Just for people coming for information: we no longer use vasopressin in the 2015 cardiac arrest algorithm. (I know this is a somewhat older video)

@pupsiuspupuliukas2394

4 жыл бұрын

Could update this really

@semdavidtimothysitanggang9491

4 жыл бұрын

This is 2010 algorithm I think

@xXAnthony619Xx

3 жыл бұрын

Thank you!

@jmitchell2158

8 ай бұрын

Thanks!

This was the calmest code ive ever seen. Haha

@zeezeebo

7 жыл бұрын

It's for teaching purpose

@LuvMusicTay

7 жыл бұрын

In my oppinion this should be the correct posture. Loosing the calm makes you feel angry and take bad decisions.

@abiarumugam4527

5 жыл бұрын

this is the new protocol of acls. advanced cardiac life support.. it's team management, no panic.

@deeprollingriver5820

4 жыл бұрын

Mitchell Turnbull no kidding. Very deceptive

@trevor19qhshe

4 жыл бұрын

Compared to screaming, yes xD

I know this came out in 2014 but I just wanted to say if anyone is watching now that Vasopressin has been out of the protocol for a couple of years now.

@Kickingcrush

2 жыл бұрын

I see it used still

@madnoun77

2 жыл бұрын

It’s 3rd line

@simonebascoe2801

Жыл бұрын

How come. I’m in my last year just wanna get some field knowledge.

This is how the codes are in my hospital… even with teaching. Some doctors are just chill and confident

@kevinlessman3999

11 ай бұрын

I agree! I'm a paramedic student and our er doctors are very chill running a code WHILE showing me the EKG and what it means

I always sit and watch BLS and ACLS videos to update my knowledge

wow everytime I watch BLS,PALS and ACLS skills I have never remained the same. thnx AHA for this knowledge love you guys

Mrs. Fernandez turned into a rubber.

Thank you for uploaded this video,, who has attending the ACLS, it will more help full

showing the rhythms would have been beneficial and an explanation why each drug is given

@eddies366

Жыл бұрын

You should know what to give, how much to give, when to give it and your route of administration by this point. If you don't know then get an RT to help you. They're the best!

I remember having a code after eating lunch. I did compressions and I felt like I wanted to vomit in the first 30 seconds :( I had to switch really bad.

Why can't all doctors be like this, so calm and understandable

@MrJvasud

4 жыл бұрын

Because of Ego and Sarcasm

@sanadbenali6993

3 жыл бұрын

cortisol, saliva, adernaline stress effects on voice (interesting read)

"BP 70/40, HR 45" doc was like, 2L NASAL CANULA!??? lol

@winchellthomas5139

10 ай бұрын

😂

Well coordinated assignment bravo

This was great if you want to know which to need to do but it doesn't so you procedures like a medic's case in a ministration in how you actually start the IO /iv . Or how you set up the monitor . To do what want it to do

Why was the endotracheal tube not inserted in the first time they found the patient was at cardiac arrest? has the algorhythm been changed? i used to know the intubation attempt should be given at the very first time we found patient having cardiac arrest.

Wow great looking staff, but where are their stethoscopes? and havent seen such well pressed lab coats.

Thank you so much AHA for the good presentation

vasopressin is now removed on the latest ACLS.

Somebody help my forgetful mind: What happened to the Pulse-Ox monitor the patient had on her finger when she arrived.? "Hypoxia"??? The PO not only measures oxygenation, but, also the quality of compressions during CPR. OK, i"m being picky. But, in this day and age, the PO is an indispensable monitor, which appears to be underappreciated in this video.

@jbuccilli1

5 жыл бұрын

etco2 is what now monitors effective cpr as well as tube placement. etco2 < 10 shows need for improvement in cpr. fyi, in the scenario, the pt was initially at 92 pao2 and then went up to 95 pao2 on 2 lpm O2 prior to coding. As actor playing doc said, coronary thrombosis likely culprit as confirmed with STEMI in 12 lead. remember that pulse ox takes a bit to drop and accurately show hypoxia where as etco2 readings are much quicker. good video on acls cert.inst re " waveform capnography" which demonstrates this.

Grandma from Friday Night Lights!

I wish all codes are as calm as this.

If atropine the first line in Bradycardia had been administered from the beginning none of the other steps would have been needed. The patient went from Bradycardia to tachycardia, which leads to other after care for the patient.

@chewchin7052

Жыл бұрын

Maybe this patient was suffering from III AV block and during the preparation of transcutaneous pacing the code was called?

@rohithkumar3480

10 ай бұрын

​@@chewchin7052bradycardia but no pulse,so they continued cpr instead of giving atropine.Also atropine can increase myocardial oxygen demand and aggravate ischemia?

@nassimamro485

8 ай бұрын

there is such a thing as pulseless electrical activity where it can show a rhythm like bradycardia on the monitor but the patient has no pulse, they are in cardiac arrest. plus even if it was real bradycardia a pulse, with the low blood pressure of 70/40 most doctors would choose to push epinephrine at that point in favor of atropine. atropine is for bradycardia that is symptomatic with fatigue sob or other signs of poor perfusion, not for a person without a pulse. in the video’s scenario the patient has just arrived and no iv access was able to be established, how are you going to give an iv medication without an iv? just stab a patient with a syringe hoping it will land in a vein (most of these patients who are sick enough to cardiac arrest will be difficult sticks to begin with)? going for the io access was the only way to go, most providers wouldnt waste time trying to get an iv in and just ggo for an io because they know theyre not going to be able to get an iv in a patient like that. we are treating the patient, not the monitor. always check for a pulse never forget your bls.

This was great!

The paths that they take cause many shocks...it is no different than the risk of medications.

This video is now outdated and you should look at the newer 2015 AHA guidelines.

Yeah but the pads should be really well in contact with thevskin before attempting def... :) excellent video

Nice Video

Amazing.

Amiradone must be the go to medication?

Do you have the one that is the "wrong way" where the communication is chaos?

vasopressin has been removed from the ACLS guidelines 2015.

No, there is really no benefit. As a matter of fact they have now taken vasopressin out of ACLS with the new update.

@rotorn55

8 жыл бұрын

+Damon Jackson Vasopressin was removed to simplify the algorithm. This is unfortunate. Instead of expecting providers to improve their knowledge and skills. The update suggests providers can be remedial..

@damonjackson6970

8 жыл бұрын

Well I think that characterisation is a little unfair. Vasopressin was initially incorporated to give ems providers time to do other interventions, because no other vasopressors were to be given for ten minutes. We now know through science that its effectiveness was not what was originally thought. If you look Narcan was added to the algorithm, and its effect in situations can be very pronounced.

@ianlombardo9758

8 жыл бұрын

+Damon Jackson Narcan, thiamine, and Epi were also standard code drugs. thiamine was removed because people were having anaphylactic reactions to it. narcan is making a comeback due to the increase of heroin and opiate overdoses

@ianlombardo9758

8 жыл бұрын

***** are you a healthcare provider? If so, I highly suggest that you surrender your license to the issuing agency as you are acting unprofessional and your attitude and decorum prove that you are unable to effectively provide care to patients and don't care about your job.

@ianlombardo9758

7 жыл бұрын

+Judith Tardo Excuse me, but are you deaf, dumb, delirious or disrespectful? I do alot more than ride ambulances and I do not appreciate you undermining my training nor do I appreciate swine like you tainting the reputation of the profession. most of us have spent more hours in a classroom than the average school student and have way more experience than a 9 year old like you would have. your incessant swearing does not make you educated in anyway and it actually makes you sound beyond dumb. I know how to resuscitate patients, I know the algorithms used in ACLS, I know how to interpret ECG tracings and know the pharmacokinetics, interactions and effects of each drug given. I also know a lot more than that but can't use those skills as my level of certification will not allow me to. some of the things you mentioned make you a danger to patients and you should not be practicing, your conduct is absolutely disgusting and unprofessional. you either clean up your conduct or leave the profession because I don't have the time to deal with your ignorance and sheer stupidity. on that note, I will stop responding to your tumultuous insults and be the bigger man here. I almost forgot, GO BACK TO FUCKING SCHOOL!

update from 2024, the hypothermia therapy(target temperature management, TTM) is aimed at 32-37.5 degree celsius. also, this is really quite a good video to illuminate how we should practice the mega code section.

@Bfair123

Ай бұрын

Did u take your acls

@likevin9815

Ай бұрын

@@Bfair123 yup

@Bfair123

Ай бұрын

@@likevin9815 can you give an idea what to expect on the classroom, I will take my classroom acls tomorrow, thanks!

@likevin9815

Ай бұрын

@@Bfair123 1. no rush, be calm, that's the most important thing and actively apply each team member's position if you are the leader. 2. remember to check pulse/vital signs whenever there is a rhythmic change. 3. if the p't's alive (w/ pulse) be sure to note if the rhythm is regular/irregular, having a narrow or wide QRS complex and whether the patient is stable or unstable and choose the joule of charge accordingly. 4. when ROSC is achieved, aside from a secondary ABCDE evaluation, order a 12 lead ECG to assess if ST elevation is the case. That's the tips my poor brain notices at the moment, hope you pass your test tomorrow!

@Bfair123

Ай бұрын

@@likevin9815 thanks!

lady said bp is 70/40 so calm lmao

@eddies366

Жыл бұрын

Doesn't help anybody to have an excited nurse.

tube in, while the guy in charge is not bagging. lol.

Atropine cause a increase in heart rate in Bradycardia but not tachycardia.

This is old video and we can still use this for future trainings

Can you please make video of more Simman family's

after watching this, I realised that the doctor seems look like dr. John Carter in ER..

What a neat code!

Vasopressin is pretty much out for 2023.

BGM sounds like Dr. House's. ㅋㅋㅋㅋㅋㅋㅋ

Who is watching 2024, have my acls this wk

We all work with a Mandell or two :/

@ellafearless9700

8 жыл бұрын

What does that mean?

@TankP0wnz

7 жыл бұрын

Someone who sucks at compressions

Thanks for your video

Damn it Mandel

@medicwebber3037

3 ай бұрын

😆

shocking on 3! 1 2 3 shocking! shock delivered.. 6 seconds wasted for compression!

@semdavidtimothysitanggang9491

4 жыл бұрын

Minimal interruption is 10 seconds i believe in 2015 and is allowed for rhythm analysis, ventilation and shock

Aortic in the stomach is in pain...they all usually complain of abdominal pain.

Shouldn't the first dose of adrenalin have been administered after the 3rd shock (instead of 2nd)?

GOOD VIDEO. aint perfect but good somehow.. the second chest compressor should have been quicker in changing roles with the first compressor :) no unnecessary pauses in chest compressions..

do you have a guideline for this ?

Oh Shelly lol

matt saracen's grandma!

Hey! Angela here from Philadelphia. Visit, it's a beautiful place.

air way?.....hipoxia???

Can you please make videos more videos of simman

thnx :)

Why is Mandel wearing an earpiece?!

Shouldn't this be continuous ambu bagging???

@UnicornxApocalypse

8 жыл бұрын

+rom z Continuous bagging only occurs with an advanced airway (like an endotracheal tube). Otherwise you follow 30 chest compressions with two breaths.

@rgonzales1657

8 жыл бұрын

+UnicornxApocalypse But the team leader decides how much shock should be delivered (unlike in BLS where an AED) and they're giving IV drugs. Isn't this advanced already?

@ianlombardo9758

8 жыл бұрын

not until an advanced airway is placed

@neozeonsolid

7 жыл бұрын

Im glad you're not a doctor or nurse

@rgonzales1657

7 жыл бұрын

Zondares I'm studying to be one of that, which is why I asked a question to be enlightened. I see that you're a corpsman, and that's awesome! :D

Vasopressin removed from acls protocol Should be updated

Thank you

Sinus bradycardia with no pulse and you shock it?

@TheGibby13

5 жыл бұрын

PEA is the rhythm, pulseless electrical activity

@semdavidtimothysitanggang9491

4 жыл бұрын

@@TheGibby13 if pea is rhythm, you cant give shock, it should be chest compression unless VF or VT

@TheGibby13

4 жыл бұрын

@@semdavidtimothysitanggang9491 correct

@MrGamecatCanaveral

9 ай бұрын

but they didn't shock it.

Mendel and Shelly have some chemistry there!

@OriLOK2

9 ай бұрын

I saw that 😏

I am waiting for my assessment right now

Fibrinolytic protocol...

2010 ACLS guideline

Oxygen, iv fluid resuscitation...

Saben si lo puedo oir en español?

This video in spanish please. Thank you

cmon mendel. pick it up

Sinus Bradycardia...

how they knw the pt went into vfib without any leads??

@rajshreesingh

6 жыл бұрын

Hbk Jgreezy defib can also assess rhythm

@jbuccilli1

5 жыл бұрын

defib patches when applied are "fast patches" for showing rhythm on monitor till either 3 lead or 12 lead are applied

Do we still vasopressin??

@diego_villena

4 жыл бұрын

no

I think the acls leader needs to be shocked to get some energy.

3:53 - Torsades!

@TheGibby13

5 жыл бұрын

Nahh, artifact while administering compressions but good thought

@semdavidtimothysitanggang9491

4 жыл бұрын

They did say it was VF probably coarse VF

@leahlott1463

3 жыл бұрын

@@TheGibby13 Showed on defibrillator w/compressions paused, Torsades

Artery issue...

Coronary artery

Man the team doesn't seem to respect Mandel much... "pick up the pace"... and the doc didn't even acknowledge his "hypoxia" theory to him

According AHA

isn't 1g adrenaline.. or 1mg. .u r wrong

Gta sn doctor

"shocking on three, one two three shocking....... ". what a waste of time. just CLEAR: and press button ! for christ sakes.....

The person with the breathing balloon did not do right work？Why？

O2

g

Miss keesha Miss Kesha... OMG SHES FUCKING DEAD

Vfib...atropine treatment

I had to check this wasn't a joke. 'Code' on its own is a pretty silly name for a cardiac arrest/medical emergency. 'Megacode' is completely puerile. Do the AHA/ACLS actively encourage ridicule?

In ALL video codes the leader running the codes are always male! Haha

@MrGamecatCanaveral

9 ай бұрын

maybe 6 years ago.

N

It doesnt work this way in real situation. Haha

Fake!

He is not identifying the rhythm.

Didn't like it. Racist and paternalistic towards nurses.

@sonjaswart9866

11 ай бұрын

Where's the racism? Are you for real????