Advanced Life Support / Code Blue - How to lead a cardiac arrest (ALS/ACLS simulation)
2017 ж. 2 Ақп.
381 001 Рет қаралды
How to lead a cardiac arrest /code blue using the advanced cardiac life support (ALS/ACLS) algorithms. This 360-degree medical simulation video shows a well-led ALS scenario, unscripted and in real time.
Produced with Rewind VR studio and filmed in the Education Centre at University College London Hospitals NHS Foundation Trust.
For further information visit ww.oxfordmedicaleducation.com or comment below.
You must avoid the no flow time. The break time is too long when the second guy starts CPR. CPR can be performed from both sides off the patient.
I noticed that too - they should have swapped during the rhythm check / after shock delivered
A KZhead commenter telling professionals how to do their job amazing...
@@brando3098 Still, he got a good point though.
I felt this too!!
You do have up to 8 seconds off the chest, throughtout cycles, so you are correct however to say it's too long.., i would concur with all mentioned however the other side had the junior doctor applying the pads, maybe causing a time delay in another critical step through the acls process.
excellent sharing!
I am of the opinion that she did the code very well in an unscripted scenario. I only wish that codes would run that smooth as well
plus other things can be happening- such as bleeding out.
Excellent presentation thank you ❤️
From cardiac arrest call phone down to crash team arriving 21 seconds ! They were pretty quick .
Hahaha that was great
Lovely, thank you for sharing.
Gr8 work guys, well done
This is brilliant
OK code team leader remember if you get ROSC Do you need to go straight to vital sign especially blood pressure heart rate first, then a 12 lead ECG for the adult patient, then you may want to consider a therapeutic hypothermia for unconscious unresponsive patient depending on the cause of the Arrest! Other than that that was a pretty good code blue, especially from the start. Great training video!
VOMIT Vitals O2 MI IV - Fluid/Pressors Temperatur (TTM)
I really appreciate your effort guys
good presentation - i would have loudly followed the 4 x ts with the x 4 Hs designated role bibs are also essential - many are reluctant to pop these one but they are great airway nurse/dr ...drugs etc a senior nurse / doctor leading is always essential
Great work
The person on airway seemed like he took multiple long breaks from keeping a steady RR To talk to the lead.
Fantastic! 😁
Thank you so much..
I was failed for saying ‘can you manage the airway’ and not specifying that I wanted them to ventilate the airway, can you shed any light on this?
Fantastic
How long does it take to put gloves on she was not communicating on the same level as everyone else , some of them were sluggish and really you have to put your self as if its real and not a test.
its good, 7/10 ....thank you
Awesome
Woah, my phone is simulating as if I’m there! I was thinking that the camera work was shotty cause it was staring at the floor for so long!
Wow I just realized you can do a 360 view and move the screen during the video
Nice
Bro Daniel has had like 50 heart attacks, what a guy
Naim Akyol what
@@mutated__donkey5840 he's the standard name used for a training dummy.
Neat can rotate screen
Good work team, how is Daniel doing now?
Last we heard he was on a beach in the Maldives - a job well done!
Start of compressions appears delayed beyond the acceptable range. You aren't perfusing organs without moving the blood.
Why so active moving of head during cpr?)
"Can you share with the rest of the team?" Hahahahah yes queen! :D
@@Hedgeflexlfz Actually he was giving her a compliment you idiot. She is the team leader and there shouldn't be any side discussion without the rest of the team. Now think about whether you will make that remark if it was a man. Such a stupid attitude.
Nusaibah Ibraheem you’re the idiot with this ridiculous comment
Super
Chest compression change over method is to count down simultaneously as changing personnel. Very casual here !!?
Wow
In australia they listen for 10 seconds? I have not heard nor seen the administration of epinephrine within these first 2-3 minutes...? also, semantics but should the recorder not repeat what was given, and keep time? overall very good
cpr takes priority, cpr for 2 rounds then IV give epi. except if patient has IV already. Per AHA u got to listen and watch for 10 seconds.
UK and European guidelines state that IV Adrenaline should be given every 3-5 minutes. IV Adrenaline should be administered as soon as venous access is achieved in the case of PEA/Asystole (non-shockable rhythms), but that was not the case in this video.
@@Hamza-bk3nm , If I remember correctly the initial rhythm was a shockable rhythm. In that case, defibrillation takes precedence over adrenaline which is given after 3 shocks
@@boneson13 adrenaline 1mg after every 2 loops and amiodarone 300mg after 3rd shock (doesn't need to be consecutive shocks) according to Aus/UK guidelines for shockable rhythms. For non shockable, adrenaline after first rythm check and alternste loops following that.
Damn Daniel
i was scared knowing im going to finsh nursing school soon and be in the real action, and now more scared this is intense
1:52 it is so unnecessary to blow into your glove
That's funny
Keren bang
Various stuff has changed in the last 7 years. Good video, but check for updates.
The worlds fastest ABG blimey
did they check the blood sugar?
Why should they check for blood sugar if he got VF on ECG ? Its cardiac patient administered for chest pain
@@sinisaass1993 just ruling out probable cause Hs and Ts
@@venieparks9772 Hipoglicemia is not on the list mate.... hipovolemia.. hipotermia... ( hipo-hiper K.. hipo Ca ) hipoxia (o2 )
Mo took a long time to get his gloves on
It's a very fuzzy video. Maybe you should update.
Excellent vid! Thanx. Watching a code in British English is hard due to cultural conditioning: Here in the U.S. we're shown that everything with Brits is either tounge in cheek humor (still waiting for the punch line) or verrrry refined and proper (Brits don't get dirty wit it!). But seeing this helps to break cultural conditioning. Rescue me any day. Cheers!
Several interrution on chest compression
Nobody over 85 should be a full code. Change my mind.
Amiodarone/epi? Am I missing something? Also aren't Hs and Ts for PEA?
Hs and Ts are for all cardiac arrest
@@aaaarrmehearties Go to medschool Jordyn
chocolate pudding 😂😂😂
Epi is usually after the 3rd cycle of CPR and amiodarone after 2-3 shocks for VF/VT
The epi isn't really evidence based anyway,...
Any room for sodium bicarbonate due to the acidosis
Hi Nessya. Not in this case. Guidelines generally no longer recommend routine use of sodium bicarbonate, except in cases of arrest secondary to hyperkalaemia, TCA overdose or pre-existing metabolic acidosis. www.nuemblog.com/blog/bicarb-arrest
The Emergency DR needs to slow down when she talks to the team.
According to New ACLS guidelines look ,listen and fall has been discarded for adult resuscitation
*feel
Look, listen and FALL..that made me lol
I don't like the bright lights
Why the doctor made the look,listen,feel maneuver when she has stethoscope to check breathing & heartbeat?
An IGEL is not a secured airway!
towards the end of the video they state this too. And then proceed to try and get one just before it ends
RCUK ALS Guidelines May 2021: www.resus.org.uk/library/2021-resuscitation-guidelines/adult-advanced-life-support-guidelines Once a tracheal tube or a supraglottic airway (SGA) has been inserted, ventilate the lungs at a rate of 10 min-1 and continue chest compressions without pausing during ventilations. With a SGA, if gas leakage results in inadequate ventilation, pause compressions for ventilation using a compression-ventilation ratio of 30:2.
That moment when you're 38 and have never realised how much you want to be in that job. 😕
NEVER too late. We’re the same age
Four of the best med students I studied with were in their 30s when they joined. Some of the smartest guys I have ever had the privilege of working with.
I'm 48. Was at home with a severly autistic child for 20 years. It's my turn now :)
You don't want to be here
@@mahela1993 I've been military and military fire and rescue service for 20 years. I'm fascinated with incident command (large incidents) and earlier this year, was lucky enough to be involved in an SF medical exercise in the Med, incorporating MEDEVAC and major trauma treatment. So I can genuinely say......yes I do.
very delayed initial response
They’re interrupting cpr. That patient is not gonna make it!!
6 H 6 T???????????
I just feel like jumping in and saying okay cobber in response to the doctors instructions.
They’re English not Australian
Nonsense. Way too long before calling for help and starting BLS
why are we putting him to sleep if he's already unconscious? and after ROSC, shouldn't ABCDE take place?
omg we def do not do that in America haha pulse pulse pulse no need for breath sounds and if no pulse start CPR immediately no time to wait
too many breaks in compressions if you do this in ALS assessment it is a definite fail
The quality of the video is so bad, on 1080 even and that good too.
Chest compressions should not be interrupted like that during swaps. Not giving ventilation for almost 2 minutes since the arrest was confirmed in a hospital setting is unacceptable. Guy doing chest compressions should move his body forward and straighten his elbows. Shouldn't be touching a patient during analysis - 4:20 All those "Please", "Fantastic" and "Thank you" and the rest of the happy chit-chat should be saved for later. You are leading an ALS team during a cardiac arrest - not doing a kindergarten drawing exhibition.
No need to lose your head and be a dick just because you're running an arrest. Manners and being polite are just apart of British culture and I always ask colleague to politely do something for me rather than adding further stress to them barking a command.
Bottom line: if you have a cardiac arrest in a UK hospital you are screwed.
IKR. In the US we would carry this out better on the street.
?why do you need to paralysed the patient post ROSC would a Prof and fentanyl inf enough?
Accents too strong and yelling.
too much drama
mcwe.com I inspiration TAKE YOU, @m,. KONKODA
too slow for the people giving cpr
quite a irritating ED registrar
Gees...that's why people die. 10 seconds listening to the breath?
Aurelia Amaya If you don't listen for ten seconds, they might still be breathing. Mong.
If you don't know, please do not speak. That's the ALS guideline.
That moment when you have no ideas of the erc guidelines
The rule is MAX 10 seconds. Not listen for 10 seconds.
You clearly got no clue of what your talking about.