Excellent video I will share with my paramedic students. I would add that adenosine in an atrial rhythm with an accessory pathway (e.g. WPW) may be fatal. Allowing the atrial impulses to enter through the Bundle of Kent ((et al.) unchecked by the safety mechanism of the AV. I look forward to watching your other videos and sharing them.
I like your teaching of Tachycardias. Covers the basics. I've been uncertain about these. And not all tachycardias are straight forward and simple. I like the "call a friend" part. Never, Ever, ever do anything by yourself. Always Call your colleague and or Dr. ASAP.
hello, in the video you stated CCB for a fib/flutter, Adenosine for SVT but also BB for atrial tachyarrythmias- they are all tachyarrythmias! how to differentiate
If you haven't checked it out, I also have a playlist for ECG interpretation (ru-vid.com/group/PLxwfu1cwzciJjF95EdIqH5PnFKejcWVBv) and the video on atrial rhythms might help you make some sense out of these.
Late reply but..: Unstable SVT (narrow regular QRS): 50-100 Joules Unstable monomorphic VT (wide, regular QRS): 100 Joules Unstable AFib (narrow, irregular QRS): 120-200 Joules Unstable polymorphic VT/ Torsade de pointes (wide, irregular QRS) or pulseless VT or pulseless VFib: Turn off the synchronized mode and immediately defibrillate the patient with 200 Joules (Unstable = hypotension/shock/ decreased level of consciousness/ chest pain..) If the shocks don't work, we do 2 more (total 3 shocks). If that doesnt work, we give 300 mg amiodarone If still unsuccessful, repeat shock (5 shocks If I remember correctly!) If still unsuccessful, amiodarone 900 mg over 24 hrs. (Please refer to the algortihm for the management of STABLE adult tachycardia)
Late reply but..: Unstable SVT (narrow regular QRS): 50-100 Joules Unstable monomorphic VT (wide, regular QRS): 100 Joules Unstable AFib (narrow, irregular QRS): 120-200 Joules Unstable polymorphic VT/ Torsade de pointes (wide, irregular QRS) or pulseless VT or pulseless VFib: Turn off the synchronized mode and immediately defibrillate the patient with 200 Joules (Unstable = hypotension/shock/ decreased level of consciousness/ chest pain..) If the shocks don't work, we do 2 more (total 3 shocks). If that doesnt work, we give 300 mg amiodarone If still unsuccessful, repeat shock (5 shocks If I remember correctly!) If still unsuccessful, amiodarone 900 mg over 24 hrs. (Please refer to the algortihm for the management of STABLE adult tachycardia)
@@mariepriyharanjanraj2795 Partly true. Monophasic defibrillators need more Joules to have the same effect of biphasic. defibrillators. The numbers above are for biphasic defibrillators. 360 Joules from a monophasic defibrillator might have the same effect of 200 Joules from a biphasic defibrillator.
