This is exactly the way how we talk with our colleagues. This was so new to me before I started working in UK. Everyone is too polite but firm at the same time.
@sophiaterry59622 жыл бұрын
Heyeyeye... E3y3u3u3uu3u3u
@lterry523 Жыл бұрын
Eyeeye and
@Smubbs6 жыл бұрын
My goodness I was so into this video, i'm disappointed it ended before I knew how Michael is doing. hahah
@sumaiyaiqbal43456 жыл бұрын
toward the end, they say it- its sepsis.
@Smubbs6 жыл бұрын
I mean how he turned out. If he recovered well haha
@jenniferreid93275 жыл бұрын
I was the exact same Jordan
@kansasnew47383 жыл бұрын
@@Smubbs he definitely lived. I knew Michael and can confirm he has a job in Tesco now.
@salmanhussain99673 жыл бұрын
I think they use actors for demonstrations....
@emmawicker29263 жыл бұрын
As a 2nd year student nurse I found this video really helpful and very interesting.
@chavalider4 жыл бұрын
Brilliant. Very clear demonstration on the right way to do it!
@phyothiha38164 жыл бұрын
Thank you, RC and all members of this great work :)
@samacw Жыл бұрын
These are the best educational videos. The patient actors do such a great job and look and act like real patients
@dapo65432 жыл бұрын
This was really helpful to me for my clinical exam in February. I like the team work here. The doctor is also very confident
@shawtay7 жыл бұрын
Thank you for making these video's.
@lauramazzocchitti85092 ай бұрын
this was excellent - I can struggle staying on track with A-E during my simulation training but this will help me present my findings in a smooth way whilst still focusing on the patient.
@tajrasnomundo6 жыл бұрын
This is amazing !! Thank you so much !!!
@aureliaokom86272 жыл бұрын
Very informative, professional team-mates and helpful for my forthcoming Clinical OSCA. Bravo!
@veusola62192 жыл бұрын
very informative ! great for learning purposes and will be incorporating this into my assessment piece :)
@slr25299 ай бұрын
This video is really useful for every medical student out there. Thank you so much for making it. ❤️
@user-xc7kr9bn5f8 ай бұрын
amazing and a confidence Doctor and the entire team involved. very useful video for students like myself.
@richardslater37372 жыл бұрын
Such a good video. Brilliant.
@apriljonquil55196 ай бұрын
I chose to watch this to gain confidence in being a first aider. I hoped to hear some reassurance to Micheal. He was conscious and could hear and understand what was being said. What rung in my ears, when the doctor spoke to the nurse was, ‘ l’m most concerned!’ I think if l heard urgent and most concerned and being told how hot l was, several times, l think l’d have breathing problems. The rest was brilliant!
@Tudorache704 жыл бұрын
The most important, THANK YOU !
@kulegodwinkaburuma8008 Жыл бұрын
Wow! I like the systematic approach of the assessment. Nothing was missed...
@stpeter2214 Жыл бұрын
Brilliant job great assessment
@kamelmebhah41223 жыл бұрын
NHS are very friendly (staff),we are grateful thank you
@aba91193 жыл бұрын
this was great, I was sent it as part of my nurse training. I particularly found the nurse's helpful modelling of the SBAR model for communicating with the on-call Registrar. The literature suggests this helps the two professionals share a 'common clinical understanding' of Michael's worsening condition. I was surprised when the Reg asked the Nurse to attach a pulse oximeter - I would have assumed one was attached while doing the ABCDE assessment. Did the Nurse interrupt the ABCDE assessment after B in order to address the fast breathing rate?
@davidhornsey61413 жыл бұрын
It’s for demonstration and the exam. You have to ask for the obvious even though it would (hopefully) be done. Like doing a driving test you have to over exaggerate looking in your mirrors or say it so the instructor knows you are doing it
@lterry523 Жыл бұрын
Eyeeyeyeyeeyyeyeeeyeeyeyeyeyeyyeyeyeeyye and
@verajjingo67063 жыл бұрын
Read the comments here highlight the mouse and cat relation between nurses and doctors. Some comments suggested that we do much than the other people missing out on the interprofessional aspect of working with each other. Overrall i think this video is brilliant and was more of a real situation scenario than text book knowledge.
@srjuanjo6 жыл бұрын
Really nice video
@lujainissa94092 жыл бұрын
Wow. Great video
@strecosplays46706 жыл бұрын
Brilliant video many thanks - the Dr should have specified which broad spectrum IVABX he wanted from the Nurse - check allergy status/drugs chart first.
@sloane2905 жыл бұрын
They always give Co-Amoxiclav before a blood test, so the doctor is right.
@423moore4 жыл бұрын
@@sloane290 allergy status should have been done before anything is given. Each hospital has its own policy, some us IV Tazocin instead of co-amox
@nadinehowarth14204 жыл бұрын
@@sloane290 and you would have just killed me as I am allergic to penicillin.
@sophieperry71424 жыл бұрын
@@nadinehowarth1420 Any medications given have to have been signed for on a prescription by the doctor before being given so any allegies would come up the and also allergy patients wear a large bright red wrist band with their allergies so this wouldn't happen.
@oliviacoy50564 жыл бұрын
@@sloane290 bloods should be taken before IVABX unless there is the presence of purpura fulminans
@Tudorache704 жыл бұрын
Me too, but what we can do is just...imagine it
@saltoftheearth83243 жыл бұрын
Excellent
@jacquelinelawrence4462 Жыл бұрын
I found this video very useful
@jcbs4 жыл бұрын
How's Michael? Did he make it?
@lindaosazuwa61362 жыл бұрын
l am in my second year and find this video very informative and educative. It kind of reassured me and boost my confidence.
@Zeisslermusic2 жыл бұрын
I startet to learn the abcde sines last week.
@_-love-_192 Жыл бұрын
How did you get a NEWS score of 9 if you didn’t connect the monitorng equipments
@naveenkulasingha3 жыл бұрын
What a fucking legend
@o.m95142 жыл бұрын
If only the doctors that some people who really need them are like this...
@limangakasidu6340 Жыл бұрын
Thanks
@dineshmore14093 жыл бұрын
Where is thiis hospital?
@abbiesharpe2 жыл бұрын
WHAT ANTIBIOTICS DOCTOR DONT DO ME LIKE THAT
@jikumazumder8862Ай бұрын
any one have any idea what does the doctor say at 4:42-4.45?? i really dont understand.
@patina364 жыл бұрын
As a nurse, I have monitoring the patient asap while the doctor was coming....
@emmbns3 жыл бұрын
Did you watch the beginning o the video? Post obs was what the Dr was asking as they collaborate. There were a few things he could do before though. oxygenating the Pt and putting in a cannula.
@jadebaxter82033 жыл бұрын
Does the doctor think nurses are silly ? We are much smarter and more empowered, we would already be doing all of these. But if the nurses didn’t know what they were doing fair enough it’s nice that he would keep calm and explain things to him.
@laa20093 жыл бұрын
@@jadebaxter8203 It's not that we are trained to think nurses are silly, it's just that in an exam scenario we have to explain out loud what we want done and why, so the examiner knows that we are aware of the steps. In the real world as you say, by the time you turn up the nurses have usually already put on monitoring, put cardiac leads on, done a glucose etc... but this is just exam world, that's all!
@jadebaxter82033 жыл бұрын
laa2009 Yes I understand, I just wish I saw more of what we actually can do online. We are drip fed this, but we do often have a lot of training we could decide shockable and non shockable rhythms and H’s and Ts, it would be nice to just see that a little. I’m just a student anyway I don’t really know much ! Thank you for your reply!
@Cherubrmy3 жыл бұрын
@@jadebaxter8203 probably not the best examples to give when trying to argue you have a wide scope of practicee
@tomgrant64165 жыл бұрын
Why is a urinary catheter advised since the staff nurse said the patient was self voiding and they didn't mention any urinary retention?
@hunterz20065 жыл бұрын
Monitor urine output/ AKI
@tomgrant64165 жыл бұрын
@@hunterz2006 I can see your point but why can't they monitor it without a catheter as a catheter is invasive and can cause infection by itself. Would it not be possible to wee into a bottle and measure the quantity of urine that way?
@user-xy4ff5yp7b4 жыл бұрын
It’s part of Sepsis 6
@423moore4 жыл бұрын
@@user-xy4ff5yp7b It isn't. Monitoring urine output is, doesnt require a catheter
@stevenparksprints2414 жыл бұрын
Tom Grant hey man. 🙂the output then has to be monitored continuously and closely for careful fluid balance. Unfortunately can’t rely on voiding ability which may be affected by many things.
@nishantmuralidharan2 жыл бұрын
Who's here from BSMS Virtual Work Experience Course?
@claudiahillman44252 жыл бұрын
visit DR.ADULE today on his KZfaq channel for any type of virus or disease or infections he Is a great traditional doctor.infection like herpes fibroids hpv als.etc
@dr.dinooshdelivera25052 жыл бұрын
👍👍👍👍👍👌👌👌👌👌
@tpraba152 жыл бұрын
Acute abdomen. Most likely perforated viscus with sepsis with probably in shock. May be having acute kidney injury as well.
@WTFRussia19 ай бұрын
Abdo was SNT so unlikely to have perf, the loin pain raises suspicion of pyelo so looks more like urosepsis than an acute abdomen.
@ranjitharanaweera62793 жыл бұрын
Awsome video.. apart from the auscultation bit .. I think he auscultated the trapezius 🤔.. but overall the scenario was perfectly played.. brilliant
@ChaosAddiction Жыл бұрын
That was auscultation of the apices
@joanbeauty2 ай бұрын
That nurse was too calm for me. Also, don't you try to do some interventions before escalating? Like do ECG since the patient is tachy, have IV access and also give paracetamol for the spike.
@funpat35023 жыл бұрын
Is wearing gloves not a routinely done practice as I observed the examining physician is without them?
@rafaeldegiacomoaraujo87783 жыл бұрын
Gloves are not required for examination in normal circumstances. Currently the guidance is 2r mask, eye protection, appron or full cover and gloves.
@benjaminsmith6092 жыл бұрын
Regular hand hygiene should be top priority but gloves are only required when at risk of exposure to blood or bodily fluids.
@lucyhoade98045 жыл бұрын
Is this copyrighted? I’d like to use (with reference) as part of an educational study guide for medical students. Many thanks!
@kevinhodgkins0075 жыл бұрын
If your using it for educational purposes and not making money on it, it doesn't matter if it's copyrighted.
@ResusCouncilUK4 жыл бұрын
Hi Lucy, Can you email us at publicaffairs@resus.org.uk with details of the study guide and we will be in touch! Best, Emily
@spawnzbladez33175 жыл бұрын
hi
@Sherirose13 жыл бұрын
This is okay but nurses usually would have done so much already before patient got to this stage.
@akinsdecaprio9 ай бұрын
QED 100%
@kainatjawadfarooqi Жыл бұрын
I wonder nurse doing bloods wow in ireland no way . No matter how sick patient is sick , 2 doctors looking after 200 patients over night and no nurse will dare to put cannula or bloods even if news is 11 ... so lucky doctor
@georgehavey4 жыл бұрын
Did we ever find out his BP?
@antonymbuiya9393 жыл бұрын
99/59.. on the monitor:)
@davidthomas43942 жыл бұрын
Who’s here from bsms
@irfanusman2272 жыл бұрын
meeeee
@samimacrae74212 жыл бұрын
@@irfanusman227 yep me too
@ayannageorge52583 жыл бұрын
Can we give antipyretics before continuing? Then reassess
@laa20093 жыл бұрын
Think this chap needs a bit more of a plan than "Paracetamol PRN and reassess"
@ayannageorge52583 жыл бұрын
@@laa2009 Yes. He needs an holistic plan, including vitals every 15 -30 minutes. I said that because an assessment during a fever can yield a different result that an assessment in the absence of fever. Most patients in pain don't talk to you or give you a proper history. Thus we give some pain reliever in an attempt to get a proper history to manage correctly. Thanks.
@zed30633 жыл бұрын
@@ayannageorge5258 Tell me you’re joking
@ayannageorge52583 жыл бұрын
@@zed3063 No.
@ayannageorge52583 жыл бұрын
@@laa2009 Not PRN but STAT
@aljid20003 жыл бұрын
Generally it was a good approach but it appears strange if you watch this video nowadays with no any PPE used prior to assessing the patient. May need updating..
@ismail04842 жыл бұрын
BSMS anyone?
@isabelsummers80174 жыл бұрын
When you make video of someone who have hand pain
@gravedigger9313Ай бұрын
He’s got an illness like tick fever.
@SniffMyDeadwax6 жыл бұрын
Great but don’t be misled into thinking that’s it. In your advanced life support your patient is likely to arrest-this show hasn’t included the arrest which will mostly happen on the scenario ABCDE alive assess ABC dead- back to A
@hammadbhinder71106 жыл бұрын
No back exam, No DVT ruled out = No wonder I failed the exam after using this video -))
@sumaiyaiqbal43456 жыл бұрын
he did the back exam
@daniellescandal27686 жыл бұрын
he check the legs for swelling and rashes - no erythema so wouldnt indicated dvt and lungs were clear
@kirked0074 жыл бұрын
You obviously weren't watching.
@UItimateGuitarCovers5 жыл бұрын
OMG he does not need an ITU review, some Ivabx and paracetamol will bring his temp down, which will help bring resps and pulse down, as his body will then be able to meet the Oxygen demand. The iv fluids will help support BP and should contain any systemic inflammatory response, ie the septic responce.
@pierzing.glint1sh764 жыл бұрын
lol yeah ITU team must have been sat around, bored that day
@kirked0074 жыл бұрын
He scored 9 on MEWS which necessitates review by ITU outreach team. It doesn't mean automatic admission to ITU.
@maisieswindells91134 жыл бұрын
Shouldn't he be put on IV fluids already that's what I had when I was like him
@oliviacoy50564 жыл бұрын
@@maisieswindells9113 Yes Maisie, within the hour of identifying sepsis
@gh0strec0n2 жыл бұрын
bullshit , never reflective of the daily work
@deeptish11 ай бұрын
So all the Senior Doctor did at the end of the day was examine him, prescribe him IV Antibiotics and fluids ! So much unnecessary drama for something so basic. They’re like puppets in the UK. Bending over to stick to guidelines and protocols. Zero creativity. Any sensible Dr in any part of the world would’ve done the same thing without necessarily sticking to this shit abcde assessment. Dumb