅋㅋㅋ
@DeficiencyProduction4 роки тому
Damn it Mandel
@medicwebber30373 місяці тому
😆
@chrismercuriobaltazar74455 років тому
shocking on 3! 1 2 3 shocking! shock delivered.. 6 seconds wasted for compression!
@semdavidtimothysitanggang94914 роки тому
Minimal interruption is 10 seconds i believe in 2015 and is allowed for rhythm analysis, ventilation and shock
@drkhalid.24205 років тому
vasopressin has been removed from the ACLS guidelines 2015.
@Bfair123Місяць тому
Who is watching 2024, have my acls this wk
@jaimeprada68193 роки тому
air way?.....hipoxia???
@henkyem10546 років тому
Sinus bradycardia with no pulse and you shock it?
@TheGibby135 років тому
PEA is the rhythm, pulseless electrical activity
@semdavidtimothysitanggang94914 роки тому
@@TheGibby13 if pea is rhythm, you cant give shock, it should be chest compression unless VF or VT
@TheGibby134 роки тому
@@semdavidtimothysitanggang9491 correct
@MrGamecatCanaveral9 місяців тому
but they didn't shock it.
@michaelpamintuan78556 місяців тому
This is old video and we can still use this for future trainings
@MrElephantteo8 років тому
Oh Shelly lol
@Brok3nfocus8 років тому
We all work with a Mandell or two :/
@ellafearless97008 років тому
What does that mean?
@TankP0wnz7 років тому
Someone who sucks at compressions
@rgonzales16578 років тому
Shouldn't this be continuous ambu bagging???
@UnicornxApocalypse8 років тому
+rom z Continuous bagging only occurs with an advanced airway (like an endotracheal tube). Otherwise you follow 30 chest compressions with two breaths.
@rgonzales16578 років тому
+UnicornxApocalypse But the team leader decides how much shock should be delivered (unlike in BLS where an AED) and they're giving IV drugs. Isn't this advanced already?
@ianlombardo97588 років тому
not until an advanced airway is placed
@neozeonsolid7 років тому
Im glad you're not a doctor or nurse
@rgonzales16577 років тому
Zondares I'm studying to be one of that, which is why I asked a question to be enlightened. I see that you're a corpsman, and that's awesome! :D
@sapperlawrenson5 років тому
Why is Mandel wearing an earpiece?!
@recordandoelrancho2855Рік тому
Thanks for your video
@thehusbandofstardomfamily61523 роки тому
Atropine cause a increase in heart rate in Bradycardia but not tachycardia.
@fossetteful8 років тому
matt saracen's grandma!
@pacmangumby7 років тому
how they knw the pt went into vfib without any leads??
@rajshreesingh6 років тому
Hbk Jgreezy defib can also assess rhythm
@jbuccilli15 років тому
defib patches when applied are "fast patches" for showing rhythm on monitor till either 3 lead or 12 lead are applied
@TheMkoy6 років тому
Saben si lo puedo oir en español?
@isabelsummers80173 роки тому
Can you please make videos more videos of simman
@richardheiman6209Рік тому
Vasopressin is pretty much out for 2023.
@angelasmith61004 роки тому
Hey! Angela here from Philadelphia. Visit, it's a beautiful place.
@thehusbandofstardomfamily61523 роки тому
Aortic in the stomach is in pain...they all usually complain of abdominal pain.
@Vilatkahang7 років тому
GOOD VIDEO. aint perfect but good somehow.. the second chest compressor should have been quicker in changing roles with the first compressor :) no unnecessary pauses in chest compressions..
@sakanablesakanable3 роки тому
Mendel and Shelly have some chemistry there!
@OriLOK29 місяців тому
I saw that 😏
@aashishshah66954 роки тому
Do we still vasopressin??
@diego_villena4 роки тому
no
@ahmadmansour84804 роки тому
thnx :)
@sinclair657Рік тому
Thank you
@gasmno65079 місяців тому
Vasopressin removed from acls protocol Should be updated
@MrJlaklak3 роки тому
2010 ACLS guideline
@thehusbandofstardomfamily61523 роки тому
Sinus Bradycardia...
@winniemakena418810 місяців тому
I am waiting for my assessment right now
@iniohos25 років тому
I think the acls leader needs to be shocked to get some energy.
@Samos127 років тому
3:53 - Torsades!
@TheGibby135 років тому
Nahh, artifact while administering compressions but good thought
@semdavidtimothysitanggang94914 роки тому
They did say it was VF probably coarse VF
@leahlott14633 роки тому
@@TheGibby13 Showed on defibrillator w/compressions paused, Torsades
@thehusbandofstardomfamily61523 роки тому
Fibrinolytic protocol...
@thehusbandofstardomfamily61523 роки тому
Oxygen, iv fluid resuscitation...
@bren22324 роки тому
cmon mendel. pick it up
@xiaowang18007 років тому
The person with the breathing balloon did not do right work?Why?
@thehusbandofstardomfamily61523 роки тому
Coronary artery
@gasmno65079 місяців тому
According AHA
@mazzinger829 років тому
This video in spanish please. Thank you
@DrGeneralkumar825 років тому
Man the team doesn't seem to respect Mandel much... "pick up the pace"... and the doc didn't even acknowledge his "hypoxia" theory to him
@praveenparameswaran34377 років тому
isn't 1g adrenaline.. or 1mg. .u r wrong
@dannylee4046 років тому
"shocking on three, one two three shocking....... ". what a waste of time. just CLEAR: and press button ! for christ sakes.....
@thehusbandofstardomfamily61523 роки тому
Artery issue...
@user-me5ot1pu8p2 роки тому
Gta sn doctor
@AthbAlwerd2 роки тому
O2
@geethustm69297 років тому
g
@wadafefe4 роки тому
Miss keesha Miss Kesha... OMG SHES FUCKING DEAD
@thehusbandofstardomfamily61523 роки тому
Vfib...atropine treatment
@Mojoissimo4 роки тому
I had to check this wasn't a joke. 'Code' on its own is a pretty silly name for a cardiac arrest/medical emergency. 'Megacode' is completely puerile. Do the AHA/ACLS actively encourage ridicule?
@isko1929 років тому
N
@zdrasvui6 років тому
It doesnt work this way in real situation. Haha
@mbradsh26 років тому
In ALL video codes the leader running the codes are always male! Haha
@MrGamecatCanaveral9 місяців тому
maybe 6 years ago.
@iniohos26 років тому
Fake!
@bonjovilover067 років тому
He is not identifying the rhythm.
@andiachanz8509Рік тому
Didn't like it. Racist and paternalistic towards nurses.