Bradycardia - ACLS Review
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- čas přidán 1. 06. 2024
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This next lesson in the series we move on to talk about our Bradycardia Algorithm based on guidelines from the American Heart Association. This is another vital algorithm for you to cement in your memory and be able to act quickly upon, especially for the unstable patient.
**Full disclosure that this video is NOT associated with the American Heart Association (AHA) and is merely a review of the information provided in their guidelines. Additional resources can be found at: cpr.heart.org/en/resuscitatio...
0:00 Intro
1:43 Bradycardia
2:07 Algorithm
3:11 Underlying Causes
3:55 Assess Patient Condition
4:55 Atropine
6:03 Electrically Pace
7:03 Chemically Pace
8:47 Review
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Check out these other great lessons and series of lessons below!
✅ Hemodynamics: • Hemodynamic Principals
✅ Shock: • Shock
✅ ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
✅ ICU Drips: • ICU Drips
✅ ECMO: • ECMO
✅ CRRT: • CRRT Explained!
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Where would we be without your service/ lectures? Thank you ever so much!!!
Love this! So happy to hear you like them. Thank you!
We would read
Hi! Thanks so much for this review. I have been in respiratory 35 years- I go through the recertification and review as usual. But today when watching your review here, I had a Lightbulb Moment!!!!
When you said electrically pacing or chemically pacing, the lightbulb went on for me to remember why/when to use Dopamine or Epinephrine. I know the process on the algorithm, but just hearing the bifurcation of electrical vs chemical just clicked for me! (All these years nobody said the term “chemically pacing”, and when you did- it just clicked for me. ) Thank you !
God, please continue to bless Mr.Eddie. I needed this lecture ❤️❤️❤️. I listened to this lecture and took 94%and my ACLS 🙏🏾🙏🏾🙏🏾🙏🏾
This is amazing to hear!!! Way to go Agnes!
It’s Valentine’s today. What would I do for brokencardia?
Chocolate? lol Not sure if that is AHA recommended or not!
Alcohol 🤣
Visit a “professional”.
Chocolatopine 2gr/kg/min
Lick some external pacemaker leads?
I'm currently in paramedic school and going through ACLS and this was extremely helpful.
I have my ACLS in a few days and I was freaking out but found this gem of a series. The explanation and visual representation is so clear and easy to follow through. Thank you for this series 🙏
Woohoo! Glad to hear you enjoyed the series and best of luck on your ACLS. You got this!
Great videos. I’m studying for my CEN and starting a traveling career. Love your vids. 👍 thanks
Eddie you videos are great! They have assisted my through my ICU and cardiac ICU journeys. Now I’m using them to study for CRNA school interviews. You’re doing great work, you really deserve all the best in life!
Excellent thank you so much for the review!
Thankful that I saw the updated guidelines!!!!
Just finished the ACLS online portion. Your presentation is so much better.
Wow thank you Albert! I really appreciate the kind words!
Thank you very much. It was very enriching
Thanks for updating dosages. I appreciate you reaching method.
Another great video. You are a really good teacher. I appreciate your efforts. Thanks so much.
So happy I came across these videos while reviewing for my ACLS course! You do an excellent job making the content easily understandable, I definitely feel better prepared after watching them. Thank you!
Thank you for your time making this channel. you do such a great job making the difficult things easy to understand. the visual style on the screen is awesome and helps, instead of just a video of you speaking
Very helpful and very informative. Thank you so much!
Thank you so much for this awesome video!!! You are a life saver!! ❤❤
I am INLOVE with your channel! Thank you for making this content!
Yay!!! Awesome! Glad you are liking it and truly my pleasure to do so!
Great knowledge and very useful summary 👍
Great video & easy to grasp! Thanks!
Thanks so much Eddie. Your efforts are so appreciated and invaluable.
Truly my pleasure. Glad you appreciate the effort. 😊
You are the greatest! I am amazed on how simple but objectively you explain the subject!
Wow, thank you so much! Really glad you liked it Karem.
Thank you so much for taking the time to make educational content like this! God bless you!
You are very welocme Glad you enjoyed it!
You are a wonderful teacher. Thank you. I made a playlist on ACLS review with your lectures. Comes handy during ACLS renewal.
Shine Bright like a diamond❤❤❤thank you
Final year medic here! I wish I had known about this channel much earlier! It would have helped me massively during my surgical block! Thank you for your work!
Hi Eddie, thank you for this excellent series! I’m a nursing student in CCU for my final practicum and these have been super helpful for learning and reviewing the massive amount of knowledge critical care nurses need.
So great to hear this Patrick! You are more than welcome and I'm just glad to be able to help!
thank you so much for a great video on ACLS !!
I appreciate that! Glad you like it!
Eddie you are literally and metaphorically a live saver!You videos helped me to prepair for my acls course!
Woohoo!! lol I'm just happy to be able to help Maria
Great teaching ❤❤❤❤❤
may you please develop an app, your lectures are very amazing
I just discover your channel. I'm a tele nurse. Very interesting and helpfull channel.
I wish if we could get this information in a way to print it.
Thanks a lot
Thank you so much for making these videos! I just found your channel while reviewing info for my upcoming recert in ACLS and I have to say, I'm looking forward to watching every video on your channel! You do a great job in explanation and I don't know if you're the one drawing, but you have great animations as well! On a separate note, if you don't already do a podcast, you definitely should, you've got the voice for it and I bet you have some good stories.
Truly my pleasure to help and thanks for the great comment. Yeah its a one man show here so I'm doing it all. I don't know if a podcast is up my alley or not. I certainly do have some interesting stories over the years thats for sure!
This was great!! Thank you so much for taking the time to make these videos😊
So glad to hear you liked it! 😊 Happy to be able to help and let me know if I can in any way!
@@ICUAdvantage Thank you 😊😊
Excellent. Thank you.
super helpful!
Very helpful! Thankyou
Awesome explanation vro ..🎉❤
thank you so much for your lecture! it really helps me a lot while i’m studying for my first ACLS.
-SN from South Korea:)
I feel more confident and equipped in managing my patients. Thank you for all your content. Its remarkable
SO great to hear this! You are very welcome and thanks for taking the time to leave a comment.
Thank you for your video. I am about to take my ACLS and PALS in one week and this helped me tremendously.
You are very welcome Mariza! Glad they are helpful for you!
Nice delivery of scenario. I am doing ACLS next week and found your video.
Awesome. Best of luck!
This is the 2nd one I have watched and it is excellent! I needed something like this to help me review for ACLS/PALS skills check offs next Weds. Thx!
Hope the check offs went well!
Your amazing! The way you explain things are very easy to understand! Your videos are great for new nurses and nurses like myself who need a refresher! Thank you keep theses going please 😃
Yay! So awesome to read and hear this Anisha! Glad you liked it and thank you so much for taking the time to leave a comment.
Wow,explanation very nicely
Super helpful review! I am binge watching all your videos, I’ve been on med-surg units for a while now and I’ve been away from ICU Stepdown, I feel rusty!
You've got A LOT to binge watch these days lol
I am following your lectures from Haiti. they are really helpful and I try to share them as much as possible with my friends.keep up the good work.
How cool! Hello in Haiti! I appreciate the shares and glad you like the videos. Thanks for taking the time to leave a comment!
Your videos are educative
This is wonderful! Thank you!
Happy to help Shellz!
Thank you
Thanks !
Thank you! I am a retired RN w/ Dialysis 25+ years. I love keeping current on all the critical care and EMS updates; I am CERT MedOps trained and volunteer in my community as a volunteer resource nurse.
Very cool! I'm sure I'll be the same way and still always wanting to stay current and aware of the current landscape. Glad you liked it.
Lovely and useful presentation 👌
Glad to hear this!
Great lecture and video.
Thank you:)
You're welcome. Glad you liked it! 😊
Have to recert my medic by exam this cycle, and this has been a very helpful video series. 🤙
Awesome. Glad you enjoyed the videos!
So nice video big thank
Thank you 😊
Hi thank you for your time and help very nice and helpful video
Glad you liked it!
As someone who took the ACLS course online for their first time, this video has been incredibly helpful! I go for my in-person skills check-off in a few days and I am so thankful to have come across your video.
So great to hear this Paige. Best of luck on your check-off and glad the video was helpful for you!
Very useful! Thank you!
Glad it was helpful!
Thank you. I was not updated with the new recommendation for Atropine and Dopamine. My ACLS is tomorrow!
Perfect timing! :)
I have exam after 5 days im listened to your lessons its better more than book . Thank you eddie .
Awesome! hope the exam went well!
You are a good teacher
Thank you so much Burton! Happy to be able to help.
EXCELLENT PRESENTATION
Thank you kindly!
Listening to this channel has been better than any music that I’ve listened to. Also, a message to Eddie, keep on keeping on. Your good habits will be showcased and appreciated, stay consistent you’re doing great things.
So awesome to hear Hassan! I'm really glad to hear that you like these videos and are finding them helpful! I really appreciate the kind words and I definitely plan to keep making more videos!
Thanks, it is useful
Thank you!
Youre welcome Grace!
Thanks. Awesome. Great grip to me
Great to hear!
Informative video
Love the.presentation!!!
Glad to hear this Jane!
thank you, very useful info
Thank you so much Fe! Really happy to hear this.
Thank you so much for this algorithm. I came across with severe sinus brady - in its high 20s with no change in pressures. It lasted about 10 minutes. The patient was covid - intubated, sedated and paralysed. It is good to know about symptomatic bradycardia and its clinical symptoms so I will know next time not to panic unnecessarily. Again, thank you for sharing this video.
More than glad to help! Honestly though, if I were in your shoes, I'd probably be panicking too! Even maintaining a good blood pressure, I'd be worried they would decline further and would hope to get the rate up. At 20 there most probably were compensation mechanisms going on as I'd be real shock that such a low HR would maintain adequate perfusion. That said, I've been surprised by many things before. Were they on pressors already? What lead to the bradycardia? Hypoxia related? Curious if you ended up doing anything, or if they just resolved on their own.
Yes, the patient was on a small dose of Norad and was deproned 10 hrs prior to. Apparently has had episodes of bradycardia before but not as low as it did. I ended up just doing an ECG though I was not able to capture it as it resolved on its own.
Great video
Thank you!
Excellent.
Q?
Pls remind us how to deliver the electrical pacing like dopamine or epi. Do we infused/mixed the dopa/epi first to a saline? If yes, what proportion?
If I do not have pump (not in icu setting) what is the effective way?
Again, thanks very much.
Wow, what a massive amount of informations, im an SSN in general medical ward and now rotating in cardiac allocation without any mintor around for 6 months - a self learner - gained all my informations from watching your videos.. Enjoying them all, keep doing it 💫 your doing a great thing to us
Thank you very much 🙏🏼 can you please explain VT with pulse
You are very welcome. That is actually coming next week!
thank you
YW!
Thanks for a great video
Glad you enjoyed it
Thank you so much
You are very welcome!
Thank you Icu nurse, studying
You are very welcome and best of luck on your studies!
Awesome, very very useful
Glad to hear it!
Well explain and understandble👍👍
Really happy to hear this!
Great lessons made so easy indeed.
New subscriber here from Dubai
Very cool! Welcome aboard!
All I can say is, thank you Eddie
You’re welcome! 😊
Very good thank you
Thank you!
Awsom Thank you very much
You are very welcome!
love it
One other point before I move on to see where the algorithm takes me next: Returning to your illustration of narrow complex 2:1 AVB, giving atropine or other agents that can increase sinus rate, but esp. atropine, to such a pt. can convert a minor or moderate problem to a severe, life-threatening crisis. The reason is that such a pt's. AV node is so dysfunctional (temporarily or permanently) that it can only conduct alternate beats. It needs that much recovery time between beats. If you accelerate the sinus rate, the AV node will have no time to recover conduction amid the frequent assaults from above. Asystole can result. Passing a temporary pacing electrode takes only a few minutes and keeps the pt. much safer.
Thank you so much sir for this.
You're not just a life saver… your indeed a liveS saver with this content.
May i also ask what software do you use for making this?
Wow, thank you so much for that! I just use Photoshop and screencast to an iPad to write with Apple Pencil.
I passed my nclex a few days ago and am currently using your materials to brush up for my interview with my local ED. Thank you!!
Awesome! Hope the interview went well!
@@ICUAdvantage thanks! I got the job and actually started today!
@@legolasgrof Heck yeah! Congrats!
@@legolasgrof what kind of questions they usually ask in the ED job interview?
@@doremifasolatido-ro7zs They asked about doses for some acls meds, important labs and initial treatment for sepsis, checking hospital protocol if you were unsure about doing something. They asked me about preping a hospital room and what the minimum necessary equiptment would be (working 02, suction etc.). They also asked about what the acls protocol for svt was. The last question was a multiple choice with three pts. One had new onset indigestion, one was a ped with a leg deformity, and the other was a copd pt with good vitals. They wanted me to identify the indigestion pt a candidate for chest pain protocol and the highest acuity pt.
Love how you teach, wondering if you can use visuals like showing the pacemakers, defibrillators, etc as you are reviewing which buttons to push?
Also, always wondered why we shock pulseless Vtach, isn't it just PEA? Can you give amiodarone right after epinephrine. Since they are different classes of drugs, why do we have to wait 3-5 minutes?
Thank you! I purposely avoid device specific stuff as these videos go out all over the world and the equipment varies so much from place to place. I try to focus on foundational info that can be applied to whatever equipment you use.
Also, Vtach is a disorganized rhythm that in most cases does not provide adequate perfusion. We want to stop that and allow the heart to resume a normal rhythm, hence the shock.
As for the the 3-5 minutes, I don't know if I have a great answer to that. I know over the years these guidelines were developed from evidence based research by the AHA, so I'm sure there is something there. Also, we have to look at 1/2 life. 1mg of Epinephrine is quite large, especially when we compare to doses we give in Epi drips. Probably wouldn't make any difference to give it more often. And any longer and we probably don't sustain the high levels needed to provide that necessary coronary perfusion.
Brilliant
Thank you!
What is the use of isoprenaline in Bradycardia?
great video! its so odd you got only 100+ views
Haha thank you! Well, it did just release ;)
Thanks for the update on the Atropine!
Good morning Mr.Eddie regarding the atropine as you said we have to start with 1mg first not with 0.5mg
But in our hospital there protocol they are started with 0.5 only then they are increasing the dosage so do you think it’s wrong or it’s ok and
Also why we have to started with 1mg direct not .5
Thank you Mr.Eddie so much for you incredible work
I'm just referring to the newest guidance from the AHA. They used to recommend 0.5mg but now the latest is 1mg.
Insane speaking skill
Thank you!
Just a quick comment - can consider dobutamine as well. one more thing stop the offending agent which is more likely cause than any other etiology in ICU. Great talk
Yes, but only in a stable Brady where we want to increase CO! Not the unstable, which is probably why that isn't mentioned in the ACLS algorithm recommendations. But yes, absolutely, treat the underlying cause. The great game of the ICU :)
Please elaborate how to increase dopamine and titrate it in full detail
czcams.com/video/yeeJDt966DU/video.html
Here's a good video where I give some insight on to titrating pressors which I think you might find helpful.