RIP dad. Columbus Caudill 10/11/1953 - 01/27/2021.. Thanks to all the medical professionals in the world. I know you guys tried to bring my dad back. He's in a better place now.
That's because this is not a real case. If it was a real case, and they still were very calm, I'd slightly doubt if they really cared. I have seen doctors and nurses in slight panic, but able to perform all activities as they are expected
Fantastic video. As someone starting FY1 in August this year (and absolutely terrified!) I found this to be very clear and concise, and helped to alleviate a lot of anxiety. Seeing this in a 'real life' situation was particularly useful. Hope to see more videos like this to help terrified juniors like myself.
thank you, that’s lovely, please, I’d like a...please, good job team. these words said by the team leader really helps the team in an emergency situation.
Interestingly, this seems to be culture-dependent. Here in Germany I have experienced a tendency to cut away any superfluous utterances in emergency situations and articulate short precise orders, to improve the signal-to-noise ratio and 'keep the channel open' for important announcements. To each their own, I suppose, as long as the same end result is delivered: clear communication of facts, tasks and confirmations; a calm and matter-of-fact tone that helps providers stay focused.
After suffering a Cardiac Arrest myself back in 2020, the medical team at my locale hospital were fantastic, the quick response to my aid was within minutes, i got to live again.
@@elliottfireice4394 I was at home one morning, getting ready for work as usual and that's all i remember, and then i remember waking up in hospital (which was 3 days later i was told) and looking at the nurse and asking her (for the F*** am i doing here) my stepson found me and performed CPR on me which broke 4 of my ribs until paramedics arrived here within minutes, i have no memory of that day which is a good thing as my consaltant said, i had to learned to talk and walk again and took just under a year and had to have councelling.
If only Hollywood would be this good at acting a CPR scene. Its always obviously fake but this looks so damn real, how he moves his belly like that. Very informative and impressive!
I mean, that’s not true, I’m English and people do love tea. It’s the most popular hot drink, more so than coffee. Although we don’t talk about it in every conversation like Americans think we do ‘-)
your welcome CARDIAC ARREST CYCLE 08:30 James: Hi, hello, hi my name is James and I'm the main resuscitation leader for today, I'm the registrar on-call. I think we've all met. If we allocate roles I think: John, you go for airway Keith, you'll be the scribe and manage the defribillation and then Yanni, can you do cannulation? 09:15 James: Bill, I'm the resuscitation leader for today. What's happening? Bill: This is Bernard. He's been admitted with chest pains, and was found collapsed. He's in cardiac arrest, so we've given him one shock with the defribillator James: so we're about a minute in? Bill: Yep James: So we've got good quality chest compressions going on 30-2. John, can you please take over the airway management, please, thank you. Umm, we've got Keith, excellent. Keith, we're about a minute in, if you can just check the timings for me, please, he's had one shock already. Bill, can you pass the patient's notes please. Keith: 20 seconds till the next 2 minutes. James: 20 seconds till we're coming in. Right, so at that point, Anneta, I want you and Yanni to swap over, within the rhythm check, OK? So we're going to swap over at that point, and Keith I'm going to hand over to you to deliver the shock. Keith: Absolutely. We're at 2 minutes. James: Stop CPR, please. Looking at the monitor, that's a shockable rhythm, straight back on the chest, please. Over to you, Keith. Keith: Lovely, I'm going to charge the defribillator and I'm not going to shock yet. remove the oxygen, and everyone else, step back. Charging Head is clear, bed space is clear. Anneta, in a second, I'm going to ask you to stand clear so I can deliver the shock, then I'm going to ask you to immediately restart CPR, are you happy with that? Anneta: Yep Keith: Stand clear Shocking now Restart CPR James: Excellent, thank you, OK, so we're in a shockable rhythm, and that was the second shock delivered. OK, so have we got those notes coming in? Yanni, can you please put up to 500mg of saline out. Can you also take some bloods through a vena puncture. I'd like an FUC, an UNE, a Venus blood gas, and a glucose, please. OK, so looking at the notes, this gentleman came in, you said it was chest pains he'd got. Um, can we get a definitive airway in with this man, please. John: Yea, sure ( Inserts endotracheal tube) James: Let me know when that's done, please, John. So with the history, I'm really thinking thromboenboic is the most probable cause. But let's just investigate the others while we're at that. Temperature wise, Yanni, what does he feel like? Yanni: He feels warm to touch James: he feels warm to touch. OK, Keith, thinking about ruling out H's and T's. Unlikely to be, ummm, hypothermia. And hypoxia. We've got a tube going in, we're going to connect that to 15 litres of oxygen. Error, no other signs beforehand, his sats looked OK earlier on the charts. Fluids are up, thank you, that's lovely. John: Erm, James, the tube is in and I've checked the position on auscultation and etCO2 is 2.3 James: 2.3, so we've got a good etCO2 for this so I would like synchronous chest compressions, please, so continuous chest compressions. Can we support his ventilation to ten breaths a minute. So we've got the bloods back. We're moving through the H's and T's... Keith. Keith: 20 seconds till the next 2 minutes. James: 20 seconds until the next 2 minutes. Drugs! we need to have some drugs ready please, in case. I'd like a miligram of Adrenaline, Yanni, and 300mg of amiodarone, preparing when we get to the next point. Anneta, I'd like you to swap with Bill when we do the next rhythm check, to manage the CPR. Ummm, Keith, I'm going to hand over to you for defribillation. Keith: we're at 2 minutes... now. James: OK, stop CPR, please. Looking at the monitor, we're at a shockable rhythm, I'd like you to deliver a shock. Straight back on the chest please. Keith, I'd like you to deliver that shock. Keith: Bill, continue CPR, I'm going to charge the defribillator, but I'm not going to shock yet. Leave the oxygen connected Charging The head is clear, the rest of the bed is clear. Bill, when the defib is charged, I'm going to ask you to stand clear to deliver the shock, I'm then going to ask you to commence CPR immediately. Happy with that? Bill: Yep Keith: Bill, stand clear please, shocking now, restart CPR. 3rd shock. James: Third shock delivered. We need to give some drugs, so we need to think about a milligram of Adrenaline, what is etCO2 doing... it's around 2 so let's give a milligram of Adrenaline, please, IV followed by 300mg of amiodarone, and can you let me know when that's done, please. Still thinking, chest pains, toxins, I'll have a look through his drug chart. Ok, he's had aspirin, he's had an setron, no surprises on the drug chart, I'm thinking of ruling out the toxins. Yanni: Adrenaline is given. James: Adrenaline is in, Keith, amiodarone is going in Thinking about potential pneumothorax, could you listen to the chest, please, John? John: Trachea is central, and I can hear air entry on both sides, I don't think it's a pneumothorax. James: Tension pneumothorax. If we can exclude that on the T's. Yanni: Amiodarone is given James: Amiodarone is given. The blood gas results, thank you. So looking at the blood results, we've got a potassium and a glucose all within a normal range. If you could give that to our anaesthetist, please. I'm thinking hypercholesterolemia is unlikely. Hypoxia and we've got 15 litres through there, John. Can we , can we order a, er, focus cardiac ultrasound, please. Bill, good chest compressions you've got occuring there. Keith: 20 seconds until the next 2 minutes is up. James: So what I'm thinking, when we get to the next 2 minutes is swap please. Bill, I want you to swap with Yanni, and Yanni, if you could take over at the rhythm check please. Are we still happy at the head end? Ok, and I'm going to ask for Keith, if you would handle the next defribillation. Keith: We're at the next 2 minutes... now. James: Ok, 2 minutes, stop CPR. looking at the monitor we've got something compatible with live there. Have we got, is there a pulse? John: I can't feel a pulse. James: Straight back on the chest, please. OK, so we've moved to the non-shockable side of the algorithm. We gave adrenaline in the last cycle, so we're not going to give it this time, but I'd like that prepared, ready for the next cycle, if at all possible. John: His etCO2 has just come up to 5.2 James: feel a pulse? John: I can feel a weak pulse, and I think he's trying to make respiratory efforts. James: Ok, let's have off the chest, please. Support ventilation, please, up to 10 breaths a minute. Bill, can you do me a chest x-ray and a 12-lead ECG. Yanni, what I'd really like you to be doing is to contact the family, we have to let the relatives know, ask them to come in, that's great. OK, um, I still need to do some writing. can I have the paperwork from yourself, please, Keith. I'm going to speak to the Intensive care team, and he cardiology team, as well. Great, we've got some spontaneous circulation, we're doing a Full reassessment. OK, great work team, thank you very much.
As a student nurse I've just spent today in a recovery ward at a Nuffield hospital, and was amazed at the knowledge and experience of the resus team there.
The definitive video on the most important steps in a cardiac arrest situation. Very useful to see this in a real context, and I hope that more resources like this will be available soon.
pk s it’s used in all hospitals to fast bleep the on call teams, it can be used for adult resus teams, paediatric etc. In a non hospital setting you would just call 999 immediately
I have been exposed to this many times over rhe year and the team work is amazing. The nurses are also an important part of the team. What i would like to be introduced is the debriefing of nurses after a cardiac arrest as it doesn't happen in certain hospitals.
Good video. Brings back memories of working in ccu. The calm organised team leader led the way. I was a scared wee 1st yr RN in ccu and my mentor was like this. So cool, calm and so professional. I went on to working in ccu and lovi g it. Thanks guys, brilliant video.
Amazing she's so quick in decision making and critical thinking she is such an Inspiration to the new generation of nurses..... this is the vision of Florence nightingale In the 21st century of nursing...
When they stopped the compressions, atleast 2 mins of compressions should have been completed before stopping them and check rhythm even sign of life appear, as mentioned in the ALS manual. Otherwise it was a very good demonstration. Well Done
Perfect Scenario. Clear communications... Everyone knowing their roles.... Nice debriefing... Is Mr Bernardo Really dead? Because every "acting" is so accurate... In love with this... Wonderful... Good Job....
Share of Knowledge... That's perfect. Time keeper well concentrated... Perfect point that they decided to check the H T, SAMPLE... Very good debriefing..
I had a cardiac arrest during the battering of my flesh. Violence. Violation. The British are the most heartfelt n kind ppl to help those who are in need. This is my opinion . Of course it is not always true . I also like the Ams . My ex is a foreigner in his own country. He could learn from them.
The US health care system is ranked by the WHO as only the 37th best in the world, below the UK, France, Germany, Ireland, Canada, Spain, Israel, Morocco etc. etc.
Thanks for the video, but after the second shock and during the CPR adrenaline 1 mg should have been given. Then after the third shock we can give amiodarone 300 mg. We can't give epi and amio at the same time. In addition, epi is given every 3-5 minutes.
Stef, let the male nurse lay you down on your back, kneel down beside you, tilt your head back gently and listen for breathing, if your not breathing then he'll pinch your nostrils closed and put his mouth over your mouth and give two slow breaths. He'll then give 30 chest compressions.
