Bradycardia - ACLS Review

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ICU Advantage

ICU Advantage

Күн бұрын

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This next lesson in the series we move on to talk about our Bradycardia Algorithm based on guidelines from the American Heart Association. This is another vital algorithm for you to cement in your memory and be able to act quickly upon, especially for the unstable patient.
**Full disclosure that this video is NOT associated with the American Heart Association (AHA) and is merely a review of the information provided in their guidelines. Additional resources can be found at: cpr.heart.org/en/resuscitatio...
0:00 Intro
1:43 Bradycardia
2:07 Algorithm
3:11 Underlying Causes
3:55 Assess Patient Condition
4:55 Atropine
6:03 Electrically Pace
7:03 Chemically Pace
8:47 Review
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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 #ACLS #CodeBlue

Пікірлер: 231
@ICUAdvantage
@ICUAdvantage Жыл бұрын
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@kiner30
@kiner30 3 жыл бұрын
Where would we be without your service/ lectures? Thank you ever so much!!!
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Love this! So happy to hear you like them. Thank you!
@cnwachuk3141
@cnwachuk3141 2 жыл бұрын
We would read
@agnesboachie3021
@agnesboachie3021 3 жыл бұрын
God, please continue to bless Mr.Eddie. I needed this lecture ❤️❤️❤️. I listened to this lecture and took 94%and my ACLS 🙏🏾🙏🏾🙏🏾🙏🏾
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
This is amazing to hear!!! Way to go Agnes!
@baw909
@baw909 3 ай бұрын
Hi! Thanks so much for this review. I have been in respiratory 35 years- I go through the recertification and review as usual. But today when watching your review here, I had a Lightbulb Moment!!!! When you said electrically pacing or chemically pacing, the lightbulb went on for me to remember why/when to use Dopamine or Epinephrine. I know the process on the algorithm, but just hearing the bifurcation of electrical vs chemical just clicked for me! (All these years nobody said the term “chemically pacing”, and when you did- it just clicked for me. ) Thank you !
@nishaabdin7261
@nishaabdin7261 2 жыл бұрын
I have my ACLS in a few days and I was freaking out but found this gem of a series. The explanation and visual representation is so clear and easy to follow through. Thank you for this series 🙏
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Woohoo! Glad to hear you enjoyed the series and best of luck on your ACLS. You got this!
@JGPRAISINGOD
@JGPRAISINGOD 3 жыл бұрын
It’s Valentine’s today. What would I do for brokencardia?
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Chocolate? lol Not sure if that is AHA recommended or not!
@KyKatladi
@KyKatladi Жыл бұрын
Alcohol 🤣
@allen480
@allen480 Жыл бұрын
Visit a “professional”.
@tamiii8990
@tamiii8990 Жыл бұрын
Chocolatopine 2gr/kg/min
@allen480
@allen480 8 ай бұрын
Lick some external pacemaker leads?
@gregorywhatever7461
@gregorywhatever7461 Жыл бұрын
Great videos. I’m studying for my CEN and starting a traveling career. Love your vids. 👍 thanks
@albertdowrn
@albertdowrn 3 жыл бұрын
Just finished the ACLS online portion. Your presentation is so much better.
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Wow thank you Albert! I really appreciate the kind words!
@mckennasloan1280
@mckennasloan1280 4 ай бұрын
I'm currently in paramedic school and going through ACLS and this was extremely helpful.
@karleenoriega3494
@karleenoriega3494 7 ай бұрын
Eddie you videos are great! They have assisted my through my ICU and cardiac ICU journeys. Now I’m using them to study for CRNA school interviews. You’re doing great work, you really deserve all the best in life!
@cheyennerepp7291
@cheyennerepp7291 Жыл бұрын
Thankful that I saw the updated guidelines!!!!
@annesinsky2711
@annesinsky2711 Жыл бұрын
So happy I came across these videos while reviewing for my ACLS course! You do an excellent job making the content easily understandable, I definitely feel better prepared after watching them. Thank you!
@nancy-rm7sd
@nancy-rm7sd 2 жыл бұрын
Thanks for updating dosages. I appreciate you reaching method.
@nakeisharodgers1167
@nakeisharodgers1167 2 жыл бұрын
Excellent thank you so much for the review!
@meganpurcell8781
@meganpurcell8781 9 ай бұрын
Another great video. You are a really good teacher. I appreciate your efforts. Thanks so much.
@brianmenear4458
@brianmenear4458 Жыл бұрын
Thank you for your time making this channel. you do such a great job making the difficult things easy to understand. the visual style on the screen is awesome and helps, instead of just a video of you speaking
@amiryakobson5640
@amiryakobson5640 3 жыл бұрын
I am INLOVE with your channel! Thank you for making this content!
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Yay!!! Awesome! Glad you are liking it and truly my pleasure to do so!
@abbiebass6277
@abbiebass6277 2 жыл бұрын
Thanks so much Eddie. Your efforts are so appreciated and invaluable.
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Truly my pleasure. Glad you appreciate the effort. 😊
@patrickstone4944
@patrickstone4944 3 жыл бұрын
Hi Eddie, thank you for this excellent series! I’m a nursing student in CCU for my final practicum and these have been super helpful for learning and reviewing the massive amount of knowledge critical care nurses need.
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
So great to hear this Patrick! You are more than welcome and I'm just glad to be able to help!
@karemgreen7669
@karemgreen7669 2 жыл бұрын
You are the greatest! I am amazed on how simple but objectively you explain the subject!
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Wow, thank you so much! Really glad you liked it Karem.
@overlybz
@overlybz 9 ай бұрын
Thank you so much for taking the time to make educational content like this! God bless you!
@ICUAdvantage
@ICUAdvantage 8 ай бұрын
You are very welocme Glad you enjoyed it!
@cuchulainnliamgent
@cuchulainnliamgent Жыл бұрын
Final year medic here! I wish I had known about this channel much earlier! It would have helped me massively during my surgical block! Thank you for your work!
@monzilachowdhury6590
@monzilachowdhury6590 6 ай бұрын
You are a wonderful teacher. Thank you. I made a playlist on ACLS review with your lectures. Comes handy during ACLS renewal.
@mariatywonek8309
@mariatywonek8309 Жыл бұрын
Eddie you are literally and metaphorically a live saver!You videos helped me to prepair for my acls course!
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Woohoo!! lol I'm just happy to be able to help Maria
@anyahgilbert6193
@anyahgilbert6193 10 ай бұрын
Thank you very much. It was very enriching
@wesnerjuniorjacotin8692
@wesnerjuniorjacotin8692 3 жыл бұрын
I am following your lectures from Haiti. they are really helpful and I try to share them as much as possible with my friends.keep up the good work.
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
How cool! Hello in Haiti! I appreciate the shares and glad you like the videos. Thanks for taking the time to leave a comment!
@Lilia__anna
@Lilia__anna Жыл бұрын
Great video & easy to grasp! Thanks!
@Rangeroll
@Rangeroll 2 жыл бұрын
Thank you so much for making these videos! I just found your channel while reviewing info for my upcoming recert in ACLS and I have to say, I'm looking forward to watching every video on your channel! You do a great job in explanation and I don't know if you're the one drawing, but you have great animations as well! On a separate note, if you don't already do a podcast, you definitely should, you've got the voice for it and I bet you have some good stories.
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Truly my pleasure to help and thanks for the great comment. Yeah its a one man show here so I'm doing it all. I don't know if a podcast is up my alley or not. I certainly do have some interesting stories over the years thats for sure!
@JayveeDiaz199
@JayveeDiaz199 11 ай бұрын
Very helpful and very informative. Thank you so much!
@jenniferroseeloff8116
@jenniferroseeloff8116 3 жыл бұрын
This was great!! Thank you so much for taking the time to make these videos😊
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
So glad to hear you liked it! 😊 Happy to be able to help and let me know if I can in any way!
@jenniferroseeloff8116
@jenniferroseeloff8116 3 жыл бұрын
@@ICUAdvantage Thank you 😊😊
@marizadelavara4285
@marizadelavara4285 3 жыл бұрын
Thank you for your video. I am about to take my ACLS and PALS in one week and this helped me tremendously.
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
You are very welcome Mariza! Glad they are helpful for you!
@anisha6464
@anisha6464 3 жыл бұрын
Your amazing! The way you explain things are very easy to understand! Your videos are great for new nurses and nurses like myself who need a refresher! Thank you keep theses going please 😃
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Yay! So awesome to read and hear this Anisha! Glad you liked it and thank you so much for taking the time to leave a comment.
@DurgaDarshene
@DurgaDarshene 3 жыл бұрын
thank you so much for a great video on ACLS !!
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
I appreciate that! Glad you like it!
@alirezadabooyeh8184
@alirezadabooyeh8184 Жыл бұрын
Great knowledge and very useful summary 👍
@sunnyslowenko428
@sunnyslowenko428 Жыл бұрын
Thank you so much for this awesome video!!! You are a life saver!! ❤❤
@drgadham
@drgadham 18 күн бұрын
Great teaching ❤❤❤❤❤
@jessicamorrissey8026
@jessicamorrissey8026 Жыл бұрын
I feel more confident and equipped in managing my patients. Thank you for all your content. Its remarkable
@ICUAdvantage
@ICUAdvantage Жыл бұрын
SO great to hear this! You are very welcome and thanks for taking the time to leave a comment.
@elizabethelliott7303
@elizabethelliott7303 2 ай бұрын
Very helpful! Thankyou
@cjorde673
@cjorde673 Жыл бұрын
Excellent. Thank you.
@user-sg7nu1tu4m
@user-sg7nu1tu4m 6 ай бұрын
super helpful!
@anncarson1936
@anncarson1936 Жыл бұрын
Nice delivery of scenario. I am doing ACLS next week and found your video.
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Awesome. Best of luck!
@jenniferopela5804
@jenniferopela5804 2 жыл бұрын
This is the 2nd one I have watched and it is excellent! I needed something like this to help me review for ACLS/PALS skills check offs next Weds. Thx!
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Hope the check offs went well!
@TheAcaidia
@TheAcaidia Жыл бұрын
Super helpful review! I am binge watching all your videos, I’ve been on med-surg units for a while now and I’ve been away from ICU Stepdown, I feel rusty!
@ICUAdvantage
@ICUAdvantage Жыл бұрын
You've got A LOT to binge watch these days lol
@taheraahmadi1723
@taheraahmadi1723 11 ай бұрын
Shine Bright like a diamond❤❤❤thank you
@jabulanintokozo5471
@jabulanintokozo5471 2 жыл бұрын
may you please develop an app, your lectures are very amazing
@drniematawad6995
@drniematawad6995 3 күн бұрын
So nice video big thank
@paigewillett4254
@paigewillett4254 Жыл бұрын
As someone who took the ACLS course online for their first time, this video has been incredibly helpful! I go for my in-person skills check-off in a few days and I am so thankful to have come across your video.
@ICUAdvantage
@ICUAdvantage Жыл бұрын
So great to hear this Paige. Best of luck on your check-off and glad the video was helpful for you!
@dgmnhn2098
@dgmnhn2098 11 ай бұрын
Thanks !
@shellzortiz1
@shellzortiz1 2 жыл бұрын
This is wonderful! Thank you!
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Happy to help Shellz!
@sinclair657
@sinclair657 Жыл бұрын
Thank you
@hassanhammoud3325
@hassanhammoud3325 3 жыл бұрын
Listening to this channel has been better than any music that I’ve listened to. Also, a message to Eddie, keep on keeping on. Your good habits will be showcased and appreciated, stay consistent you’re doing great things.
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
So awesome to hear Hassan! I'm really glad to hear that you like these videos and are finding them helpful! I really appreciate the kind words and I definitely plan to keep making more videos!
@nanayjeth7528
@nanayjeth7528 3 жыл бұрын
Very useful! Thank you!
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Glad it was helpful!
@judithjohnson2598
@judithjohnson2598 2 жыл бұрын
Thank you! I am a retired RN w/ Dialysis 25+ years. I love keeping current on all the critical care and EMS updates; I am CERT MedOps trained and volunteer in my community as a volunteer resource nurse.
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Very cool! I'm sure I'll be the same way and still always wanting to stay current and aware of the current landscape. Glad you liked it.
@blessingbreakthrough4199
@blessingbreakthrough4199 2 жыл бұрын
Wow,explanation very nicely
@rt12priyadharshinis96
@rt12priyadharshinis96 3 ай бұрын
Awesome explanation vro ..🎉❤
@ekirukidalio2399
@ekirukidalio2399 2 жыл бұрын
Your videos are educative
@mijakwon2394
@mijakwon2394 2 жыл бұрын
Great lecture and video. Thank you:)
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
You're welcome. Glad you liked it! 😊
@sidharthsubrahmanian8645
@sidharthsubrahmanian8645 7 ай бұрын
Informative video
@mymymai7403
@mymymai7403 2 жыл бұрын
Thank you 😊
@anujohn7324
@anujohn7324 3 жыл бұрын
EXCELLENT PRESENTATION
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Thank you kindly!
@drgadham
@drgadham 2 жыл бұрын
Lovely and useful presentation 👌
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Glad to hear this!
@gracewaithaka9382
@gracewaithaka9382 Жыл бұрын
Thank you!
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Youre welcome Grace!
@freesia2067
@freesia2067 3 жыл бұрын
Thank you. I was not updated with the new recommendation for Atropine and Dopamine. My ACLS is tomorrow!
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Perfect timing! :)
@abudaniyal715
@abudaniyal715 5 ай бұрын
Thanks, it is useful
@TAMITBS
@TAMITBS 2 жыл бұрын
Have to recert my medic by exam this cycle, and this has been a very helpful video series. 🤙
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Awesome. Glad you enjoyed the videos!
@dangmateo00
@dangmateo00 3 жыл бұрын
Thank you so much for this algorithm. I came across with severe sinus brady - in its high 20s with no change in pressures. It lasted about 10 minutes. The patient was covid - intubated, sedated and paralysed. It is good to know about symptomatic bradycardia and its clinical symptoms so I will know next time not to panic unnecessarily. Again, thank you for sharing this video.
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
More than glad to help! Honestly though, if I were in your shoes, I'd probably be panicking too! Even maintaining a good blood pressure, I'd be worried they would decline further and would hope to get the rate up. At 20 there most probably were compensation mechanisms going on as I'd be real shock that such a low HR would maintain adequate perfusion. That said, I've been surprised by many things before. Were they on pressors already? What lead to the bradycardia? Hypoxia related? Curious if you ended up doing anything, or if they just resolved on their own.
@dangmateo00
@dangmateo00 3 жыл бұрын
Yes, the patient was on a small dose of Norad and was deproned 10 hrs prior to. Apparently has had episodes of bradycardia before but not as low as it did. I ended up just doing an ECG though I was not able to capture it as it resolved on its own.
@the_true_medicine
@the_true_medicine 2 жыл бұрын
Great video
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Thank you!
@YennyCho
@YennyCho Жыл бұрын
thank you so much for your lecture! it really helps me a lot while i’m studying for my first ACLS. -SN from South Korea:)
@mesoob6179
@mesoob6179 2 жыл бұрын
I have exam after 5 days im listened to your lessons its better more than book . Thank you eddie .
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Awesome! hope the exam went well!
@ferieloulakrouz8176
@ferieloulakrouz8176 3 ай бұрын
I just discover your channel. I'm a tele nurse. Very interesting and helpfull channel. I wish if we could get this information in a way to print it. Thanks a lot
@michaelbennett9272
@michaelbennett9272 3 жыл бұрын
Thanks. Awesome. Great grip to me
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Great to hear!
@jhariette
@jhariette 3 жыл бұрын
Love the.presentation!!!
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Glad to hear this Jane!
@feevangelistarn7353
@feevangelistarn7353 3 жыл бұрын
thank you, very useful info
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Thank you so much Fe! Really happy to hear this.
@sadijesylejmani5926
@sadijesylejmani5926 Жыл бұрын
Hi thank you for your time and help very nice and helpful video
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Glad you liked it!
@burtonwillis6454
@burtonwillis6454 3 жыл бұрын
You are a good teacher
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Thank you so much Burton! Happy to be able to help.
@kraiwutchoprakarn6470
@kraiwutchoprakarn6470 3 жыл бұрын
Thanks for a great video
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Glad you enjoyed it
@deepaksoor4413
@deepaksoor4413 2 жыл бұрын
Awesome, very very useful
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Glad to hear it!
@osamamkaeeil2295
@osamamkaeeil2295 3 жыл бұрын
Thank you so much
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
You are very welcome!
@Nhorjlawi
@Nhorjlawi 2 жыл бұрын
Well explain and understandble👍👍
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Really happy to hear this!
@andrewbarrett2333
@andrewbarrett2333 9 ай бұрын
love it
@noorsami5777
@noorsami5777 Жыл бұрын
thank you
@ICUAdvantage
@ICUAdvantage Жыл бұрын
YW!
@thuzarwin65
@thuzarwin65 3 жыл бұрын
Very good thank you
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Thank you!
@mohamedmogshi2574
@mohamedmogshi2574 2 жыл бұрын
Awsom Thank you very much
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
You are very welcome!
@amaniabdulaziz973
@amaniabdulaziz973 2 жыл бұрын
Wow, what a massive amount of informations, im an SSN in general medical ward and now rotating in cardiac allocation without any mintor around for 6 months - a self learner - gained all my informations from watching your videos.. Enjoying them all, keep doing it 💫 your doing a great thing to us
@agbortabefiona7934
@agbortabefiona7934 2 жыл бұрын
Great lessons made so easy indeed. New subscriber here from Dubai
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Very cool! Welcome aboard!
@legolasgrof
@legolasgrof 2 жыл бұрын
I passed my nclex a few days ago and am currently using your materials to brush up for my interview with my local ED. Thank you!!
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Awesome! Hope the interview went well!
@legolasgrof
@legolasgrof 2 жыл бұрын
@@ICUAdvantage thanks! I got the job and actually started today!
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
@@legolasgrof Heck yeah! Congrats!
@doremifasolatido-ro7zs
@doremifasolatido-ro7zs 2 жыл бұрын
@@legolasgrof what kind of questions they usually ask in the ED job interview?
@legolasgrof
@legolasgrof 2 жыл бұрын
@@doremifasolatido-ro7zs They asked about doses for some acls meds, important labs and initial treatment for sepsis, checking hospital protocol if you were unsure about doing something. They asked me about preping a hospital room and what the minimum necessary equiptment would be (working 02, suction etc.). They also asked about what the acls protocol for svt was. The last question was a multiple choice with three pts. One had new onset indigestion, one was a ped with a leg deformity, and the other was a copd pt with good vitals. They wanted me to identify the indigestion pt a candidate for chest pain protocol and the highest acuity pt.
@gborowme
@gborowme 3 жыл бұрын
Thank you Icu nurse, studying
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
You are very welcome and best of luck on your studies!
@caitrionaspillane1783
@caitrionaspillane1783 Жыл бұрын
Brilliant
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Thank you!
@taif8799
@taif8799 3 жыл бұрын
Thank you very much 🙏🏼 can you please explain VT with pulse
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
You are very welcome. That is actually coming next week!
@hasanh.s5381
@hasanh.s5381 2 жыл бұрын
Thank you so much sir for this. You're not just a life saver… your indeed a liveS saver with this content. May i also ask what software do you use for making this?
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Wow, thank you so much for that! I just use Photoshop and screencast to an iPad to write with Apple Pencil.
@LadyNtha
@LadyNtha 2 жыл бұрын
All I can say is, thank you Eddie
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
You’re welcome! 😊
@wholeNwon
@wholeNwon Жыл бұрын
One other point before I move on to see where the algorithm takes me next: Returning to your illustration of narrow complex 2:1 AVB, giving atropine or other agents that can increase sinus rate, but esp. atropine, to such a pt. can convert a minor or moderate problem to a severe, life-threatening crisis. The reason is that such a pt's. AV node is so dysfunctional (temporarily or permanently) that it can only conduct alternate beats. It needs that much recovery time between beats. If you accelerate the sinus rate, the AV node will have no time to recover conduction amid the frequent assaults from above. Asystole can result. Passing a temporary pacing electrode takes only a few minutes and keeps the pt. much safer.
@kira.1631
@kira.1631 2 жыл бұрын
Insane speaking skill
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Thank you!
@Sirietta03Official
@Sirietta03Official 3 жыл бұрын
great video! its so odd you got only 100+ views
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Haha thank you! Well, it did just release ;)
@beckybarnett2066
@beckybarnett2066 3 жыл бұрын
Thanks for the update on the Atropine!
@tknaak2422
@tknaak2422 3 жыл бұрын
Love how you teach, wondering if you can use visuals like showing the pacemakers, defibrillators, etc as you are reviewing which buttons to push? Also, always wondered why we shock pulseless Vtach, isn't it just PEA? Can you give amiodarone right after epinephrine. Since they are different classes of drugs, why do we have to wait 3-5 minutes?
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Thank you! I purposely avoid device specific stuff as these videos go out all over the world and the equipment varies so much from place to place. I try to focus on foundational info that can be applied to whatever equipment you use. Also, Vtach is a disorganized rhythm that in most cases does not provide adequate perfusion. We want to stop that and allow the heart to resume a normal rhythm, hence the shock. As for the the 3-5 minutes, I don't know if I have a great answer to that. I know over the years these guidelines were developed from evidence based research by the AHA, so I'm sure there is something there. Also, we have to look at 1/2 life. 1mg of Epinephrine is quite large, especially when we compare to doses we give in Epi drips. Probably wouldn't make any difference to give it more often. And any longer and we probably don't sustain the high levels needed to provide that necessary coronary perfusion.
@t.g.v.6955
@t.g.v.6955 2 жыл бұрын
Excellent. Q? Pls remind us how to deliver the electrical pacing like dopamine or epi. Do we infused/mixed the dopa/epi first to a saline? If yes, what proportion? If I do not have pump (not in icu setting) what is the effective way? Again, thanks very much.
@ndidiejikeme
@ndidiejikeme 11 ай бұрын
Nice
@kpf8186
@kpf8186 Жыл бұрын
Brady without a pulse is pea. What a great thought to run an ACLS scenario.
@farhanqadeer82
@farhanqadeer82 2 жыл бұрын
Just a quick comment - can consider dobutamine as well. one more thing stop the offending agent which is more likely cause than any other etiology in ICU. Great talk
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Yes, but only in a stable Brady where we want to increase CO! Not the unstable, which is probably why that isn't mentioned in the ACLS algorithm recommendations. But yes, absolutely, treat the underlying cause. The great game of the ICU :)
@shahbaazsabbir5791
@shahbaazsabbir5791 Жыл бұрын
What is the use of isoprenaline in Bradycardia?
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