Hello to all of my Healthcare brothers and sister! The 2020 AHA Guidelines are out. I have posted the new videos for BLS, ACLS, and PALS: czcams.com/play/PLhOFBB3AV9swkQ1KUodrLKmxvEbI3R0-R.html. These changes will not take place until February 2021; however, these concepts are currently being taught in your courses. ☺️❤️
Hello, my question is not related to this video but couldn't find where to contact you. How do you perform an ECG on a patient with Parkinson's disease? Thanks in advance!
I just came back to your videos to Thank you for all your help. I have passed my ACLS today. Keep up the great work. I will always recommend this channel to my colleagues. Thank You!!
Impressive. As a physician having worked in ER, urgent care and OHP, I had to take ACLS recert every 2 years for the past 20 years .... this is the best short but complete training needed to do the ACLS recertification. I do not need to read the ACLS book as you covered it all. GREAT JOB 👏
I am truly humbled by your kind review of my ACLS Certification video ☺️ My goal was to create a quick video that discussed the important pieces of the ACLS certification in lieu of reading the manual. I am so happy to hear that my video has met my goal and is helpful ☺️❤️
I gotta give credit where it's due! Just completed and passed my ACLS/BLS renewal! This video was perfect for review, especially on the new changes. Thank you for all your hard work 😊
Congratulations on passing your ACLS/BLS renewal like a boss Kiaune Premdas ☺️❤️ I am so happy to hear that my 2020 AHA Guidelines Update was helpful. You are incredible
I haven’t taken ACLS in about 8 years so I basically started from scratch. I used your video and took notes just as if it was a lecture. Took my exam yesterday and scored a 98%. Thank you so much for the content!!
Wow, scoring a 98% is fantastic, especially after such a long break! I'm thrilled to hear that the videos felt like attending a lecture and helped you effectively prepare for your ACLS exam. Thanks for sharing your success; it’s really motivating to know the videos played a part in your achievement. Keep up the great work! 🌟📚💪
i saw a man down on the bay bridge one morning with heavy traffic. 3 cars had stopped and young people handled it and gave cpr. they seemed like young capable healthcare workers. so grateful always for these trainings because you never know when we will be called.
Your videos are incredible! I'm doing my ACLS and PALS this week and feel the most prepared I ever have when doing them because I've watched your videos and made notes. So much better than just the manuals. Thank you!
You are so kind Ruby Dirt ☺️ I really appreciate that my videos have helped you prepare for your certification exams. I can't wait to hear how you passed both exams like a boss
Hi Nurse Cheung! Your videos are truly exceptional. I just passed my ACLS and your simplified version of the whole book itself was truly helpful for us trying to get the certification. I’m now prepping for PALS certification and I know I don’t have to read all the pages in the book coz I have your back! Thank you for all you have done! God bless you!
I will always have your back Joy Bautista ☺️💜 All of the information in the book is important; however, overall concepts and best practice is truly what you need to know. I am so humbled that my video was helpful in passing your ACLS. You are going to rock the PALS exam too. I just know it ☺️
I just came back to your videos to Thank you for all your help. I have passed my ACLS today. Keep up the great work. I will always recommend this channel to my colleagues. Thank You!!
Congratulations sakanablesakanable ☺️💜 I am so humbled to hear that my video was helpful in your ACLS studies. Keep up for the amazing work and thank you for the continued support
I’m an ACLS instructor and this will be my first day teaching since the updates. I did the update course online but I prefer to not reference my notes when teaching. This was awesome to listen to the morning of to keep the info and updates fresh so my students can feel confident learning from me☺️.
I love that my video was helpful Kaycee Kofalt ☺️❤️ It is my passion to help educate our ACLS providers to be the best they can be. I am humbled that the message is coming across in my videos ☺️
Thank you for the nice video. Very educational. One point to consider, the second dose of adenosine should be given within 1-2 minutes not over 1-2 minutes. The half-life of adenosine is very short and giving over minutes defeat the purpose. Great regards
You are absolutely correct Matt moody ☺️ I misspoke when I recorded this video. Adenosine should be given over 1 to 2 seconds. You should wait 1 to 2 minutes between doses.
Thank you nurse Cheung, I watched your BLS video and nailed the exams. Am currently also preparing for ACLS and PALS but your videos are really so helpful. Thank you for the great work.
Thank you for your comment! I'm so glad that my videos were helpful in preparing for your BLS exams and that they're continuing to help you with ACLS and PALS. Keep up the great work and let me know if you have any specific topics you would like me to cover in future videos.
im glad they added some consideration for pregnant women. our small hospital was in shock when a 39 year old returned after discharge in the morning from L and D. she was almost due. but they said to go home. she collapsed and came in with the fire department. they did a csection for her twins. but they were all lost. we as a department were devastated for the patient and her family. i wish we could have done more earlier. she had a PE
Congratulations on passing your BLS! 🎉 That's a fantastic accomplishment, and it's great to hear that the channel was helpful in your preparation. Now, with your ACLS coming up in just a few hours, you're carrying that momentum forward, which is awesome. Best of luck with your ACLS exam - I'm keeping my fingers crossed for you too! You've got this, and I can't wait to hear about your success. Go ace it! 🌟🚑📚💪🍀
Congratulations Kelsey Colleen for taking the steps to obtain your ACLS certification. The ACLS course is very informative and will continue to grow your knowledge ☺️
I passed my PALS thanks to your informative video...keep up the good work and thank you for your effort by explaining it clearly and easy...I really appreciate you😊😊
Congratulations Liz Ramos on passing the PALS certification exam. ☺️💜 You are going to do amazing on the ACLS Certification Exam, I just know it. I appreciate you! ☺️
Thanks Nurse Cheung your video helped me a lot I just passed my CPR renewal I was having trouble understanding some of the new changes and the tachycardias but with your help it made it easy to understand thank you again you are God sent
You are so kind and I am humbled by your comment Rhonda Alexander ☺️❤️ Congratulations on passing your CPR renewal course but all that hard work with passing your exam was all you ☺️ I am just happy to be a small piece of your success
Kindly organise a lecture on STEMI and NSTEMI and hyperkalemia and hypokalemia presentation on ECG .thanks once more for your educative lectures really helpful. I appreciate
These are great lecture ideas ☺️❤️ I have a cardiovascular series coming up very soon and I will make sure to add these to the outline ☺️ I appreciate all of your kind feedback and ideas Beatrice mayaka
Amazing Content! Last year i was able to pass PALS because your review course. Now i am getting ready to take ACLS. Thank you so much & Have a Blessed Day!
Thank you, Marco, for your kind words. I am glad you found my ACLS video helpful and that you appreciate my effort to make complex medical topics easier to understand. 😊💜
Great feedback C Tann-Starr regarding the ACLS-EP. I will look into creating some content for the experienced providers. Congratulations on passing your PALS and ACLS Certifications ☺️❤️
Thank you. Really appreciate your hard work. You make it comfortable to approach new exams systematically with your clear examples. I love your channel :-)
Congratulations on passing both your pre and post course! 🎉 That's fantastic news, and I'm so thrilled to hear that my ACLS review videos were helpful to you. Your hard work and dedication have paid off, and I'm truly grateful to have been a part of your success.
You're so welcome! 🌟 I'm genuinely thrilled to hear that the ACLS video made things clearer and more understandable for you. It's all about breaking down complex topics into bite-sized, digestible pieces. Your feedback means the world! 🌍❤️ Remember, every step you take in understanding and learning is a step towards excellence in patient care. 🩺🚑 Keep up the fantastic work, and always feel free to reach out if you have more questions. Sending you loads of positive vibes and gratitude! 🌈🙏 Keep shining and making a difference! 💖🌟🙌
Hi Nurse Cheung. It will be more helpful if you can describe the process with examples as I believe you witness a lot cases in real life and that can help us understand better., rather than just reading it, as many of us already have the text books and we can read it. Difficulty is when we are not understanding what we are reading. :) thank you
Hey There! That's a great suggestion, and I completely understand how real-life examples can make complex concepts more relatable and easier to grasp. I am in the process of rewriting this content now so I appreciate the feedback. Going forward, I’ll aim to include more real-life examples in the videos and explanations to provide clearer, more applicable insights. 😊
watched this and took notes on it last week before taking my acls class and passed!! thanks a bunch for your help! taking pals this week and will be watching your pals video as well :) take care!!
Aw, thank you so much! 😊 Your positivity is truly heartwarming. If you ever have more questions or need assistance with anything else, feel free to ask. I'm here to help! 😊🌟
thank you for your this video. this was a great review for me. I have a question: for adenosine in the SVT algorhytm you say to give the second dose of adenosine (12mg) over 1-2 minutes. I believe it is a typo and it should be given rapidly 1-2 minutes after the first dose is not successful. thank you for the clarification in advance.
Great catch Cecilia Abbate ☺️💜 Adenosine should be given rapidly and you wait 1 to 2 minutes in between the two doses before providing the second dose. I am working on fixing this error. Thank you for catching it. ☺️
Certainly! In the context of CPR, a "cycle" refers to a specific sequence of actions. For pulseless ventricular fibrillation (V-Fib), a common protocol involves delivering a shock followed by immediate CPR. One cycle of CPR typically consists of: 30 Chest Compressions: These are rapid, firm compressions delivered to the center of the chest, allowing the chest to rise fully between compressions. The recommended rate is about 100 to 120 compressions per minute. So, when it's mentioned to perform 5 cycles of CPR after a shock for a patient in pulseless V-Fib, it means to repeat this sequence of 30 chest compressions followed by 2 rescue breaths, five times. This should be done before reassessing the patient's rhythm or pulse, unless there are signs of life or an AED advises another shock. Always remember to follow the most current guidelines from reputable sources like the American Heart Association, as protocols can be updated. 🚑❤️🌟
for the epinephrine pre-filled syringe 1:10,000, we are to give the whole syringe? or are we supposed to withdraw a certain amount only? it's my first time to take acls.
Great question. In ACLS (Advanced Cardiac Life Support), the dosage and administration of epinephrine, especially from a pre-filled syringe with a concentration of 1:10,000, are based on the specific guidelines and protocols for the scenario you're dealing with. Typically, for adult cardiac arrest, the recommended dose of epinephrine 1:10,000 is 1 mg, which is often equivalent to 10 ml in a pre-filled syringe, administered every 3-5 minutes during resuscitation efforts. However, it's crucial to follow the specific protocols provided by your ACLS course or institution.
Great question Karissa Garza ☺️💜 Unfortunately, I do not have the powerpoints for my videos. I used to provide them for free and many people started to sell them on various websites. I started to get a lot of emails from people who never received the powerpoints from these websites so I stopped providing them for now.
I accidentally bought the 2015 ACLS provider manual. Can I still use it to pass the 2021 ACLS course or would I be wasting my time studying it? Thanks!
Great question Samantha ☺️ There has been quite a few changes from the 2015 guidelines. If you are able to differentiate between the 2015 and 2020 updated guidelines then you can be successful in the class. However, if you are unsure what those changes are, they can become confusing based on the study guides. I hope that helps answer your question ☺️
This is a great question! Non-contrast CT scans are often used to evaluate possible strokes because they can quickly and effectively detect bleeding within the brain, known as intracerebral hemorrhage. This is a crucial consideration as certain stroke treatments, such as tPA (tissue plasminogen activator), could worsen bleeding if administered in the presence of hemorrhage. Contrast-enhanced CT scans, on the other hand, involve injecting a contrast dye into the bloodstream to highlight blood vessels and tissue abnormalities. While these scans can provide detailed information about blood vessels and potential blockages, they might not be the initial choice in cases of suspected stroke because the priority is to swiftly determine if bleeding is occurring in the brain. In summary, non-contrast CT scans are often the first step in evaluating possible strokes due to their ability to quickly detect bleeding, a critical consideration for determining appropriate treatment strategies. If the non-contrast CT scan indicates no bleeding, further imaging or assessments may be considered to determine the type of stroke and the appropriate course of action.
Question on the 2nd dose of Adenosine your slide stated 12mg IV push over 1-2 minutes. Shouldn’t it be over 1-3 seconds in 1-2 minted after the first dose?
Great catch Alexander Leon! You are correct. The first dose of adenosine should be given over 1-3 seconds and you should wait 1 to 2 minutes for any changes prior to giving the second dose. The second dose is given over 1 - 3 seconds and you would again wait 1 to 2 minutes to note any changes in the rhythm.
Hello Nurse Cheung, I m very appreciate to your teaching video but I m query the doses on Synchronized cardioversion recommended by AHA on 2020 update is maximum energy level for all of tachycardia Synchronized cardioversion. So there’s no difference doses on narrow QRS complex between regular and irregular rhythm. Can u amend it. Thank you very much! 🙏🏻🙏🏻😘😘😘🙇🏼♀️🙇🏼♀️🙇🏼♀️
Great question Cheung Clara ☺️💜 The current American Heart Association Algorithm's Adult Tachycardia with a Pulse Algorithm states "refer to your specific device's recommended energy level to maximize first shock success." I believe this is because there are many different types of machines requiring different energy levels. In general, narrow regular rhythms can require energy between 50-100 joules; narrow irregular rhythms can require energy between 120-200 joules; and wide and regular rhythms can require energy around 100 joules. I would always recommend to follow hospital policies and manufacture recommended settings ☺️ I hope that helps answer your question
Great question Alex Barsky ☺️ There is not much of a difference between the American Heart Association and American Red Cross; however, I have been told that the AHA ACLS is more difficult than the ARC. Many healthcare organizations will require the American Heart Association certifications. As a travel nurse, I was never asked for an ARC certification.
The Red Cross teaches a lot of the same concepts as the American Heart Association; however, they use different research standards when it comes to guidelines. I always recommend the American Heart Association as they are the gold standard when it comes to advanced life support and many hospital systems will require AHA certifications. ☺️❤️
@@NurseCheung thanks hun ! I’m nervous I am taking iclass and exam Tuesday and I’m worry about the ekg part ! For some reason our job is using Red Cross , and if we don’t pass we don’t get the job 🥺
@@zaraysantiago4187 I am sorry to hear that. My video definitely corresponds to the American Heart Association Guidelines and many of the same guidelines also exists with Red Cross but I can't say for sure that everything the Red Cross covers would be in this video since we don't use the Red Cross.
It's a constant struggle with the echo that we have been working on improving. Thankfully, this echo is actually better than the previous video. I appreciate the feedback 😊💜
Hello to all of my Healthcare brothers and sister!
The 2020 AHA Guidelines are out. I have posted the new videos for BLS, ACLS, and PALS: czcams.com/play/PLhOFBB3AV9swkQ1KUodrLKmxvEbI3R0-R.html.
These changes will not take place until February 2021; however, these concepts are currently being taught in your courses. ☺️❤️
Can you also upload Adult CCRN reviews thanks
Hello, my question is not related to this video but couldn't find where to contact you. How do you perform an ECG on a patient with Parkinson's disease? Thanks in advance!
Is this the new 2020 AHA guidelines? Thank you.
I just came back to your videos to Thank you for all your help.
I have passed my ACLS today.
Keep up the great work. I will always recommend this channel to my colleagues. Thank You!!
Impressive.
As a physician having worked in ER, urgent care and OHP, I had to take ACLS recert every 2 years for the past 20 years .... this is the best short but complete training needed to do the ACLS recertification. I do not need to read the ACLS book as you covered it all. GREAT JOB 👏
I am truly humbled by your kind review of my ACLS Certification video ☺️ My goal was to create a quick video that discussed the important pieces of the ACLS certification in lieu of reading the manual. I am so happy to hear that my video has met my goal and is helpful ☺️❤️
Agree. I felt the same way. Thank you for your hard work.❤
I gotta give credit where it's due! Just completed and passed my ACLS/BLS renewal! This video was perfect for review, especially on the new changes. Thank you for all your hard work 😊
Congratulations on passing your ACLS/BLS renewal like a boss Kiaune Premdas ☺️❤️ I am so happy to hear that my 2020 AHA Guidelines Update was helpful. You are incredible
I haven’t taken ACLS in about 8 years so I basically started from scratch. I used your video and took notes just as if it was a lecture. Took my exam yesterday and scored a 98%. Thank you so much for the content!!
Wow, scoring a 98% is fantastic, especially after such a long break! I'm thrilled to hear that the videos felt like attending a lecture and helped you effectively prepare for your ACLS exam. Thanks for sharing your success; it’s really motivating to know the videos played a part in your achievement. Keep up the great work! 🌟📚💪
i saw a man down on the bay bridge one morning with heavy traffic. 3 cars had stopped and young people handled it and gave cpr. they seemed like young capable healthcare workers. so grateful always for these trainings because you never know when we will be called.
Your videos are incredible! I'm doing my ACLS and PALS this week and feel the most prepared I ever have when doing them because I've watched your videos and made notes. So much better than just the manuals. Thank you!
You are so kind Ruby Dirt ☺️ I really appreciate that my videos have helped you prepare for your certification exams. I can't wait to hear how you passed both exams like a boss
Thank you Nurse Cheung! I just took my initial ACLS class and passed! This video was perfect for studying.
I am so pleased to hear my video was helpful Elizabeth Berland ☺️💜 Congratulations on passing your initial ACLS certificate ☺️
Hi Nurse Cheung! Your videos are truly exceptional. I just passed my ACLS and your simplified version of the whole book itself was truly helpful for us trying to get the certification. I’m now prepping for PALS certification and I know I don’t have to read all the pages in the book coz I have your back! Thank you for all you have done! God bless you!
I will always have your back Joy Bautista ☺️💜 All of the information in the book is important; however, overall concepts and best practice is truly what you need to know. I am so humbled that my video was helpful in passing your ACLS. You are going to rock the PALS exam too. I just know it ☺️
Came back here to give you credit. I just pass my ACLS & Pals certifications. Thank you for your hard work for making it easy to comprehend.
Congratulations Jash Family! I am so humbled that I was a small part of success. Here is to two more years of certification☺️❤️
Thank for you great information
I just came back to your videos to Thank you for all your help.
I have passed my ACLS today.
Keep up the great work. I will always recommend this channel to my colleagues. Thank You!!
Congratulations sakanablesakanable ☺️💜 I am so humbled to hear that my video was helpful in your ACLS studies. Keep up for the amazing work and thank you for the continued support
@@NurseCheung Thank you, I also have the Pediatric ACLS coming up next month. will you be able to recommend me a source for that?
I’m an ACLS instructor and this will be my first day teaching since the updates. I did the update course online but I prefer to not reference my notes when teaching. This was awesome to listen to the morning of to keep the info and updates fresh so my students can feel confident learning from me☺️.
I love that my video was helpful Kaycee Kofalt ☺️❤️ It is my passion to help educate our ACLS providers to be the best they can be. I am humbled that the message is coming across in my videos ☺️
Thank you for the nice video. Very educational. One point to consider, the second dose of adenosine should be given within 1-2 minutes not over 1-2 minutes. The half-life of adenosine is very short and giving over minutes defeat the purpose. Great regards
You are absolutely correct Matt moody ☺️ I misspoke when I recorded this video. Adenosine should be given over 1 to 2 seconds. You should wait 1 to 2 minutes between doses.
Thank you nurse Cheung, I watched your BLS video and nailed the exams. Am currently also preparing for ACLS and PALS but your videos are really so helpful. Thank you for the great work.
Thank you for your comment! I'm so glad that my videos were helpful in preparing for your BLS exams and that they're continuing to help you with ACLS and PALS. Keep up the great work and let me know if you have any specific topics you would like me to cover in future videos.
im glad they added some consideration for pregnant women. our small hospital was in shock when a 39 year old returned after discharge in the morning from L and D. she was almost due. but they said to go
home. she collapsed and came in with the fire department. they did a csection for her twins. but they were all lost. we as a department were devastated for the patient and her family. i wish we could have done more earlier. she had a PE
Passed my BLS yesterday 🎉 thanks to this channel. Going for my ACLS in a few hours. Fingers crossed
Congratulations on passing your BLS! 🎉 That's a fantastic accomplishment, and it's great to hear that the channel was helpful in your preparation. Now, with your ACLS coming up in just a few hours, you're carrying that momentum forward, which is awesome.
Best of luck with your ACLS exam - I'm keeping my fingers crossed for you too! You've got this, and I can't wait to hear about your success. Go ace it! 🌟🚑📚💪🍀
I’m a CNA in an assisted living facility but I’m interested in getting my ACLS. This was helpful! Thank you :)
Congratulations Kelsey Colleen for taking the steps to obtain your ACLS certification. The ACLS course is very informative and will continue to grow your knowledge ☺️
Thanks I just passed my ACLS exams after watching your latest 2021 ACLS like aboss I appreciate
Congratulations on passing your ACLS Like a Boss beatrice mayaka ☺️ I knew you could do it
I passed my PALS thanks to your informative video...keep up the good work and thank you for your effort by explaining it clearly and easy...I really appreciate you😊😊
Congratulations Liz Ramos on passing the PALS certification exam. ☺️💜 You are going to do amazing on the ACLS Certification Exam, I just know it. I appreciate you! ☺️
Perfect n thanks for amazing video. im int med resident n I'm thankful for making it ez to understand 😊
Thank you for the feedback. I appreciate it. Best of luck on your ACLS 😊
Thanks for simplifying things.
My pleasure
Thanks Nurse Cheung your video helped me a lot I just passed my CPR renewal I was having trouble understanding some of the new changes and the tachycardias but with your help it made it easy to understand thank you again you are God sent
You are so kind and I am humbled by your comment Rhonda Alexander ☺️❤️ Congratulations on passing your CPR renewal course but all that hard work with passing your exam was all you ☺️ I am just happy to be a small piece of your success
Kindly organise a lecture on STEMI and NSTEMI and hyperkalemia and hypokalemia presentation on ECG .thanks once more for your educative lectures really helpful. I appreciate
These are great lecture ideas ☺️❤️ I have a cardiovascular series coming up very soon and I will make sure to add these to the outline ☺️ I appreciate all of your kind feedback and ideas Beatrice mayaka
VERY HELPFUL ! THANKS FOR SHARING THIS KNOWLEDGE IN A VERY INTERESTING PRESENTATION. Doing a recertification this week!
I am so humbled to hear my video was helpful Tony Nesta ☺️ I hope your recertification went well
Amazing Content! Last year i was able to pass PALS because your review course. Now i am getting ready to take ACLS. Thank you so much & Have a Blessed Day!
Thats amazing Save Like A Pro With Leah ☺️💜 Congratulations on passing your PALS and I have no doubt you are going to dominate the ACLS as well. 💜
Thank you for posting this very comprehensive and informative CZcams video! I so appreciate your time and efforts! Thank you!!!
My pleasure Jacquie Maple ☺️💜 I am pleased to hear my video was helpful and love your feedback
Thanks for explaining this topic so clearly!🔥❤️👏🏼👏🏼👏🏼
Thank you, Marco, for your kind words. I am glad you found my ACLS video helpful and that you appreciate my effort to make complex medical topics easier to understand. 😊💜
You are awesome! Passed PALS on the 16th and ACLS today, two days later. Please do ACLS-EP if you have time. Thank you :-)
Great feedback C Tann-Starr regarding the ACLS-EP. I will look into creating some content for the experienced providers. Congratulations on passing your PALS and ACLS Certifications ☺️❤️
Thank you. Really appreciate your hard work. You make it comfortable to approach new exams systematically with your clear examples. I love your channel :-)
Thank you so much! I passed my pre and post course! I appreciate you!
Congratulations on passing both your pre and post course! 🎉 That's fantastic news, and I'm so thrilled to hear that my ACLS review videos were helpful to you. Your hard work and dedication have paid off, and I'm truly grateful to have been a part of your success.
@@NurseCheung thank you so much for your kind words. It is really appreciated.
ty so much for your hard work and doing this video so help full and more easy to understand ,🙏❤
You're so welcome! 🌟 I'm genuinely thrilled to hear that the ACLS video made things clearer and more understandable for you. It's all about breaking down complex topics into bite-sized, digestible pieces. Your feedback means the world! 🌍❤️
Remember, every step you take in understanding and learning is a step towards excellence in patient care. 🩺🚑 Keep up the fantastic work, and always feel free to reach out if you have more questions. Sending you loads of positive vibes and gratitude! 🌈🙏 Keep shining and making a difference! 💖🌟🙌
Thank you for your knowledge so interested hope pass for ACLS exam love you
You will rock that exam zahra tukijo ☺️💜 Much love to you
Hi Nurse Cheung. It will be more helpful if you can describe the process with examples as I believe you witness a lot cases in real life and that can help us understand better., rather than just reading it, as many of us already have the text books and we can read it. Difficulty is when we are not understanding what we are reading. :) thank you
Hey There! That's a great suggestion, and I completely understand how real-life examples can make complex concepts more relatable and easier to grasp. I am in the process of rewriting this content now so I appreciate the feedback.
Going forward, I’ll aim to include more real-life examples in the videos and explanations to provide clearer, more applicable insights. 😊
watched this and took notes on it last week before taking my acls class and passed!! thanks a bunch for your help! taking pals this week and will be watching your pals video as well :) take care!!
Congratulations Nikki Liv Basas ☺️ You totally got this!! Now go knock out the PALS certification. I believe in you!
@@NurseCheung Passed!!! Such a huge help-- thank you!!!
Offshore Medic, recert tomorrow. Thanks a lot for your effort
I am humbled that you found my video helpful ☺️💜
Thank you. Great job. You’re wonderful
Thank you for the kind feedback Chuck
Great video👏👏👏
Thank you! Happy Studying!!
You are just phenomenal 😊😊😊😊😊😊😊😊
Aw, thank you so much! 😊 Your positivity is truly heartwarming. If you ever have more questions or need assistance with anything else, feel free to ask. I'm here to help! 😊🌟
oh thank you! this is helpful!
I just passed my ACLS here in the US🥰☺️
Congratulations Cherry Blossoms ☺️💜 Way to excel at the ACLS
ECG readings
Thank you for the ACLS 2021 update
Absolutely CAR JO ☺️❤️ It's important to understand the updates when you go to renew your certifications. I am just humbled that I can help
Thank you. This help me a lot
My pleasure maan andixs ☺️💜 I am happy to hear my video was helpful
thank you for your this video. this was a great review for me. I have a question: for adenosine in the SVT algorhytm you say to give the second dose of adenosine (12mg) over 1-2 minutes. I believe it is a typo and it should be given rapidly 1-2 minutes after the first dose is not successful. thank you for the clarification in advance.
Great catch Cecilia Abbate ☺️💜 Adenosine should be given rapidly and you wait 1 to 2 minutes in between the two doses before providing the second dose. I am working on fixing this error. Thank you for catching it. ☺️
Keep up the great videos!
Thank you for the motivation Raymond Andrada ☺️❤️
Awesome! Thank you!
☺️💜 Thank you for the support rapmantheoneman
You have mentioned 5cycles of CPR after a shock, for pulseless v fib.
Pls specify what is 1 cycle?
Certainly! In the context of CPR, a "cycle" refers to a specific sequence of actions. For pulseless ventricular fibrillation (V-Fib), a common protocol involves delivering a shock followed by immediate CPR.
One cycle of CPR typically consists of:
30 Chest Compressions: These are rapid, firm compressions delivered to the center of the chest, allowing the chest to rise fully between compressions. The recommended rate is about 100 to 120 compressions per minute.
So, when it's mentioned to perform 5 cycles of CPR after a shock for a patient in pulseless V-Fib, it means to repeat this sequence of 30 chest compressions followed by 2 rescue breaths, five times. This should be done before reassessing the patient's rhythm or pulse, unless there are signs of life or an AED advises another shock.
Always remember to follow the most current guidelines from reputable sources like the American Heart Association, as protocols can be updated. 🚑❤️🌟
Thank you for this ❤️❤️
I am just humbled that my video was helpful in your studies Ms Vee 🤗💜
extremely helpful
I am so humbled that my video was helpful junior demus 😊💜
Thanks nurse cheung!
You are very welcome Rodalyn Santos. Glad I could help ☺️
you are the bomb!!! thank you!
You are amazing melindamcelveen ☺️❤️
At min: 2:23 she meant to say 0.12sec not 0.21sec.
Thats correct. Please excuse the error.
Thanks you so much thanks 🙏
You are very welcome Wafa Ibrahim ☺️
Good job!
Thank you Darla Purvis 💜☺️ I hope my video was helpful in your certification
ghreat style, great clinician
You are awesome Janet Fraser 😊💜 Thank you for the kind feedback
for the epinephrine pre-filled syringe 1:10,000, we are to give the whole syringe? or are we supposed to withdraw a certain amount only? it's my first time to take acls.
Great question. In ACLS (Advanced Cardiac Life Support), the dosage and administration of epinephrine, especially from a pre-filled syringe with a concentration of 1:10,000, are based on the specific guidelines and protocols for the scenario you're dealing with. Typically, for adult cardiac arrest, the recommended dose of epinephrine 1:10,000 is 1 mg, which is often equivalent to 10 ml in a pre-filled syringe, administered every 3-5 minutes during resuscitation efforts. However, it's crucial to follow the specific protocols provided by your ACLS course or institution.
@@NurseCheung thank you💙
i had taken ekg before but dont use it now in same day surgery. i need to take ekg again
Thank you
I am so humbled that my video was helpful Margaret Henry ☺️💜 You are very welcome
Hi, I love your videos so much, do you by any chance have these PowerPoints to be printed out on your website thank you!
Great question Karissa Garza ☺️💜 Unfortunately, I do not have the powerpoints for my videos. I used to provide them for free and many people started to sell them on various websites. I started to get a lot of emails from people who never received the powerpoints from these websites so I stopped providing them for now.
Oh I bet not a problem thank you so much I appreciate your reply ❤️🙏🏼😊
I accidentally bought the 2015 ACLS provider manual. Can I still use it to pass the 2021 ACLS course or would I be wasting my time studying it? Thanks!
Great question Samantha ☺️ There has been quite a few changes from the 2015 guidelines. If you are able to differentiate between the 2015 and 2020 updated guidelines then you can be successful in the class. However, if you are unsure what those changes are, they can become confusing based on the study guides. I hope that helps answer your question ☺️
thanks
You are very welcome oula D ark 💜☺️
Just curious, but why is non-contrast CT used versus contrast CT for ruling out possible stroke?
This is a great question! Non-contrast CT scans are often used to evaluate possible strokes because they can quickly and effectively detect bleeding within the brain, known as intracerebral hemorrhage. This is a crucial consideration as certain stroke treatments, such as tPA (tissue plasminogen activator), could worsen bleeding if administered in the presence of hemorrhage.
Contrast-enhanced CT scans, on the other hand, involve injecting a contrast dye into the bloodstream to highlight blood vessels and tissue abnormalities. While these scans can provide detailed information about blood vessels and potential blockages, they might not be the initial choice in cases of suspected stroke because the priority is to swiftly determine if bleeding is occurring in the brain.
In summary, non-contrast CT scans are often the first step in evaluating possible strokes due to their ability to quickly detect bleeding, a critical consideration for determining appropriate treatment strategies. If the non-contrast CT scan indicates no bleeding, further imaging or assessments may be considered to determine the type of stroke and the appropriate course of action.
Thank you so much for your thorough explanation!@@NurseCheung
Question on the 2nd dose of Adenosine your slide stated 12mg IV push over 1-2 minutes. Shouldn’t it be over 1-3 seconds in 1-2 minted after the first dose?
Great catch Alexander Leon! You are correct. The first dose of adenosine should be given over 1-3 seconds and you should wait 1 to 2 minutes for any changes prior to giving the second dose. The second dose is given over 1 - 3 seconds and you would again wait 1 to 2 minutes to note any changes in the rhythm.
Hello Nurse Cheung, I m very appreciate to your teaching video but I m query the doses on Synchronized cardioversion recommended by AHA on 2020 update is maximum energy level for all of tachycardia Synchronized cardioversion. So there’s no difference doses on narrow QRS complex between regular and irregular rhythm. Can u amend it. Thank you very much! 🙏🏻🙏🏻😘😘😘🙇🏼♀️🙇🏼♀️🙇🏼♀️
Great question Cheung Clara ☺️💜 The current American Heart Association Algorithm's Adult Tachycardia with a Pulse Algorithm states "refer to your specific device's recommended energy level to maximize first shock success." I believe this is because there are many different types of machines requiring different energy levels. In general, narrow regular rhythms can require energy between 50-100 joules; narrow irregular rhythms can require energy between 120-200 joules; and wide and regular rhythms can require energy around 100 joules. I would always recommend to follow hospital policies and manufacture recommended settings ☺️ I hope that helps answer your question
@@NurseCheung Oh i see! Thanks!🙏🏻😽
How much different is AHA ACLS than ARC ALS Certification?
Great question Alex Barsky ☺️ There is not much of a difference between the American Heart Association and American Red Cross; however, I have been told that the AHA ACLS is more difficult than the ARC. Many healthcare organizations will require the American Heart Association certifications. As a travel nurse, I was never asked for an ARC certification.
For the Red Cross is the same thing ?
The Red Cross teaches a lot of the same concepts as the American Heart Association; however, they use different research standards when it comes to guidelines. I always recommend the American Heart Association as they are the gold standard when it comes to advanced life support and many hospital systems will require AHA certifications. ☺️❤️
@@NurseCheung thanks hun ! I’m nervous I am taking iclass and exam Tuesday and I’m worry about the ekg part ! For some reason our job is using Red Cross , and if we don’t pass we don’t get the job 🥺
@@zaraysantiago4187 I am sorry to hear that. My video definitely corresponds to the American Heart Association Guidelines and many of the same guidelines also exists with Red Cross but I can't say for sure that everything the Red Cross covers would be in this video since we don't use the Red Cross.
Sorry you are faster .. otherwise all good 👍
Not sure what the means Adam PrimA
plz help how to download this book plz
Hi pavithra prasanna! Unfortunately, I do not know where you can download the book for free. Sorry I couldn't be more help 💜
Very echoey sound, otherwise great.
It's a constant struggle with the echo that we have been working on improving. Thankfully, this echo is actually better than the previous video. I appreciate the feedback 😊💜
Thank you
You are very welcome Purple Flame ☺️💜