This video got me married! I met my wife in the hospital when my patient needed synchronized cardioversion. She was a new grad and wanted to assist/learn. After the shock both our hearts were also in synch ;) I asked for her phone number so I could send her this video. The rest is history.
So awesome to hear this! I really appreciate the kind words. Thats so great that you are getting ready to begin your journey into nursing and I wish you all the best!
@Smarie Gonzalez Hello, it was so bad I resigned after 5 shifts of orientation! The ratios were 1:4, but with one tech on the floor, no patient transport and high acuity, there was no way I could have stayed!
I have been a med-surg. nurse only. Since 1988. I just retired. However. I became a bit board. I applied for a job that required ACLS. Well I've never had ACLS, as there was no need for my position. I immediately started watching your videos. Not more than an hour later I called an ACLS instructor to see if she could get me in her class ASAP. She said she wasn't taking any new students. I told her I had studied. She started quizzing me. "Name the rhythms that are shockable?" Etc. Etc. At the end of the quiz. She accepted me. I now have my ACLS 96 score. All because of you!!!!!!! I thank you!
Wow, Helen, this is so amazing to hear! Way to go on your dedication to learning something new and to getting after your goal. Strong work and congrats on your ACLS and hopefully new position!
Thanks for this really informative, articulate video! Thanks to your video, I now know what happens while I'm in Propofol dreamland. I'm a patient who's had five synchronous cardioversions for AFib/AFlutter over the past 9 years. Had one last week, which thankfully returned me to normal SR. Let's hope it holds... If not, looks like I'll need a third RF Ablation. Deep respect for ALL who participate in these procedures -- you're my heroes!
Thank you for the easy and thorough explanation. I am a 20 year RN now working at a cardiac stepdown unit and hoping to someday work in the cardiovascular ICU. I hope to keep learning so saving lives is second nature. Thank you so much for you videos!
Awesome! Its so cool how so often when I post a new video, it is perfectly timed for some people with whatever is going on in life, or school, or whatever! Pretty amazing. I hope you enjoyed. I'm in communication with the AHA about being able to do some videos on ACLS topics, but I don't think this process is going to be quick, and hopefully their fees are not outrageous. I know these would be great topics that I know many would enjoy.
Excellent presentation with straightforward descriptions. I work MedSurg with shifts as SCU (Specialty Care Unit). This was great information for me, thank you for your good teaching!
Thanks for the explanation. I had my 2nd a-fib cardioversion yesterday (the first one five months ago reverted itself after one week). This one is a success but time will tell if it holds. The nurses, docs and aides all answered my questions but we don't always know the questions to ask. I now know more than I did.
I think that was a good review. I'd add just a few things: When the hand-held attached electrodes are used, a conducting medium (NaCl paste) must be placed between the metal and the pt's skin. When possible, it's wise for 2 people to be used with each holding one electrode. This makes accidental shocking of the operator impossible. I've seen that happen only once out of many hundreds of cases but a distinguished cardiologist was injured in the process. In thin pts. especially with VT, a very small energy (5-10 joules) may be very successful and isn't sufficiently painful to require sedation but does merit a warning to the pt. In cardioversion/defibrillation, delay and tissue acidosis are the most important factors in limiting success. With that said, I have converted at least a dozen (probably more) pts. with a chest thump. That brings up asystole: I have seen a number of pts. with asystole respond to very low energy shocks. But they are uncommon except in the OR where it's actually usually the case. AP electrode placement, as you stated, is much more likely to be successful. Shouting "everybody off" is not sufficient. It is the obligation of the operator to be sure that no one is at risk from defibrillation. LOOK carefully. It takes only 3 seconds. If you can't see the "sync. mark" on the screen, remember that many units will sync. only on a positive complex (R wave and not S wave).
Extenal Pacer is running. How do the provider change to transvenous or internal pacer? During giving shock it is also noticeable for the provider, so it Must be stoppt for a change to an other Devise? It takes Time to get a catheter into the Patient. How is there the Procedere to avoid any harms?
The output for pacing is nowhere near cardioversion. That said, theres some places that don't interupt compressions for delivering cardioversion shocks.
So for an ICD, how would you compare the pain or impact of the shock, as compared to an external shock? I've had sustained V-tach twice without a pulse but still awake and alert, and both times I was shocked with an external defibrillator without sedation. I will be getting an ICD implant, and it's so nerve racking because I have no clue how bad the shocks will feel if the ICD goes off. This is torture. Any words to help calm me?
Hi there i wana have an insight on sync cardioveraion. This is given on unstable tachy may it be narrow or wide QRS of course with its corresponding joules. My question now is, is there a case or is it possible that you can deliver another shot of cardioveraion if the first shot is not working? If yes, whats the time interval frm the first shot? Thanks
Can the particle beam and shock wave be used simultaneously for patients with cardiac arrest from acute coronary syndrome? Because particle beams with electromagnetic charge like the electromagnetic light photon energy in the cosmos in its adaptation for treatment delivering resuscitative modified electricity to revive patients and shock wave usually for treatment of stone fractionation in ECSW lithotripsy be used in hertz synching to dissolve clots and thrombus arterial blocks like reviving ventricular tachycardia, ventricular fibrillation, near Asystole patients and at the same time treating their clots plugs simultaneously without angioplasty and stent placement in future treatments.
My father passed away due to Corona The attendent at home was saying that his lungs were not able to take oxygen and hence he suffered lung failure Now I called him months later regarding what if my father died from a heart attack Now if that was the case then it's not just that I could not save my father from dying but since if died from a heart attack that means I could not bring my father from death back to life that too because of someone else as that attendant didn't informed us that he may have died of heart attack If he would informed us we would at the movement taken dad to hospital which was 500 metres away and I may have got him back to life I still don't know how to deal with this Also at 5:32 You said we are only going to use it so much time would it take to figure out whether to do it or not to someone who was not a patient of hospital
I am a nursing student and I have two more semester before I graduated from nursing school. I want to say these videos is a great help I'm really happy I came across them. Thank you so much for taking the time to make videos like these 🧑⚕️🫀
I work in PACU. This is an excellent refresher course since we rarely have emergencies. Your lessons are very helpful, you’re making us better and safer nurses. So you’re saving lives! Thank You!
Lizzie thank you so much for this amazing comment! At the end of the day, it's all about the patient, and I'm glad to be able to help in whatever way I can. 😊
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