Advanced Life Support / Code Blue - How to lead a cardiac arrest (ALS/ACLS simulation)

Рет қаралды 380,947

7 жыл бұрын

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.

Пікірлер: 133

@wopan14 6 жыл бұрын

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.

@merdershewrote371 3 жыл бұрын

I noticed that too - they should have swapped during the rhythm check / after shock delivered

@brando3098 Жыл бұрын

A KZfaq commenter telling professionals how to do their job amazing...

@nonetheless8630 Жыл бұрын

@@brando3098 Still, he got a good point though.

@rochelles1417 Жыл бұрын

I felt this too!!

@_bigman8593 11 ай бұрын

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.

@tg0390 7 жыл бұрын

excellent sharing!

@boneson13 5 жыл бұрын

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

@Good-DaySunshine 3 ай бұрын

plus other things can be happening- such as bleeding out.

@leenakhalid694 3 жыл бұрын

Excellent presentation thank you ❤️

@carythomson8587 5 жыл бұрын

From cardiac arrest call phone down to crash team arriving 21 seconds ! They were pretty quick .

@mmaman6931 3 жыл бұрын

Hahaha that was great

@claudiafotiou7546 3 жыл бұрын

Lovely, thank you for sharing.

@AhsanNaderPhotography 5 жыл бұрын

Gr8 work guys, well done

@jabal886 3 жыл бұрын

This is brilliant

@joselyons9798 2 жыл бұрын

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!

@ErickInDeu 4 ай бұрын

VOMIT Vitals O2 MI IV - Fluid/Pressors Temperatur (TTM)

@buyimncube2588 2 жыл бұрын

I really appreciate your effort guys

@jonylawson73 6 ай бұрын

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

@user-xy7ce5qq1n 4 жыл бұрын

Great work

@theonionnews3554 9 ай бұрын

The person on airway seemed like he took multiple long breaks from keeping a steady RR To talk to the lead.

@pisbakal8 2 жыл бұрын

Fantastic! 😁

@happymomchristina8211 4 жыл бұрын

Thank you so much..

@bocusfocus9714 3 жыл бұрын

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?

@fraisebandolera0to9 11 ай бұрын

Fantastic

@benjaminnutt419 6 жыл бұрын

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.

@tubeahmed33 2 жыл бұрын

its good, 7/10 ....thank you

@snowwhite3212 4 жыл бұрын

Awesome

@adelaideo7417 2 жыл бұрын

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!

@shahedc514 Жыл бұрын

Wow I just realized you can do a 360 view and move the screen during the video

@32ahmmed 5 жыл бұрын

Nice

@naimakyol4754 4 жыл бұрын

Bro Daniel has had like 50 heart attacks, what a guy

@mutated__donkey5840 4 жыл бұрын

Naim Akyol what

@circularisnotthis Жыл бұрын

@@mutated__donkey5840 he's the standard name used for a training dummy.

@erickanew 5 жыл бұрын

Neat can rotate screen

@usmanzahid1729 3 жыл бұрын

Good work team, how is Daniel doing now?

@OxfordMedicalVideos 3 жыл бұрын

Last we heard he was on a beach in the Maldives - a job well done!

@IGMD Жыл бұрын

Start of compressions appears delayed beyond the acceptable range. You aren't perfusing organs without moving the blood.

@azaraliyev2064 Жыл бұрын

Why so active moving of head during cpr?)

@melampo85 6 жыл бұрын

"Can you share with the rest of the team?" Hahahahah yes queen! :D

@nusaibahibraheem8183 4 жыл бұрын

@@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.

@TheCharlottehudson 3 жыл бұрын

Nusaibah Ibraheem you’re the idiot with this ridiculous comment

@govindappakoppa3392 Жыл бұрын

Super

@rajaravisomasegaram3787 3 жыл бұрын

Chest compression change over method is to count down simultaneously as changing personnel. Very casual here !!?

@drmoonlover 4 жыл бұрын

Wow

@privateprivate5302 5 жыл бұрын

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

@seedleaf54 5 жыл бұрын

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.

@Hamza-bk3nm 5 жыл бұрын

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.

@boneson13 5 жыл бұрын

@@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

@jamiepatelkerr 5 жыл бұрын

@@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.

@Packman33 5 жыл бұрын

Damn Daniel

@k4rthus860 Жыл бұрын

i was scared knowing im going to finsh nursing school soon and be in the real action, and now more scared this is intense

@Vincent520charmaine 5 жыл бұрын

1:52 it is so unnecessary to blow into your glove

@thedeepthinker5669 3 жыл бұрын

That's funny

@user-eb4zu7wj6r 3 ай бұрын

Various stuff has changed in the last 7 years. Good video, but check for updates.

@kevinsanjaya9088 2 жыл бұрын

Keren bang

@homersimpson9062 3 жыл бұрын

The worlds fastest ABG blimey

@venieparks9772 4 жыл бұрын

did they check the blood sugar?

@sinisaass1993 3 жыл бұрын

Why should they check for blood sugar if he got VF on ECG ? Its cardiac patient administered for chest pain

@venieparks9772 3 жыл бұрын

@@sinisaass1993 just ruling out probable cause Hs and Ts

@sinisaass1993 3 жыл бұрын

@@venieparks9772 Hipoglicemia is not on the list mate.... hipovolemia.. hipotermia... ( hipo-hiper K.. hipo Ca ) hipoxia (o2 )

@rumit9946 Жыл бұрын

Mo took a long time to get his gloves on

@Good-DaySunshine 3 ай бұрын

It's a very fuzzy video. Maybe you should update.

@rn4u137 5 жыл бұрын

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!

@karencastro8743 2 жыл бұрын

Several interrution on chest compression

@dontreadthisplease2416 8 ай бұрын

Nobody over 85 should be a full code. Change my mind.

@chocolatepudding6146 4 жыл бұрын

Amiodarone/epi? Am I missing something? Also aren't Hs and Ts for PEA?

@aaaarrmehearties 4 жыл бұрын

Hs and Ts are for all cardiac arrest

@chocolatepudding6146 4 жыл бұрын

@@aaaarrmehearties Go to medschool Jordyn

@aaaarrmehearties 4 жыл бұрын

chocolate pudding 😂😂😂

@dr.junior-350 3 жыл бұрын

Epi is usually after the 3rd cycle of CPR and amiodarone after 2-3 shocks for VF/VT

@maxe2820 3 жыл бұрын

The epi isn't really evidence based anyway,...

@nessyataylor4184 Жыл бұрын

Any room for sodium bicarbonate due to the acidosis

@OxfordMedicalVideos Жыл бұрын

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

@blondeambition305 6 жыл бұрын

The Emergency DR needs to slow down when she talks to the team.

@drabhijeetchopade 5 жыл бұрын

According to New ACLS guidelines look ,listen and fall has been discarded for adult resuscitation

@Sherirose1 3 жыл бұрын

*feel

@lonewanderer8414 3 жыл бұрын

Look, listen and FALL..that made me lol

@floodedcar123 Жыл бұрын

I don't like the bright lights

@50filip 3 жыл бұрын

Why the doctor made the look,listen,feel maneuver when she has stethoscope to check breathing & heartbeat?

@edwardpinder5634 6 жыл бұрын

An IGEL is not a secured airway!

@folumb 4 жыл бұрын

towards the end of the video they state this too. And then proceed to try and get one just before it ends

@James-cu1qw 2 жыл бұрын

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.

@hedley326 2 жыл бұрын

That moment when you're 38 and have never realised how much you want to be in that job. 😕

@DrRussell 2 жыл бұрын

NEVER too late. We’re the same age

@DrRussell 2 жыл бұрын

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.

@nicolestone3160 Жыл бұрын

I'm 48. Was at home with a severly autistic child for 20 years. It's my turn now :)

@mahela1993 Жыл бұрын

You don't want to be here

@hedley326 Жыл бұрын

@@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.

@gulsaquib961 4 жыл бұрын

very delayed initial response

@ashleym7460 3 жыл бұрын

They’re interrupting cpr. That patient is not gonna make it!!

@jaimeprada6819 3 жыл бұрын

6 H 6 T???????????

@hughconboy7330 3 жыл бұрын

I just feel like jumping in and saying okay cobber in response to the doctors instructions.

@hypotheticlz Жыл бұрын

They’re English not Australian

@UrHusbandsBih 8 ай бұрын

Nonsense. Way too long before calling for help and starting BLS

@jeanetteioakim7120 2 жыл бұрын

why are we putting him to sleep if he's already unconscious? and after ROSC, shouldn't ABCDE take place?

@TravelnurseMercy81 Жыл бұрын

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

@gulsaquib961 4 жыл бұрын

too many breaks in compressions if you do this in ALS assessment it is a definite fail

@med.student.8625 3 жыл бұрын

The quality of the video is so bad, on 1080 even and that good too.

@umikohiromi6015 6 жыл бұрын

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.

@kyleocallaghan9185 4 жыл бұрын

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.