RT Clinic: The (near) Perfect ACLS Mega Code Simulation

Рет қаралды 73,754

5 жыл бұрын

Calling all ACLS Students,
Have you ever been stressed out the night before your ACLS MegaCode? I know I have been many times before!!
This video was produced by ACLS instructors to ease the mind of students before their mega code check off.
This is our best example of a "near" perfect Mega Code Simulation.
In this scenario the patient's condition will change rapidly and we cover the symptomatic bradycardia, VF/VT, PEA/Asystole, and ROSC algorithms.
Please share video with your friend and co-workers that get mega code test anxiety!
Thanks for watching the RT Clinic.
Please consider following us:
/ rtclinic
/ thertclinic
/ thertclinic
Thanks to Jeff C. (compressor supreme), Natalie M. RRT (intubation specialist), and Jacki T. RRT (Sim Jockey for this simulation)
Intro Music: Render One - Explasm
If you would like your product demonstrated by the RT Clinic, please reach out to me via email. Jimmy.McKanna@gmail.com

Пікірлер: 79

@wilfredmena2497 Ай бұрын

Despite the minor flaws, this is the best mock code on youtube. It's my go-to demonstration video for my nursing students. This will be my go-to video for many years to come

@rtclinic Ай бұрын

Thank you!

@walidaldersi 2 жыл бұрын

Atropine has no rule in complete heart block, plus you transcutaneous pacing 3rd degree block ( stable and unstable)

@dance_w_sparkle_n_light4109 3 жыл бұрын

PLEASE keep making more videos especially pertaining to ALL things RT related, I just discovered your channel and I'm SO THANKFUL! I'm a new grad, and after graduating I havent gotten an RT job until over a yr after graduating...and just about to start my new RT job in the hospital...I would love to see some mechanical vent videos and some breaking down trach insertions, cleaning etc and also intubation pretty please, you're AWESOME thanks so much

@dance_w_sparkle_n_light4109 3 жыл бұрын

I feel super rusty so these videos you have are gonna be my saving grace!

@rtclinic 3 жыл бұрын

Thanks for the video suggestions. I need to get a couple of them edited et posted 😁👍

@searchforlife9757 3 жыл бұрын

Fellow RRT here. I appreciate the vid! Going for ACLS and PALS recert tomorrow then off to a travel assignment somewhere!

@sandieo2739 5 жыл бұрын

Thanks for the great upload!

@breadfan9 2 жыл бұрын

If there is NO advanced airway then you must STOP COMPRESSIONs after 30 for 2 rescue breaths. You must tell your crew EXACTLY what to do. Even if my crew are all geniuses, you still need to remind them

@rtclinic 2 жыл бұрын

Thanks for the comment

@sinclair657 Жыл бұрын

Thank you. I'm preparing to renew mine in March

@greatestoftheseislove738 4 жыл бұрын

Nicely done sir!

@swood07413 5 жыл бұрын

Helpful! Thanks!

@myrrhcherpvlgari3527 3 жыл бұрын

This is a great ! THANK you JImmy,this will help me so much on my ACLS class re-take.I flunked on my first class.I will definitely share this video to my peers.

@kaylareilly9638 3 жыл бұрын

Cool to see how RTs and people in the hospital work codes, working them on the street in EMS we do things slightly different mostly because we have to adapt to a lot so to see the different worlds is cool. Good video you didn’t miss a beat! Except saying epi 1mg instead of epi 1mg OF 1 ; 10,000

@ventilator98 Жыл бұрын

We all love Jimmy's videos! I think it's about time for him to do another video! I think a weaning and Respiratory Mechanics, AKA Weaning Mechanics video! I MEAN Jimmy's videos are MY FAVORITE RT videos! We need more videos from him, because when You're watching videos by Jimmy, You're watching the kind of Respiratory Videos, where EVERYTHING that should be covered gets covered! I'm gonna go on a binge watching episode, where I Binge watch Jimmy's videos! OH WAIT, that's kind of what I've been doing!!!

@candywhitecandy 2 жыл бұрын

That was great!

@drdr3718 3 жыл бұрын

We need more simulations on periarrest!

@Santelmo57 Жыл бұрын

Thanks!

@ventilator98 5 жыл бұрын

You make GREAT Respiratory Therapist videos!!!!!!!!!! PLEEEEESSE MAKE MORE!!!!!

@rtclinic 5 жыл бұрын

Peter, Which respiratory machine do you want me to do a video about? I saw from your profile that you are interested in machines. I'll see if I have access to it 😁

@maiadajuda6433 4 жыл бұрын

very helpful

@SyracuseNP 3 жыл бұрын

Great demonstration, but shouldn't you change out who is doing compressions every 2 minutes per 2015 ACLS guidelines?

@rtclinic 2 жыл бұрын

Yes. We should have been rotating our compressors every two mins

@Snackery24 3 жыл бұрын

I'm a fan of black shirt man. You're all great. Thanks for this video.

@rtclinic 3 жыл бұрын

Thanks Zack! My favorite color is black, but my kids tell me it is not a color, but a shade...🤣

@Ryan-mw4zv 3 жыл бұрын

Hi, good video but it appears that the ventilations are being delivered via BVM during compressions. I only have BLS, but I was under the impression that ventilations can only be given continuously when there is an advanced airway present. Using a basic airway, as in this case, should the compressions to ventilation ratio be 30:2? Is this the part that makes the resuscitation “near” perfect, or am I missing something else?

@rtclinic 3 жыл бұрын

We should have been doing synchronous CPR without an advanced airway, but we may have mixed up a couple of compressions. I called it 'near perfect' because I knew it would be critiqued and I didn't want to defend all of the errors 😂🤣👍

@MegaRafaelloco 3 жыл бұрын

Ughhhh....I struggled when I first went for my ACLS class running these megacodes.

@rtclinic 3 жыл бұрын

I remember those days too! I was afraid to fail infront of my peers. We made this video to give students something to visually review before going back for a recertification.

@ventilator98 5 жыл бұрын

I think you should do a video discussing Continuous Lateral Rotation Therapy. You know, Therapy as you would have access to if you were working common critical Care beds such as the Stryker inTouch Bed or the Hill-Rom TotalCare Bed. The use of these therapies is not discussed. These therapies should NEVER replace manual rotation of a patient or the routine skin observations you would do, but in some cases you could employ these such as in a patient who is heavily sedated such as in a case of ARDS or in the case where a patient cannot move as in Guillain Barre Syndrome. KZfaq is very lacking of these kinds of videos

@rtclinic 5 жыл бұрын

I'll see what I can do 😉

@ventilator98 5 жыл бұрын

Jimmy McKanna I Thank You. Do you use the Stryker inTouch Bed? That’s a GREAT bes! It has the option to play classical music, and other relaxing sounds!! I was in a Stryker inTouch Bed for a month when I had my Trach and was on Continuous Lateral Rotation Therapy And had the music playing at all times!!!

@ventilator98 5 жыл бұрын

I know they are about extinct from use However, you wouldn’t happen to have an old Croup Tent somewhere in the depths of storage you could do a set up video would you? They are not used like they use to be, however they are still used somewhat. If you had one, lying around in some storage closet somewhere in the hospital Maybe you could do a set up video.

@TheSwampChicken-II Жыл бұрын

Nice stereotypical youtuber intro. Yell "What's up!" and give that monitor a hearty slap on the top, funny as hell.

@rtclinic Жыл бұрын

Glad you liked it!

@ravibhati8944 3 жыл бұрын

What about switching CPR person every 2 mins!

@justinlarsen9213 2 жыл бұрын

You mentioned hypoglycemia as part of H's and T's. However, AHA has removed this from the recognized H's. Also, if in the hospital I would suspect you'd have an advanced airway much earlier in the code?

@rtclinic 2 жыл бұрын

Wow! I need to look that up. I've seen alot of arrest situations related to hypoglycemia.

@breadfan9 2 жыл бұрын

Hs and Ts are for PEA

@briandeluca6908 4 жыл бұрын

Never set the bvm on the bed. Keep the oxygen away when delivering a shock. Oxygen can ignite and people have been burnt because of it

@rtclinic 4 жыл бұрын

I would love to do a video someday addressing the difference between an accelerant and an oxidizer. Good information for everyone that deals with oxygen to know.

@edr5367 3 жыл бұрын

thats good to know brotha!!!

@briandeluca6908 4 жыл бұрын

There has been notable better outcomes when you do not intubate because you are stopping compressions. They say to only place a quick airway instead of a ett

@MrMichaelreed00 4 жыл бұрын

What do they say about intubation while compressions are going?

@rtclinic 4 жыл бұрын

A quick airway is great, but scoping during the last 10 secs of CPR and inserting an ET during a pulse check is ideal. After ROSC the LMA or Combi will need to be replaced with an ETT. I think patients can be very labile at this time and a small delay with the ET insertion after removal of the supraglottic could start the code all over again. We always try an ET first during a pulse check, if that doesn't work, it is best to go to a supraglottic.

@rtclinic 4 жыл бұрын

That's the way all of my fellow RTs intubate during codes. AHA allows for breaks

@briandeluca6908 4 жыл бұрын

@@rtclinic if and only if you see the cords immediatly. the use of LMAS are now the perferred method according to the AHA until they are resucutated

@alams3860 5 жыл бұрын

Was the mannequin blinking It's eyes???

@rtclinic 5 жыл бұрын

Yes! 3G is a high fidelity simulator. Besides blinking his eyes he does all kinds of realistic things. His pupils even react to light!! They are so much fun to use.

@pennycheesestick 4 жыл бұрын

Was she supposed to be giving breaths while he was doing chest compressions? I thought you do 30 compressions and then 2 breaths.

@rtclinic 4 жыл бұрын

You are correct. Two breaths via mask, without an advanced airway, should be delivered after thirty compressions. With an advanced airway, the breaths are delivered asynchronously with chest compression every six seconds or 10 breaths a minute.

@123shainz Жыл бұрын

Good Vedio … however every 2 mts we need to change role between guys who ventilate and do chest compressions …unfortunately in this scenario poor guy kept compressing without getting any relief 🤦‍♀️

@rtclinic Жыл бұрын

Good observation. You are correct

@royvt19 4 жыл бұрын

The whole room just exploded.He forgot to tell the lady that there shld be no oxygen source sitting on the patients bed when hes clearing to shock.Unfortunately 4 of them died😭😭😭😭

@briandeluca6908 4 жыл бұрын

Funny i just typed this before i read yours. There was a recent case where the patient got burnt because of it

@royvt19 4 жыл бұрын

Just imagine that!One detail missed cpuld have been disastrous not only for the unit but possibly the entire hospital.😱

@rtclinic 4 жыл бұрын

Good observation. This could cause a flame to burn hotter, but it would not cause an explosion. This is a common misconception with oxygen.

@davidmoreira4323 3 жыл бұрын

...I take it none of you work in the medical field. That is in the most extreme rarest of cases. I've intubated who knows how many times, and have shocked pts numerous times, and it's so crazy that no "room just exploded" and nobody got burnt or "died". Unless there is already a fire in that scene, nobody is getting burned. Keep your scene safe, and you'll be alright. The man did a great job, don't try to use folklore tales to diminish the good work.

@royvt19 3 жыл бұрын

@@davidmoreira4323 First of all the 3 elements of fire is fuel,oxygen and heat.This is why AHA guidelines mentioned about clearing the patient before you deliver a shock.Remember that high voltage of electricity and leaving a bagmask attached to an oxygen source could potentially spark fire.That simple mistake could potentially kill everyone.You cant just say I'm clear..your clear..everybody clear the patient and leaving that bagmask beside the patient.We're required to do mandatory fire training and ACLS so youre wrong to say we have no experience in a medical field sir.Even ACLS assessors will fail you missing that small detail.🤔

@rvrmdude 2 жыл бұрын

You look like Les Grossman

@TannerCLynn 4 жыл бұрын

Rotate compressor every 2 min

@tammybridges8505 3 жыл бұрын

That was my only tiny critique, as well. Great job!

@Michy1 4 жыл бұрын

Hey, the guy’s dead by the time you figure out where the NIBP start button is

@rtclinic 4 жыл бұрын

Ha! He was dead a long time before that. #simman3g

@cliftonsuber 4 жыл бұрын

Epi should have been giving during the first round of cpr and amiodarone on the second round.

@rtclinic 4 жыл бұрын

I agree. Epi and Amio could be given at those times as well. Thanks for the comment!

@sunley5333 2 жыл бұрын

This the AHA 2020

@rtclinic 2 жыл бұрын

Pre 2020...

@Burritosarebetterthantacos 3 жыл бұрын

Near perfect but with a cut means not near perfect.

@rtclinic 3 жыл бұрын

Depends on your definition of "near." 🤣

@elijahnw 4 жыл бұрын

That lady is not bagging properly at all

@rtclinic 3 жыл бұрын

She is a great RT. It is probably just camera jitters 😁

@jbdoingjbstuff 3 жыл бұрын

well thank you mr helper!

@Burritosarebetterthantacos 3 жыл бұрын

Ive never seen a RT bag correctly. Its actually a running joke at our ER that they all bag as if they have Parkinsons.

@theresapassarelli1599 3 жыл бұрын

Thanks!