Cardiac Arrest and ALS (Code Blue) Simulation - Training Video with Questions

Рет қаралды 175,603

7 жыл бұрын

This interactive 360-degree training video demonstrates a cardiac arrest (code blue) as if the doctor is leading an arrest for the first time. The doctor will ask questions in the arrest. PAUSE THE VIDEO WHEN YOU SEE THE INFORMATION BAR APPEARING and try to answer them - there are a number of options each 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: 59

@nanaalmani4300 3 жыл бұрын

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

@obiapunamichael Жыл бұрын

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

@OxfordMedicalVideos 6 жыл бұрын

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

@happymomchristina8211 3 жыл бұрын

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.

@aragonthebrave 6 жыл бұрын

Very well demonstrated

@DontCallMeSuzi650 7 жыл бұрын

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.

@PomBare 6 жыл бұрын

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

@iagoink 5 жыл бұрын

amazing video

@drugsbank9153 6 жыл бұрын

awesome !!

@anasibrahim7110 2 ай бұрын

أحسنت الشرح والتوضيح وبارك الله فيك أستاذ عماد

@hamidalikhan97 3 жыл бұрын

Waoo good job Its look like in real situation

@areharald 6 жыл бұрын

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

@haneenhaneen4740 Жыл бұрын

Very useful, thank you

@amtraktraveler9118 3 жыл бұрын

Love the adrenaline ride during a code!

@rafaeldegiacomoaraujo8778 3 жыл бұрын

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.

@Nagrandalts 3 жыл бұрын

So polite!!!

@gayehedef1618 3 жыл бұрын

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

@darrenhirst9900 Жыл бұрын

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

@justinjones9712 5 жыл бұрын

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

@chloemedina157 6 жыл бұрын

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

@djokovic28 6 жыл бұрын

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.

@chrislazarou2202 3 жыл бұрын

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

@HenryCZheng 5 жыл бұрын

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

@mywifesson782 4 жыл бұрын

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.

@nyleaaron4628 2 жыл бұрын

Why they didn't switch on chest compressions

@jayevelaleadbht7066 4 жыл бұрын

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

@alicesummers5288 5 жыл бұрын

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.

@thenormalguy6479 Жыл бұрын

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 😂😂

@themedicalmind3685 5 жыл бұрын

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.