The way he is always asking on what to do... it's like this video is made from a student's perspective which feels relatable

When normal rhythm appeared on the monitor. He is supposed to check for pulse because it could be a case of Pulseless electrical activity.

'H's: - Hypovolemia - Hypoxia - Hypothermia - Hypo/hyperkalaemia - Hypoglycaemia 'T's: - Toxins - Tamponade (cardiac) - Tension pneumothorax - Thrombosis (myocardial infarction) - Thromboembolism (pulmonary embolism)

It's cute when he says he cant remember the other h's. Love the confidence even when he needs help. But I know its just a simulation.

Very well demonstrated

Thank you so much for posting this.

@OxfordMedicalVideos

7 жыл бұрын

No problem - hope it was useful!

@mmaman6931

3 жыл бұрын

@@OxfordMedicalVideos Yes I get so nervous when actually doing these, hate them. So thank you, this is helpful.

I skipped the vid and saw what I thought was a ridiculously tall man. Then realised he was on a step.

amazing video

awesome !!

أحسنت الشرح والتوضيح وبارك الله فيك أستاذ عماد

Waoo good job Its look like in real situation

British doctor: "I wonder if you could put up a cardiac arrest call please, and bring the trolley over, thank you." This would be me: "CARDIAC ARREST ALARM RIGHT NOW AND BRING THE BLOODY TROLLEY!!1"

@iagoink

5 жыл бұрын

HAHAHAHAH thank you for this

Very useful, thank you

Love the adrenaline ride during a code!

On rosc - ABCDE again. Investigations can be delegated and happen in the at the same time ( ABG, ecg, cxr request) Make sure H&ts are actually excluded rather than just talked about but prioritise your main dx.

So polite!!!

Awesome awesome awesome But why is no one giving epinephrine or amiodarone ?

He wouldn't stop smoking he's a dummy. The video is appreciated.

Uhhhhh, where is the venous access? Where’s the epinephrine? Where’s the amiodarone? Am I the only person who came to the comments for this? lol Otherwise, cool video! Thanks

@sopalakish

3 жыл бұрын

Since he was a patient in a hospital, it is safe to assume he already had an IV access. I think epinephrine is given after 3 cycles and then every 2 cycles (3-5 mins gap), in this situation the patient was able to get ROSC within the first 3 cycles so the drugs weren't needed. Please correct me if I am wrong.

@JJJameson.

3 жыл бұрын

@@sopalakish To answer our buddy Justin's question here, it depends. Firstly, this video is wrong because it doesn't show the patients rhythm, which is the main answer here, If you have a shock rhythm, Adrenaline is given after the second defibrillation attempt, followed by amiodarone after the third defibrillation, then Adrenaline again and so on But if you don't have a shock rhythm, then it's after the first cycle of compressions, main point is this video lacks drugs However, a big no no here is the lack of ambu, they intubated, which is fine, but waiting that long... That's definitely a no good

@productsreview31

3 жыл бұрын

@@JJJameson. are we on different page ? Adrenaline is given after 3 defibs..we are talking about ALS UK,right?

@productsreview31

3 жыл бұрын

Adrenaline and Amiidarone after 3 shocks only. This man had ROSC after 2 shocks.,

@JJJameson.

3 жыл бұрын

@@productsreview31 Oh damn, I didn't consider UK guidelines, my bad, maybe they are indeed different. I was speaking ACLS guidelines

Could you please list the H's and T's in the comments? it was difficult to hear the lady in the background. thank you

@OxfordMedicalVideos

6 жыл бұрын

Hi Chloe. Several variations but we use: 'H's: - Hypovolemia - Hypoxia - Hypothermia - Hypo/hyperkalaemia - Hypoglycaemia 'T's: - Toxins - Tamponade (cardiac) - Tension pneumothorax - Thrombosis (myocardial infarction) - Thromboembolism (pulmonary embolism)

@darshannamastey1683

5 жыл бұрын

hypovolemia ,hypo/hyperkalemia, hypothermia and hypoxia.. toxins tension pneumothorax tamponade,cardiac thrombosis

Shouldn't the two doing CPR and bag mask ventilation switch positions after 2 mins?

@etsout

6 жыл бұрын

When the arrest/code team arrives, the anesthesiologist or respiratory tech will do the ventilating. Usually a nurse will do compressions and switch off when they get tired. You don't have to switch off every two minutes. Good compressions with minimal interruption is preferred.

If your checking for hypo/hyperglycaemia wouldn’t you check the value in the LFTS Us &Es rather than taking a blood gas.

@rafaeldegiacomoaraujo8778

3 жыл бұрын

ABG will have PO2, glu and K+ which are part of H&ts

what's the good physical exam finding to rule out tamponade that the attending asked? I'd imagine JVP and muffled heart sounds are not going to be the most ideal to access in a code blue situation. i also probably won't be able to get portable ultrasound to bedisde that quickly. thanks!

@iagoink

5 жыл бұрын

physical exam very often doesn't help and you will need to use a FAST ultrasound and apply it to the pericardium window

Is this part of the role play the the Medical Officer is asking all these questions or is he an inexperienced practitioner

@lonewanderer8414

3 жыл бұрын

If only there was a title and description of the video to answer your ignorance.

Why they didn't switch on chest compressions

You're supposed to undo the pt clothing (shirt)

Do you need to check BP before giving fluids when resuscitating or do you just give it straight away?

@Coobyliscous

4 жыл бұрын

The patient is dead therefore no circulation or blood pressure

@rafaeldegiacomoaraujo8778

3 жыл бұрын

Giving fluids in a patient with VF/VT is a matter for debate. Make sure you don't overload the patient given that the main dx is an ACS.

استرها علينا يا رب بكره في الامتحان الراجل في اوكسفورد ومش عارف 4H المفروض انا في طنطا اعمل ايه

@user-ci4uk3ok9r

2 ай бұрын

أنا ممتحن بعد يومين ف طنطا طمني 😂😂

Nice video, really enjoyed it. However, the Hs(Hypoxia, Hypovolemia, Hydrogen, Hyper/Hypokalemia and Hypothermia & Ts(Tension pneumo, pericardial Tamponade, Toxins, Thrombosis(pul/coronary) and Trauma) are for asystole and pulseless electrical activity, which are unshockable rhythms.

@ianzippy

4 жыл бұрын

4 Hs and Ts are for all arrests, and designed to rapidly rule in or out potentially reversible causes.

@productsreview31

3 жыл бұрын

We always need them asystole or vF because we need to find out the causes and reverse them if possible.

No breaths given initially

@tomcas411

6 жыл бұрын

sash A, not a requirement these days. There is a residual volume of air available in the lungs experts deem sufficient

@happymomchristina8211

4 жыл бұрын

It starts with the CPR these days

@productsreview31

3 жыл бұрын

Initial breaths given only in certain scenarios. One of them is paediatric patients. We begin with rescue breaths First.

I wanna be a doctor instead of homeless unemployed.

@harry-yy5fo

Жыл бұрын

good luck