Thank you for watching! Please hit the like button if you enjoyed the video lesson. Feel free to leave comments if you have questions or feedback. We will try to answer them as soon as possible. Watch the entire Megacode Series Playlist here: kzread.info/head/PLJ5kKhwVxA5LWvUYUzhtZIAFDKFibCiZp Check out these other great lesson playlists from our Channel: 👉 Understanding and Interpreting ABGs: kzread.info/head/PLJ5kKhwVxA5J9q3KXz-w5Er6itwzIriMw 👉 One Quick Question Series: kzread.info/head/PLJ5kKhwVxA5JBIokh4ddyRWelvnXlRtcQ 👉 ECG Rhythm Review: kzread.info/head/PLJ5kKhwVxA5LlDt9S-venJPYWNN7_TSEX Visit our website for 100% online certification courses in ACLS, PALS, NRP, BLS and more. We also offer free practice exams, flash cards, study guides and other free educational materials: 🌍 www.healthedsolutions.com

Thank u for posting this. Very helpful and solidifies the concept. Hope u can post more videos like this in the series. Once again, much appreciated.

@HealthEdSolutions

3 жыл бұрын

Thank you for the awesome feedback! We are going to be releasing many more of these megacode simulators soon!

Many thanks for your clear and comprehensive video

Great example and very well explained! Thank you

@HealthEdSolutions

3 жыл бұрын

Glad it was helpful!

Thank you so much for these! So helpful!

@HealthEdSolutions

3 жыл бұрын

You're so welcome! Happy to hear you found the megacode scenario helpful! We will be releasing many more in the near future :)

Thank you this is very helpful

👍👍👍👍👍👍appreciation. Thanks for sharing your valuable knowledge information experience 🍀🍀🌸🌸🌹💛💛🌿🌿🥰🥰🥰🥰☘️

very helpful..thank you so much

Great VDOs!

Perfect.. Thannks a lot

Thank you so much!

@HealthEdSolutions

3 жыл бұрын

You're welcome! Thank you for watching! More megacodes to come..

but can we do synchronised cardioversion

Great videos! Do you have updated mega code scenarios with 2020 guidelines?

Plzz keep continue to do this kind of videos

@HealthEdSolutions

3 жыл бұрын

Thanks Kumar! Please subscribe and turn on your notifications because we have many more megacodes coming out:)

helpful. thank you.

excellent and found it immensly useful..love from india

@HealthEdSolutions

3 жыл бұрын

Thanks so much! Much love back at you!

ACLS certificate helpful in India?

Thanks mam

Super

Thank you for your helpful videos. I am curious about the recommendation in this one to do carotid massage. I understood it is no longer recommended at all.

@HealthEdSolutions

3 жыл бұрын

Thank you for your question! We are glad the videos are helpful. We’ve passed along your question to the Health Ed Solutions medical review team.

@HealthEdSolutions

3 жыл бұрын

Hi Susyn - we got an answer for you from our lead instructor and one of our medical review board members. Here it is below: This is the official AHA recommendation from the 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia. I have found no revision to the recommendation in the 2020 updates. For acute conversion of SVT, vagal maneuvers, including Valsalva and carotid sinus massage, can be performed quickly and should be the first-line intervention to terminate SVT. These maneuvers should be performed with the patient in the supine position. Vagal maneuvers typically will not be effective if the rhythm does not involve the AV node as a requisite component of a reentrant circuit. There is no “gold standard” for proper Valsalva maneuver technique but, in general, the patient raises intrathoracic pressure by bearing down against a closed glottis for 10 to 30 seconds, equivalent to at least 30 mm Hg to 40 mm Hg.82,84 Carotid massage is performed after absence of bruit has been confirmed by auscultation, by applying steady pressure over the right or left carotid sinus for 5 to 10 seconds.83,84 Another vagal maneuver based on the classic diving reflex consists of applying an ice-cold, wet towel to the face85; in a laboratory setting, facial immersion in water at 10°C (50°F) has proved effective in terminating tachycardia, as well.86 One study involving 148 patients with SVT demonstrated that Valsalva was more successful than carotid sinus massage, and switching from 1 technique to the other resulted in an overall success rate of 27.7%.82 The practice of applying pressure to the eyeball is potentially dangerous and has been abandoned. From Mark Dzwonkiewicz FP-C, LI: Remember to treat the patient. NO AHA recommendation applies to every patient and are not law, they are recommendations designed to build a foundation of care. Every patient must be evaluated and treated accordingly. In general, I do not use carotid message as a therapy for treating SVT especially in the elderly patient that may have developed carotid plaque. However, let’s say I have a younger adult patient in svt with underlying respiratory issues that prevent them from holing their breath and bearing down - a steady carotid pressure may help. But have a syringe of Adenosine in your hand just in case! Remember, your patient may have more than one medical issue at play here. Treat the patient. Thank you for the excellent question. Best, Mark Dzwonkiewicz

Gracias!!!

@HealthEdSolutions

3 жыл бұрын

Thanks for watching Jimena!

The very first scenario is that the patient is pale, weak, tachypnea, and 180hr. That is symptomatic...what else do you want?

@HealthEdSolutions

3 жыл бұрын

Thanks Michael for your thoughts

@FaTaLthe13th

3 жыл бұрын

Yeah I was thinking that too, poor circulation just based on skin presentation. This is still a great video.

@HealthEdSolutions

3 жыл бұрын

@OutcastBrAtZ-Clips Thanks for the kind words! Follow and turn on notifications as we will be releasing many more!

@mohammadsalahuddin7269

3 жыл бұрын

Unstable SVT is : chest pain, SOB, hypotension or confusion.

@HealthEdSolutions

3 жыл бұрын

@@mohammadsalahuddin7269 thanks 🙏🏼

Adenosine 6mg IV push .

Pals megacode

Order Adenosine IV , if caratoid massage does not help.

I really enjoy the Megacode series. I'm a landscaper, so I do jack shit related to the heart/ACLS, but I love guessing how these play out and how to treat the patients.

I would still give O2 to the patient…oxygen consumption goes up with increased myocardial workload…

Hello

Why will you teach Carotid massage? Its dangerous