The SHOCKING Truth | Defibrillate, Cardiovert, Pace
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The air is electric in this shocking talk about the defibrillator! We are talking about the different modes that the defibrillator on our crash carts can operate in, and more importantly how we use these different modes to help our patients with different disorders going on. The goal is to give you a better understanding of the what, why, and how they differ from each other.
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0:00 Intro
1:50 The Basics
4:50 Defibrillation
8:37 Cardioversion
12:35 Pacing
17:57 Conclusion
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Check out these other great lessons and series of lessons below!
✅ Hemodynamics: • Hemodynamic Principals
✅ Shock: • Shock
✅ ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
✅ ICU Drips: • ICU Drips
✅ ECMO: • ECMO
✅ CRRT: • CRRT Explained!
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#ICUAdvantage #Defibrillator #Nursing
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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.
@dominiquebigbah8909
2 ай бұрын
wow
@rangranikita
2 күн бұрын
😂😂😂
Hi, I am a CVT surgeon. we use pacemakers and defib day in and out. still, there is a lot of scope to keep learning. thanks for the video
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!
@ICUAdvantage
3 жыл бұрын
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. 😊
@alexvidu4517
3 жыл бұрын
Thanks for the Video clip! Forgive me for butting in, I would love your thoughts. Have you considered - Yenamilla Sniffing Reformed (probably on Google)? It is a great exclusive guide for curing nasal polyps permanently and naturally without the hard work. Ive heard some interesting things about it and my cousin finally got amazing results with it.
@Papinca
2 жыл бұрын
Hello, We are working hard to develop competitive materials. I hope this is of use. TeachMeAandP. We would appreciate your support either on youtube or Patreon. www.patreon.com/TeachMeAandP kzread.info/dron/ZYQgK2AKo9dwIE7xDe0p8A.html
@user-sg1bn2ij2k
Жыл бұрын
@@happycouch501 post anasthesiacare unit
@thepalettewhispererasmr1227
7 ай бұрын
I hear PACU is a good transition for ED nurses...
I hope that everyone who has you as a co-worker consider themselves very lucky. Thank u. U will never know how much i needed this.
@ICUAdvantage
Жыл бұрын
Thank you for the kind words!
I'm studying for ACLS (first time) and came across this. Thank you for sharing! This was really helpful and straight to the point.
Very easy to understand. Creatively and clearly explained the differences of each mode. Thank you!
I love these videos. I work in the ED as a tech, and I'm soon going to be in nursing school, and this channel is gold.
@ICUAdvantage
3 жыл бұрын
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!
@dimples5044
2 жыл бұрын
It's great that you are already looking up this info! You will do great in nursing school!
I swear, when I have to refresh a topic, I make sure to visit your page! Everything with you is very clear and simple. Thank you from Switzerland
Right on time brother. Perfect timing! I’m currently holding my education sessions for mock codes. I’m staring our ACLS sessions tomorrow.
@ICUAdvantage
3 жыл бұрын
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.
I’m currently taking med surg 1 and your explanation is beautiful, easy to follow and easy to remember! Thanks!
@ICUAdvantage
3 жыл бұрын
This is so great to hear! Happy it was helpful for you.
You're just the best. Those quick refreshers are dope! Thanks for what you do!
@ICUAdvantage
3 жыл бұрын
Thank you so much! So glad you enjoy these videos.
Thoroughly taught, always a 5 star review video. Leaving tons from these videos. Thanks a lot
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.
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!
You are amazing!! A blessing to everyone who got the chance to watch your videos 😍
@ICUAdvantage
3 жыл бұрын
Wow thank you so much Frida. You are too kind!
Thanks Eddie for all the great videos! I have been on maternity leave for 14 months so I am going though your videos to brush up on info!
To the point with clear and adequate amount of information. Thank You!
@ICUAdvantage
3 жыл бұрын
Thank you so much Anju! I appreciate you and taking the time to leave a comment!
Thank you!Your expalanation is simple concise, easy to understand (excellent pronunciation).
awesomely refreshed. Grate stuff and well demonstrated.
Got my CCRN because of your videos!!! Thank you so much!
@ICUAdvantage
2 жыл бұрын
Awesome!!! Congrats on your CCRN. Thats a huge accomplishment and you should be proud. Way to go and happy to have been able to help in some way!
Your videos have helped so much with studying for the CCRN thank you!!
@ICUAdvantage
3 жыл бұрын
So glad to hear this Isabel! Happy to have been able to help! 😊
This course was so helpful and a refresher for me. I'm an Echo Tech of 19 years and this course was amazing !!! Thanks so much!!!
@ICUAdvantage
2 жыл бұрын
Very cool! Thank you and glad you liked it Olacher!
I am a new CCRN straight out of school and this was very helpful. Thank you so much it was broken down so easily.
@ICUAdvantage
2 жыл бұрын
So happy to hear this Yeshima! Congrats on the new position and finishing school!
Excellent explanation. Thank you very much.
I have been reading these topics for many years BUT, I understood it in detail now. Professionally and clearly explained ❤❤❤❤👌👌👌👌💯
You are a legend. Perfect revision for MRCEM board exam. Much respect Sir.
@ICUAdvantage
2 жыл бұрын
Too kind! Happy to be able to help!
Simply AMAZING. Thank you so much, cardiology resident❤❤❤❤
Currently in Paramedic school and your videos are very much helpful and insightful. Thank you!
@ICUAdvantage
Жыл бұрын
Glad you like them and great to know they are well received!
Absolutely helpful. Thank you.
Thank you again for your videos. You just make everything so easy to understand. I learn something new with each video, and refresh old knowledge.
@ICUAdvantage
3 жыл бұрын
So awesome to hear this! I'm really happy to hear you are finding value in the videos. Love the name btw! 😂👍🏼
Love your videos! Thank you for using bright and different colored fonts and layout, very engaging.
@ICUAdvantage
3 жыл бұрын
Glad to hear this. I try my best to organize it and make it stand out.
Nice video. Feel prepared to discern when to defibrillate vs. cardiovert, proper pad placement, and pacing.
Very good quick and crystal clear explanation. Keep the good work!
@ICUAdvantage
Жыл бұрын
Thanks a lot!
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!
@ICUAdvantage
Жыл бұрын
Thanks for taking the time to leave a comment Amy! Wishing you the best in your goals. If you want it, go for it! You can do it!
Perfect for paramedics! Thanks a mill great videos
@ICUAdvantage
3 жыл бұрын
Awesome! Glad you liked it!
Thank you! I hadn't realized how to use transcutaneous pace till i saw your video! Excellent
@ICUAdvantage
2 жыл бұрын
Woohoo!!! Glad this was able to help!
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!
@ICUAdvantage
2 жыл бұрын
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!
Great Lecture ...i enjoy them...very simple and clear...thank you.
@ICUAdvantage
3 жыл бұрын
Awesome. So happy to hear this. Glad you liked the video!
You're doin awesome work bro!! Thanks for these videos
@ICUAdvantage
3 жыл бұрын
Thank you so much! Glad you like them. I enjoy doing this stuff and glad to know they are well received.
This lesson, and all the ACLS ones, have been very very helpful for me. Thank you
@ICUAdvantage
2 жыл бұрын
Awesome! Happy to hear this!
This is well explained thank you
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!
@ICUAdvantage
Жыл бұрын
Thanks for the feedback. Really happy you found it helpful
Thank you so much for what you do!! I'm in my third semester of nursing school. I've worked as a tech in a medical ICU for the past three years and I love it so much! I am planning on pursuing a job on my unit when I graduate in December, so I am trying to get a leg up while I can. Your videos are helping reduce the insane amount of information I'll need to learn when I start. I cannot thank you enough for helping make my dreams come true. You are truly awesome!!!!!
@ICUAdvantage
3 жыл бұрын
Wow, thank you so much for such an amazing comment! Congratulations on almost finishing nursing school. It's such a huge accomplishment and you should be proud. You'll have to check back in and let me know if you end up getting in on your unit. Sounds like a great opportunity for you and happy to have been able to help in any way!
@sarahari7347
Жыл бұрын
Looking for the Indian cardiolgist
THANK YOU, THIS VIDEO TOOK MY ANXIETY AWAY
Thanks so much.. very helpful to my practice
awesome and very informative. Thank you.
Beyond excellent. Thank you!
@ICUAdvantage
3 жыл бұрын
Thank you so much Emma!
I’m a new nurse in the ED. This was very helpful. Thank you!
@ICUAdvantage
Жыл бұрын
Congrats on the new ED position and happy to know my video was able to help! 😊
I'm in psych nursing...used to be in ED...a refresher is always welcome...especially going into NP school...
@ICUAdvantage
3 жыл бұрын
Awesome! Happy to help and congrats on NP school.
Wish you a billion subscribers for the good things you do. Will refer your channel any nurses who wants to expand the knowledge in order to deliver a safe patient care. How bad would be to wait the MERT nurse to apply a defibrillator because we have no idea while we could actually learn so much. Thank you for all the courses we continue achieve the unforgettable knowledge which in turn help us to provide a safe care proudly.
@ICUAdvantage
Жыл бұрын
There are definitely studies that show the quicker we defibrillate a lethal arrhythmia, the better the mortality. Thanks so much for the kind words and really glad that you found it helpful!
Thank you so much for this.. definitely draws it all together
@ICUAdvantage
2 жыл бұрын
Awesome! Really happy to hear this Terri!
Such a great refresher to our info you’re a genius
Your videos seriously help me be a better nurse thank you!
@ICUAdvantage
3 жыл бұрын
Wow, this is so great to hear. Happy to be able to have helped!
Great job explaining as usual. Thank you!
@ICUAdvantage
3 жыл бұрын
:) Thanks again Kellie!
Amazing explanation.. thanks a lot for this.
Great video and explanation, thank you
Thank you so much for your videos!! They are super helpful and explain things much better than any book I've encountered!
@ICUAdvantage
2 жыл бұрын
Wow, great to hear that Julie. Happy to be able to help.
Nicely done!
Brilliant, many thanks
Thanks, this was helpful!
Kindly add simulation videos or animations for better clinical correlation. Great work by the way
Amazing, thank you
I'm transitioning into step-down after almost 20 years of med-surg and this was really helpful, thank you!
@ICUAdvantage
2 жыл бұрын
Awesome! Best of luck on your transition!
@smariegonzalez8617
Жыл бұрын
Hi! How was your transition? What is your patient to nurse ratio in step-down?
@MoreN24
Жыл бұрын
@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!
20 minutes of valuable information! Thank you
@ICUAdvantage
2 жыл бұрын
Glad you think so Kevin!
Amazing work! I'm in PA school and this made more sense than our lectures. I appreciate you.
@ICUAdvantage
Жыл бұрын
Very cool! Happy to be able to help Ashley!
This is very helpful Thanks for the good job
Thank you🌸
Love the way you explain. Thank you:)
Great refresher!
@ICUAdvantage
3 жыл бұрын
Awesome! 😊
Excellent video. You have talent. Impressive delivery.
@ICUAdvantage
3 жыл бұрын
Wow, thank you so much. I really appreciate you!
amazingly explained and really helpful video!!
@ICUAdvantage
Жыл бұрын
Awesome! Glad to hear it!
Thank you😊
Thank you. Superb ❤
wow Eddie, this video is so informative. Thanks man please give us more.
@ICUAdvantage
3 жыл бұрын
I will certainly keep making more! Glad to hear you liked it Kabelo!
Very helpful. Thanks.
@ICUAdvantage
Жыл бұрын
You're welcome!
Excellent information
Good video I am a flight medical provider and we use a lot of these skills!! Thanks!!!!!
@ICUAdvantage
3 жыл бұрын
Yes you do! Glad you liked it!
thanks a lot, this was very helpful
thank you , you cleared my doubts.
@ICUAdvantage
3 жыл бұрын
Fabulous to hear this!
Thank you very simple and well explained
@ICUAdvantage
2 жыл бұрын
Great! Happy to hear this!
Very simplified great lecture!!
@ICUAdvantage
3 жыл бұрын
Awesome! Happy to hear this!
THANK YOU ,YOU ARE NEEDED AND APPRECIATED BY US
@ICUAdvantage
3 жыл бұрын
Thank you so much Rose! I really appreciate you and everyone else as well!
@alaahussain9677
3 жыл бұрын
@@ICUAdvantage thank you teacher
Thanks for all of these informations! Really helpful! :)
@ICUAdvantage
3 жыл бұрын
Truly my pleasure to be able to help!
Lovely!.. Keep doing this great job!
@ICUAdvantage
2 жыл бұрын
Thank you and will do!
Very clear concept ..thanks 👍
@ICUAdvantage
2 жыл бұрын
Glad to hear this!
This helps ICU nurses a lot, even med students and fresh grad medical doctors 👍
@ICUAdvantage
3 жыл бұрын
SO happy to hear this!
Good information Thank you!
@ICUAdvantage
2 жыл бұрын
Glad it was helpful!
Important to also check mechanical capture (pulse check) following confirmation of electrical capture.
Thank you
Wow! What an amazing video....it just makes things so easy and simple for me as a paramedic student .
@austinmuncrief252
3 жыл бұрын
Ur not alone. Lol I’m a new medic here . Just got cleared to be on my own , refreshing constantly haha
@ICUAdvantage
3 жыл бұрын
Wow, thank you so much! Happy to hear it was helpful for you and wishing you all the best in your studies!
Simplified! Thank you…
This clears everything up so well! Thank you.
@ICUAdvantage
3 жыл бұрын
Yay! So happy to hear this!
@sithembisohoza1424
Жыл бұрын
Please elaborate on mechanics capture.
Thank you this was so helpful.
@ICUAdvantage
2 жыл бұрын
Yay, glad to hear it!
Excellent presentation from 🇬🇧 UK
@ICUAdvantage
2 жыл бұрын
Thanks Stuart!
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).
Great one!
@ICUAdvantage
2 жыл бұрын
Thank you! Cheers!
awesome video!
Thank you so much for making this video and now I'm clear about the differences among these!😊 Hi from India🇮🇳:) And subscribed!
@ICUAdvantage
3 жыл бұрын
You are very welcome Zeel! So happy to hear it was helpful for you and welcome aboard!
Great content, as usual!! I watched your videos to support my studying throughout nursing school and continue to do so as a new RN. I currently work on a Medical unit in a Level 1 trauma center and plan to transition to the MSD within about 6 months, with the eventual path being the MICU. I recently obtained my ACLS cert.... any other advice for topics/resources I should study in preparation for CC?? Thanks again for your work.... and I dig the new intro!!
@ICUAdvantage
3 жыл бұрын
Hey thank you Justin! I appreciate you taking the time to leave such a great comment. So glad to hear my videos have helped you in your nursing journey. Sounds like you've got a great plan to get in to the ICU. And you absolutely can do it if you put your mind to it. As far as preparing before hand, I wouldn't worry too much about the critical care sides of things, as you will learn that when you are there and it'll make more practical sense. In the mean time focus on things like, time management and your understanding of pathophysiology and solid assessment skills. Have this stuff dialed in will pay dividends when you get to the ICU and you can focus on the critical care aspects of learning and not have to worry about the other things. Also being able to give a quick SBAR on your patient is important as time in ICU is often very limited when things are going bad. And thanks about the intro! I'm so stoked about it!
@justinhapner5605
3 жыл бұрын
@@ICUAdvantage Thanks for the reply.... your suggestions have been noted!!