How To Run A Cardiac Arrest CODE in EMS (BLS & ACLS for EMS)
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- čas přidán 16. 07. 2024
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Every new EMS provider wants to gain as much experience as they can fast. One of the most life-changing calls will be your first cardiac arrest 911 call. In this video, I give you my best tips for EMTs & Paramedics to better run Cardiac Arrest Codes, stay calm and follow sound BLS and ACLS.
I'm fairly convinced this man is a big reason I passed the NREMT.
Same here!!!
The point he made about taking care of family is as valuable as gold. Ive been out of the life for more than 20 years when my unexpected but debilitating PTSD kicked in. During my time in EMS, I was a very good practitioner and instructor...but only with the mechanics of the job. My ongoing PTSD is caused by the lack of care or thought I gave to the family. 2 years ago, i started seeing the faces of wives, husbands and children of the various 'jobs' I responded too. I wish with all my heart that I could go back in time and demonstrate the wisdom and patience needed to provide these distraught family members and friends with a soft word, glance or a hand on their shoulder. That is a hole in my practice will continue to haunt me until I die.
Wow, I'm sorry it's affecting you so harshly. It's great though that you have the discernment to realize where you errored. I hope life brings you peace
Be kind to yourself With the time pressures of your job, you did the best you could There are no do overs and be glad that your EMS team was there to provide the necessary care
I worked my first code today and you aren’t lying it really does change the way you look at shit
As a former ems personnel great Video thank you
I'm a new student in EMT school, and I'm a faithful student of yours. Anyway, I agree with 99% of what you say and teach. I'm scheduled to take the NREMT Test in March, so I'm trying to absorb this knowledge early! Anyway go Paramedic Coach!!!!!!!!!!
That is awesome!
Just to let you no I learned more from him and I took my psychomotor test and passed last month. Stick with him
Did u pass?
Good emphasis on tone, doing rehearsals, and keeping calm 🤙This video is a great training aid, well produced
#EMT always appreciate your reviews to refresh for who knows what the next call.
Great, informative video! Keep it up!
Thanks, will do!
Great information! Thanks!
Glad it was helpful!
they are a new student going through EMT class now and they said that they are teaching now to put in a NPA and then a NC at 15L and then a king that just blew my mind when they told me
This is some great stuff!!
Thanks Joesph!
great information!
Glad it was helpful!
Thanks coach
Gosh you're good!
Hello Evan: Great Man
Thanks my friend!
Hey nice video man. A Great lead can make or break a scene.
Thanks for tuning in brother!
Can you do medication calculation & administration scenario videos?
Ex:
Patient weight: 190lbs
Chief complaint: Crushing chest pain
Vitals
BP: 75/67
HR: 30
RR: 8
SpO2: 78% room air
Medication protocol
Epi (1:10,000)
Dosage: ?
Patient weight: 190lbs
Volume on hand x Dosage
---------------
Concentration on hand
Basically, how would you calculate the amount you’d need to draw for medications while Enroute for certain scenarios (Cardiac arrest, respiratory emergencies, drip rates, etc)
I figured I should refresh myself on this because Ive never ran a code before… probably now that Ive watched it ive jinxed myself for tomorrow lol
I guessing a person can't speak when in cardiac arrest so you can't ask them questions to figure out what causing it
this is great!!
Thanks for tuning in!
Hope you enjoyed this video on EMS Codes & Cardiac Arrest BLS/ACLS for EMS! Here is the link to my program: www.prepareforems.com/blueprint
I’m always hearing things about HYPERkalemia but nothing even on hypokalemia.
Would a medic see this on the EKG and know it is hypokalemia? And what would we use to treat it?
What is the difference between v-fib and V-Tech ?
Can you you please do a video on this subject ? Juliana
VF is the heart quivering, producing no cardiac output. Think about a bag of worms, and think of the bag wrigling about. Pulseless VT is where the heart is beating too fast, again causing no cardiac output. Important to deternine if there is a pulse or not with VT.
Pulseless V-Tach is statistically worst pre hospital ROSC
In it usually preceded by hypertension then heart tries to beat on the Ventricle area and no time for blood 🩸 to “backwash “ of blood 🩸 from ascending aorta 🫀 through the ostium to lt and rt coronary arteries
Most services delay calling a chopper due to very low Return Of Spontaneous Circulation
So question, I was talking to a paramedic the other day who was talking about a call he had where the patient went into v-tach. He was talking about shocking the heart and he said that there is one specific time where you do not want to shock the heart because rather than "resetting it and it's rhythm" you will just cut it off completely and the patient will die. Can you explain that because google doesn't know what I am talking about.
If the person is alive and in v tach, or really any rhythm that needs electrical therapy and they are alive, you need to do a “ synchronized cardio version” rather than a defibrillation. You sync the monitor w the patients rhythm ( it’s easy you just press a button that says sync) and it will deliver the shock at a specific point during the hearts contraction. That is because if you perform a regular “un-synchronized” defibrillation, it runs the risk of “ r on t “ phenomenon. Basically it’s this : the heart contracts, recharges, contracts , recharges etc etc. if you deliver the shock at a certain point in the recharging cycle ( repolorization) it can send the heart into a tailspin and into ventricular fibrillation, which leads to cardiac arrest
I recently ran a code; my first code who went unresponsive after establishing pt care, and I mismanaged the entire scene. I’m a paramedic coming up on my first year, and I feel like I failed my team. It’s taking a huge toll on my psyche even though we got him back. How do you relieve this feeling?
The first death on a call really shakes up anyone
How did you let your team down? If you followed protocol and assessed each step to your best ability then you have to “move forward “ there will be many more calls in future
Also if you’re thinking your boss is displeased with you TALK to him/her IMMEDIATELY- by nature and profession petty jealousy you have to move thru gutless Emts Lpns and sadly other medics
God bless you
I mean there’s one more other than those three lol. Don’t forget PEA but that’s not necessarily a rhythm as it is a cardiac state
Maybe watch the video before commenting and sounding stupid. 6:10
How can a person be seriously blue have a witnessed arrest yet cpr was delayed and the person left deathly white and still no cpr I don’t get why they did what they did They also just stood outside not looking at the patient waiting for what I don’t know I think they didn’t check a pulse the patient died cause of death PEA and brain damage severe from lack of oxygen Also no IV placed Had to put in a IOS terribly incompetent why do emt’s think you have to go to the ambulance before they try to treat any life threatening event
IN NO WAY AM I BASHING THIS PERSON NOR SHOULD THEY BE BASHED. ITS OUR JOB AS PROVIDERS NOT JUST TO PROVIDE CARE BUT ALSO COMPASSION AND EXPLAINATION WHENEVER POSSIBLE. If you're not an EMT or paramedic it can be hard to understand some of the things that we do sometimes. Now I'm not necessarily defending the crew that responded to your situation or bashing them, I wasn't there and I couldn't know the situation, but a couple reasons cpr may be delayed or even not attempted include the following: obvious signs of mortality that make CPR unnecessary as there is no chance to bring them back.... Scene safety, we have to look out for ourselves just as much if not more than the patient because if we get hurt we now have one more patient and one less provider and everything is now worse.... Now these are by no means the only reasons cpr might be delayed or not administered, but they are the most common.
If I had to guess based on what you're describing, even though the arrest was witnessed it sounds like response may have been delayed, again many reasons for that, meaning it took them longer to get to the call than they would've like. EMS and fire are normally working with limited resources and it's not at all uncommon for an ambulance no where close to you to have to respond to you because the closer ambulance is already busy. If it took them too long to get there then it may have already been past the point of no return. Witnessed arrest or not if someone is obviously dead? They're dead. We can't change that. CPR is not magic. It doesn't bring a corpse back. If they're gone, that's it, and the only thing CPR is going to do is give false hope to a family already in a terrible situation. I'm sorry for your loss and I know it's hard. I know you may be angry. But when the time comes it comes, and while yes there may have been things that could've been different that may have resulted in a different outcome, sadly that's not what happened. What happened is the loss of a life and in the end that is the true tragedy. I hope the best for you and may this explanation provide you with some small piece of mind.
The Best to You and Your Family in What the Future May hold,
From a Concerned Soul and Active EMT
frecherylb24