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Registrace 18. 04. 2009
Accelerated Ventricular Rhythm (AVR)
Ventricular Rate between 40 - 100bpm faster than the Purkinjie or Ventricular inherent rate (20-40bpm). No P waves. QRS is wide and bizarre with R wave having opposite polarity to ST segment and T wave.
INTERVENTION:
Correct possible causes (severe hypokalemia, toxins, MI). Follow AHA 2016 ACLS Bradycardia Guidelines. Give Atropine 0.5 mg every 3-5 minutes maximum of 3mg. Start pacing (TCP) or if ineffective, give Dopamin 2-20 mcg/kg per minute or Epinephrine 2-10 mcg/min titrate effect.
Based on AHA ACLS 2015 Guidelines
INTERVENTION:
Correct possible causes (severe hypokalemia, toxins, MI). Follow AHA 2016 ACLS Bradycardia Guidelines. Give Atropine 0.5 mg every 3-5 minutes maximum of 3mg. Start pacing (TCP) or if ineffective, give Dopamin 2-20 mcg/kg per minute or Epinephrine 2-10 mcg/min titrate effect.
Based on AHA ACLS 2015 Guidelines
zhlédnutí: 499 656
Video
Atrial Fibrillation with Rapid Ventricular Response (RVR)
zhlédnutí 170KPřed 12 lety
Atrium is quivering or fibrillating. Rhythm is irregularly irregular with no discernable P waves. It can be acute or chronic. If Ventricular rate is less than 100 beats per minute then it is call Controlled or Slow Ventricular Response (SVR). If ventricular rate is over 100 beats per minute, then it is call Uncontrolled or Rapid Ventricular Response (RVR). CAUSES: Alcohol abuse, Congested Heart...
Pulseless Ventricular Tachycardia (pVT) - Monophasic Defibrillation at 360 Joules
zhlédnutí 165KPřed 14 lety
Pulseless VT is treated the same way as Ventricular Fibrillation would in AHA ACLS 2016 Guidelines. CPR with immediate Defibrillatory shock is recommended. Biphasic Defibrillators: 120 - 200 Joules or recommended. Monophasic Defibrillators: 360 J. Other secondary interventions can be started if IV/IO access has been established. Medications that can be given with pVT given during compressions: ...
2nd Degree AV Block Type I, Mobitz I, Wenckebach
zhlédnutí 214KPřed 14 lety
P Waves: Sinus, P-P regular PR Interval: Variable; lengthens progressively and drops a QRS. P:QRS: Variable POSSIBLE CAUSES: Can occur in individuals with high vagal tone, such as athletes or young children, patients with structural heart disease (eg, tetralogy of Fallot), valvular surgery (especially mitral valve), MI (especially inferior wall), and drug induced (including Beta-blockers, Calci...
2nd Degree AV Block Type II with Variable Block, Mobitz II
zhlédnutí 181KPřed 14 lety
P-P: Regular PRI: Fixed P:QRS: Can have 2:1, 3:1, 4:1 or Variable block May progress to Complete Heart Block TREATMENT: if patient is unstable Follow AHA ACLS 2016 Bradycardia Algorithm: - NO ATROPINE - Start Transcutaneous Pacing - cardiac consult
Polymorphic VT: Torsade de Pointes
zhlédnutí 409KPřed 14 lety
French for "Twisting of the Points," a rapid polymorphic Ventricular Tachycardia. It is usually caused by hypomagnesemia, hypokalemia, and malnourished alcoholics. Although Torsades de Pointes (TdP) is a rare ventricular arrhythmia, it can degenerate into ventricular fibrillation, leading to death without rapid medical intervention. TdP is associated with long QT syndrome, a condition whereby p...
Pulseless Ventricular Tachycardia (pVT)
zhlédnutí 319KPřed 14 lety
HIS Purkinjie Rate: 20-40bpm. Tachy Rate: more than 100bpm. Pulses must be verified to be absent before identifying this wide complex tachycardia to be Pulseless VT. This rhythm may or may not precede with pulses being present. But with this rate ventricular contraction does not allow ventricular filling therefor pulses are going to be absent at any given time. This rhythm can only last for a c...
Premature Atrial Contraction / Complex (PAC)
zhlédnutí 330KPřed 14 lety
A PAC is not a rhythm, it is an ectopic beat that originates from the Atria. The underlying rhythm is Sinus Rhythm at 69bpm with PAC. Correct the causes to avoid usurpation (taking over) of Atrial rhythms. It can occur every other normal beat (Bigeminal), every other third normal beat (Trigeminal), or every other fourth normal beat (Quadrigeminal). It can also occur in pairs (coupled) or three ...
Primary Ventricular Standstill: P wave Asystole
zhlédnutí 121KPřed 14 lety
The Sinoatrial Node is constantly firing at its inherent rate: 60-100bpm. The electrical conduction is blocked from going through the AV Node preventing Ventricular depolarizations. Immediate interventions is required following AHA 2016 ACLS Guidelines of Asystole algorithm. TREATMENT: - High quality CPR - If IV/IO are in place, give Epinephrine 1 mg every 3-5 minutes - May attempt TCP per card...
Supraventricular Tachycardia with Synchronized Cardioversion
zhlédnutí 1,5MPřed 14 lety
SVT Rate: 150bpm with no visible P waves (AHA 2016 Guidelines). Unstable patients needs immediate Synchronized Cardioversion. The machine synchronizes itself to your patients ventricular depolarization (QRS) but shock upon discharge on the relative refractory period during ventricular repolarization (downslope of the the T wave). This prevents an R-on-T Phenomenon (causes dysrhythmias). SVT, At...
Sinus Tachycardia with Bundle Branch Block
zhlédnutí 126KPřed 14 lety
Sinus Tachycardia 100-150 bpm (AHA Guidelines 2005). Impulses originated from the SA node with a notched R wave (making it look wider). There is a block in either the Left or Right bundle branches. 12-Lead ECG is needed to identify the delay of conduction. Modified Chest Leads (MCL) 1 or 6 are used for continuous monitoring.
Sinus Rhythm with Tremors
zhlédnutí 137KPřed 14 lety
Learn more about basic dysrhythmias. Improve your Nursing skills or become a Monitor/EKG Technician. Classes held every month. Call HeartStart Skills Learning Center at (909) 793-4555 or write heartstartskills@yahoo.com
Junctional Escape Rhythm, Junctional Rhythm, Idiojunctional Rhythm
zhlédnutí 75KPřed 14 lety
Impulses originate from the AV Junction area and not the from the AV Node. The AV Node is only a gate-keeper of impulses and has not capabilities of creating impulses. Junctional Inherent Rate: 40-60 bpm. Junctional impulses have an Antegrade (upright waveforms) and Retrograde (inverted waveforms) electrical conductions. Markers are: Inverted P wave either before or after the QRS. P waves can a...
Fine Ventricular Fibrillation
zhlédnutí 207KPřed 14 lety
The Ventricles are quivering/fibrillating and NOT contracting at all. This occurs after 5-6 minutes of Coarse Ventricular Fibrillation if no interventions were initiated. Asystole will shortly follow if no further interventions are done. INTERVENTIONS: Based on 2016 AHA Guidelines - High quality CPR - Do not defibrillate this rhythm - Give Epinephrine 1 mg every 3-5 minutes - May administer Ami...
Cardiac Arrest
zhlédnutí 7MPřed 15 lety
The most common cause of a lethal dysrhythmia is by a PVC hitting the peak of the T wave (known as R-on-T Phenomenon). This causes a pulseless shockable or non-shockable rhythm in at risk patients. 90% of cardiac arrests in adults are shockable (Pulseless VTach/Ventricular Fibrillation). This rhythm started with multifocal PVCs to a wide complex tachycardia (Pulseless VTach). This can only last...
Johnson Joseph Williams Christopher Wilson Timothy
30264 Murazik Keys
Cardiac arrest is the reason why my grandma is now in a coma. Still can't believe she experienced that ☹️
DAM that is a tall wave
what do you even do in this situation
Do 99999 bps?
He s talking about heart start or heart stop😂
this agonal is so dangros. this heart rate is 18 per minute....
Just a question, when, in this video, does the R on T phenomenon happen exactly?
STEMI=> V TACH => Coarse V fib => Fine Vfib => Asystole 😢
I don’t see p waves this is low svt
PVT can be shocked sometimes with an AED because AEDs can shock VT PVT VF and with non AEDS shock at maximum level of joules (360)
Accelerated VB Ventricular bradycardia
Parabola waves?
Looks like he starts having Pre Ventricular Contractions like crazy which kicked off Ventricular Tachycardia leading his heart into Ventricular Vibrillation. RIP!
The person in this rhythm be like “ YO SUP GUYS!!! LOOK AT DIS, IM IN VT!!!!! LESS GOOOOOOOO, IMMA BOUT TO BE PUT TO SINUS RYTHM, OR ASYSTOLE???? LOOK HERE TO SEE BROSKISSS!!!!1!1!1!1
At first I just seen this as a graph. Now I am having an existential crisis after looking deeper into this stuff.
Me personally as a lead director of bondi hospital in Australia that is great trust this guy
After all the scary and terrifying things that I've had seen in movies this was one is way worse and difficult to look.
This can happen if you have a heart attack, an untreated cardiac arrest, if you shock fine vf and if you shock the patient too much. This is fine ventricular bradycardia. 18-4bpm
This is a stereotypical heart rhythm but with p and t waves
If you shock fine vf or shock the heart more than 3 times the heart will to into ventricular bradycardia VB usually 30-15 but sometimes 18-5bpm
If you defib FVF you will go into AVB (Agonal ventricular bradycardia) 30-15bpm sometimes even 10-4bpm
Yeah, i know
0:00 Myocardial infarction, the rhythm is normal 0:24 Ventricular tachycardia 0:45 It looks like ventricular fibrillation 0:54 The beginning of the asystole
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why was it at lead 3?
if there werent any p waves would this be avr
does this come before or after st elevation or do they appear in completely different times? just curious
Can I Use This Video for Analog Horror?
i dont know why, but the line bouncing like this: ⋂⋂⋂⋂⋂⋂⋂⋂⋂⋂⋂⋂⋂⋂⋂⋂⋂⋂⋂⋂ just horrifies me so much for some reason
I thought that was a video from a random heartbeat account.
There are t waves
What I've noticed is at the beginning of the video there is a ST elevation with run of VT salvo burst after a few minutes it starts getting into VT and then it gets to ventricular fibrillation and then it gets to fine ventricular fibrillation and then astole (sorry I don't know how to spell astole Tell me how to spell it right in reply)
My heart When I'm cannot find Phone in Pocket
I found myself slowly losing my sanity by listening to this video over and over again
When your dad stops snoring at 3AM after you were a bit too loud:
My mom has this rhytm
Thats the chicken ecg
BROO! My little sister is dancing while the monitor is for cardiac arrest -^-^-^-^-^-^-^-^-^-^-^-^-^-^-^-^^^^^^^^^^^^^^^^^^^^^^^^^^^^^~~~~~--------
I have up to 600 PVCs a day and I'm only 31. Does that mean I have to fear cardiac arrest in the future? :(
Why does this sound like a microwave
😴😴😴
Rip the person who sacrificed himself so he could upload this
1:04 Black shabbis
0:00 Sinus Rhythm 0:04 Irregular heart rate 0:05 Atrial Flutteration 0:26 Minor Torsades de Pointes 0:30 Severe Atrial Flutteration 1:10 Asytole
is that the song that CCM play when you are in VF?
@@jacka3280 during vf the heart has some electrical activity, it’s just random attempts to contract that don’t work, the heart is just shaking so if you used a stethoscope you’d hear unorganized beats, I hope that this helps you with your answe
The only thing forgot to say after seeing this is... Holy shit...
More info: Agonal rhythms are dysrhythmias, most recognized as the last ordered semblance of heart activity before asystole. Agonal, ventricular in origin, is caused by weak cardiac contractions in a person's last moments before completely shutting down.
Me when its parents evening
Me when it’s parents evening