Тёмный

Push Dose Epi (Fast, Easy and Accurate BP Control) 

PrepMedic
Подписаться 555 тыс.
Просмотров 21 тыс.
50% 1

Push dose epi is a fast means of raising blood pressure and MAP in shock patients when a vasopressor drip is not immediately available. This video discusses indications, contraindications, and shows how to mix push dose epinephrine in a variety of ways.
This is a great refresher for nursing students, nurses, paramedics, and other healthcare providers.
00:00 Intro
02:46 Indications of Push Dose Epi
03:18 Contraindications of Push Dose Epi
06:20 Mixing Push Dose Epi
12:15 Outro

Опубликовано:

 

2 июн 2024

Поделиться:

Ссылка:

Скачать:

Готовим ссылку...

Добавить в:

Мой плейлист
Посмотреть позже
Комментарии : 58   
@Chase-gx9bv
@Chase-gx9bv 6 месяцев назад
Great video, can you do more medication content please? I like the way you explain this.
@hader102
@hader102 6 месяцев назад
I'm going to second this because sometimes a video like this is just what someone may need to help connect the dots. I'm frequently finding in the EMT/medic refreshers I help teach that meds and med administration can sometimes be a big struggle point for some. Sometimes just getting them hands on with this again is enough, though it is nice to have a video resources to reference as well or point others towards as extra study. At the very least, it's a great option to have available.
@911life5
@911life5 5 месяцев назад
I swear it’s like you’re reading off of our protocols. We’re blessed to have a great medical director with great advanced protocols
@dondiakow6364
@dondiakow6364 Месяц назад
Ha, you guys call it a tie-fighter as well! Good explanation of push dose Epi.
@bprzyborowski3721
@bprzyborowski3721 6 месяцев назад
Great video! I use this technique in my practice and this is a good reminder. I usualy don't comment on your videos but here i want to show support for this form of content.
@parkeratwood2717
@parkeratwood2717 6 месяцев назад
This is great! Please more med vids. IV nitro next please!
@heidi22209
@heidi22209 6 месяцев назад
Thanks Sam. Great content.
@zed639
@zed639 6 месяцев назад
Very informative. Thank you for the demonstration.
@alpha1inspectionservices
@alpha1inspectionservices 2 месяца назад
Great Training and review of basic task. Keep it up!
@greatuse
@greatuse 6 месяцев назад
Thanks sir 🙋‍♂️👍👍 beautifully explained ❤❤🌷🌷
@jamesa7506
@jamesa7506 6 месяцев назад
Everyone hates the dreaded paperwork! Good stuff sir! 👍
@jadensilva2227
@jadensilva2227 4 месяца назад
We need more medication content!
@aetius9
@aetius9 6 месяцев назад
"Just don't stab yourself because it's a lot of paperwork and it's really embarrassing." Words to live by. :)
@jamesa7506
@jamesa7506 6 месяцев назад
😂
@johne1653
@johne1653 6 месяцев назад
Medication Math is ruled by the decimal. 1:1000 Epi 1mg per 1cc=100mcg/0.1cc vs 1:10,000 Epi 1mg per 10cc 100mcg/1cc thank God for the metric system!
@juliachambers725
@juliachambers725 4 месяца назад
Video on dirty epi drip and how to calculate drip rate? I found other RU-vid videos done by other pips confusing.
@snow8581
@snow8581 6 месяцев назад
Just a quick question, when you add epi to the IV bag should you (shake, squeeze) the bag to mix it? And by the way, I am retired (mechanic) and had spent several years as an EMT with a volunteer fire department. I try to still stay current on SOP's even though I no longer respond. Thank you for all the great content!
@kennymiller6709
@kennymiller6709 4 месяца назад
sometimes the turbulence of shaking the bag will make the medication frothy. I honestly tilt the bag upside down once and then right side up and call it good!
@Nate-ro8nk
@Nate-ro8nk 6 месяцев назад
They let you bring the Rx meds home?
@ajventimiglia9996
@ajventimiglia9996 6 месяцев назад
Can you do one for IV Acetaminophen?
@911life5
@911life5 5 месяцев назад
Love using this. Just need to commit Phenylephrine to memory like I have epi
@johnrioux673
@johnrioux673 6 месяцев назад
What I find interesting is the use of pre-filled syringes to mix medication. As far as I know, the pre-filled syringes come with warning not to use them to mix medication. The Institute of Safe Medical Practices mentions not using the pre-filled syringes for anything else than flush. As a matter of fact, it also mentions not using a cartridge type syringe to draw medication from. Between you and me, I still do it but, it still goes against the 'recommended' practices. Thoughts?
@sydharrison
@sydharrison Месяц назад
My thoughts are that it comes down to money, storage, and use. Medications vials will say you can dilute with NS vs bacteriostatic water but it is for immediate use vs. letting it sit out for 24 hours before used (such as vecuronium). Flushes are labeled as "Not Sterile"; yet the saline inside the syringe is used in sterile procedures every day. Provided the sterile user and the sterile field did not come in contact with the "un-sterile" syringe. Someone has to squirt the saline into a sterile cup. I have seen your comment like you're on another video, yet I have never seen an answer. I also have never seen this type of claim on the flushes either, in any of the areas of practice that I have worked in, since flushes have made the scene. I honestly think it is a way for manufacturers to get more money out of the system. No one else seems to have an answer. Is it maybe a particular manufacturer that is putting this on the flushes? Maybe something happened and they had to "relabel" the product?
@aliceduser6347
@aliceduser6347 2 месяца назад
Hey, quick question. Do you have to wait for a period of time for the 1/1 epi to diffuse through the syringe? I mean to say, will the epi sit at the top of the syringe and you could potentially give a large dose from the top and no dose from the bottom?
@Daniel.H.Garavaglia
@Daniel.H.Garavaglia 2 месяца назад
No you don't you can use immediately however he didn't do it you just shake the syringe to mix it when it has a bit of air in it then dispel the air and push.
@brendangaffney6344
@brendangaffney6344 6 месяцев назад
Hey, I got a question for you. I now have my lifeguard and CPR certification, and I have been carrying around a pocket CPR mask. I have not done any official training (like with a CPR dummy), however I have opened it up and tested it a couple times (then throw it out of course). They came in a pack of 7. My question is, is there a specific CPR mask brand/item that you personally recommend? I am looking for a quality one that I can become farmiliar with. Thanks!
@markrein6904
@markrein6904 6 месяцев назад
how do you have either cert without physical training with a cpr dummy?
@brendangaffney6344
@brendangaffney6344 6 месяцев назад
@@markrein6904 When I was in lifeguard training we trained with the CPR dummy.
@fignewton22of2015
@fignewton22of2015 5 месяцев назад
What is a tie fighter on the aircraft ?
@Tyrvana
@Tyrvana 2 месяца назад
didn't think i'd get an answer what they were doing in the ambulance 2 months ago 3:31
@nyagudinyagudi2743
@nyagudinyagudi2743 6 месяцев назад
Sam what is your take on virtual reality Critical Care simulation eg SimXVR and Oculus Meta Quest 3 ?
@PrepMedic
@PrepMedic 6 месяцев назад
Haven’t used them so can’t really have an opinion yet.
@krisdeaglephotography4539
@krisdeaglephotography4539 2 месяца назад
Since epinephrine works on alpha-1 AND beta-1 receptors, does that not mean epinephrine could be used in hypertension? If not, why not? I am curious (yes, I know epinephrine works on alpha-2, beta-2 and beta-3 as well). I presume there’s some nuance to this since it’s non-selective?
@PrepMedic
@PrepMedic 2 месяца назад
You mean used to treat hypertension?
@krisdeaglephotography4539
@krisdeaglephotography4539 2 месяца назад
@@PrepMedic Yes.
@PrepMedic
@PrepMedic 2 месяца назад
@krisdeaglephotography4539 so I think you are confused on what alpha 1 and beta 1 receptors do. Both contribute to increased cardiac output and vascular constriction. What would cause it to decrease blood pressure?
@krisdeaglephotography4539
@krisdeaglephotography4539 2 месяца назад
@@PrepMedic Beta-1. Beta always dilates and 1 works on the heart. Therefore does that not mean beta-1 acts as a vasodilator? Am I missing something or does beta-1 not work that way?
@PrepMedic
@PrepMedic 2 месяца назад
@krisdeaglephotography4539 beta 1 increases chronotropy and inotropy which both act to increase blood pressure. Beta 2 is smooth muscle relaxation which gives you some basic dilation but it’s certainly never going to drop blood pressure with Epi.
@jellybeanx489
@jellybeanx489 4 месяца назад
Hi Sam
@JDLRodriguez
@JDLRodriguez 6 месяцев назад
I want to know exactly what I need to do to be a paramedic?
@murvygoaz5903
@murvygoaz5903 6 месяцев назад
attend and pass a paramedic course, pass the NREMT exam, apply for your state license
@JDLRodriguez
@JDLRodriguez 6 месяцев назад
Thank you bit i need to take emt first before paramedic like is mandatory or is recommended to take emt know the basics then go to paramedic
@murvygoaz5903
@murvygoaz5903 6 месяцев назад
@@JDLRodriguez it depends on what state you live in, but you probably don’t NEED to take EMT first, but a lot of people recommend you work as an EMT for a few years before becoming a medic.
@gator7082
@gator7082 6 месяцев назад
@@JDLRodriguez What do you want to do with it and who do you want to work for? Every state is different and every organization that uses Paramedics have different requirements. Research who you would like to work for and go from there. If they will train you, all the better. Why pay out of your pocket if they will pay you train? Many large Fire Departments run their own EMS programs. Most Helicopter EMS want to see a few years of 911 experience plus you will need your Flight Paramedic certs unless they hire you with the stipulation that you will have that cert in X amount of time.
@user-wd4ge2zh2c
@user-wd4ge2zh2c 6 месяцев назад
​​@@murvygoaz5903No one needs to work as an EMT before becoming a paramedic. That is a nonsense recommendation. Though some states require you to get an EMT license before you get a paramedic license.
@richardforst1574
@richardforst1574 6 месяцев назад
What? No Pulp Fiction reference?💁🏻‍♀️
@scottmayhew2227
@scottmayhew2227 6 месяцев назад
Ever work in a ditch, long term? No pumps in a ditch.
@911MedicTraining
@911MedicTraining 16 дней назад
We actually carry pumps on our trucks 😊 We can grab it and take it into a ditch with us.
@brycee6975
@brycee6975 6 месяцев назад
Yeah…. Ohio would rather you mix epi into a bag of NS and eyeball it instead of PDP. 😑 Then again, they also think paramedics aren’t smart enough to use ultrasound, even though I teach ultrasound and I’m a paramedic. Weird. 😑
@minutemanmedic4143
@minutemanmedic4143 6 месяцев назад
So you’re also just completely eliminating the need for phenylephrine during RSI. One less drug to carry on the truck, nice!
@PrepMedic
@PrepMedic 6 месяцев назад
Well phenylephrine is just another option for push dose and I often a better option for a patient who is hypotensive purely from sedation. Phenyl just isn’t carried by a lot of EMS agencies and isn’t always the best choice for multifacorial hypotension.
@hvymtal8566
@hvymtal8566 6 месяцев назад
For anyone who doesn't know what a "Tie Fighter" is, it's slang for a 3-way stopcock
@PrepMedic
@PrepMedic 6 месяцев назад
It isn’t actually. It is a female to female connector without a dial.
Далее
What Medical Info Should you Keep on Your Kit?
10:54
Просмотров 203 тыс.
Epi Pens: When, Where, and Why to Use Them
10:56
Просмотров 34 тыс.
Dancing makes everything better 🕺🏼
00:16
Просмотров 2,7 млн
Recognition and Treatment of Shock
22:56
Просмотров 65 тыс.
Why You Shouldn't Go Into EMS
12:35
Просмотров 243 тыс.
The Realities of Medical Prepping for the Apocalypse
16:01
How to build an IFAK and save money!
18:03
Просмотров 987 тыс.
Who is PrepMedic? (My Complete Career Path)
20:46
Просмотров 134 тыс.
Paramedic Medications
13:10
Просмотров 375 тыс.
Nicardapine (Cardene) - CC Meds
4:54
Просмотров 27 тыс.
Refuge Medical BearFAK 3.0 Review
13:39
Просмотров 54 тыс.
Advanced Life Support Search and Rescue Medic Bag
16:42