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Neonatal Reanimation algorithm
So I’m finally free of exams! I’m a certified ACLS (AHA) caregiver too
Really excited to start clerkships in a month! This is a new milestone in my journey to MD! . Algoritmos ReNeo
¡Soy libre de exámenes y estoy oficialmente certificada por la AHA así que es oficialmente vacaciones!
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Como agradecimiento por este semestre estoy pensando en compartirles algunos de mis apuntes ¿Cual te gustaría?
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#creativegram #studygram #acls #americanheartassociation #medschool
Getting up to date training on Lucas, the machine driven CPR chest thumper. These awesome machines allow for continuous chest compressions even when shocking the patient. They also save clinicians from exhaustion. .
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#cpr #rn #cardiaccathlab #ccl #rcis #ccrn #secondscount #savinglives #lucas #acls #bls #medicine #nursing #cci #cardiology #allclear
In my opinion Intraosseous access is a very underutilized option despite numerous positive studies, the ease & speed of placement & the fact that any drug that is given IV can be given via IO.
I have worked at numerous trauma facilities & the use of IO’s varied at each. Some rarely, if ever used IOs & would opt to achieve a central line instead (which is fine but takes time). Some did not let nurses perform IO (IO insertion is within the scope of an RN & paramedic but protocols differ) & some inserted an IO into any patient that traditional access was attempted, failed & the patient needed treatment now. The latter is how it should be...EVERYWHERE!
An IO is not as scary as it looks & when done properly actually is reported to be less painful than an ABG.
The main purpose of an IO is to gain quick & effective vascular access in an urgent situation. The IO needle is inserted into the non-collapsible venous plexus of the bone marrow resulting in a safe, reliable & rapid access route. They can be performed on any age group & inserted in 4 landmarks, the Proximal humerus, the proximal tibia, the distal tibia & in pediatrics only, the distal femur. The proximal humerus is the best location as it has the highest flow rate, is the least painful & delivers drugs to central circulation in 3 seconds. Unfortunately this location is difficult during a code due to CPR & the number of residents in your way. Thus, the most common spot is the proximal tibia which also happens to be the easiest landmark to find.
The EZ-IO needles are all 15G & vary in length by weight/common sense. They are color coded but have no correlation to gauge size. Once the needle has been inserted, it should be secured.
As I mentioned above, insertion of the IO is actually not very painful. That being said, the initial flush & subsequent drug boluses are “OMG HOLY SHIT WHAT IS HAPPENING MY STAB WOUNDS NO LONGER HURT JUST THIS” Painful. Thus, on a conscious patient the extension set should be primed with 2% Lidocaine & 40mg (0.5mg/kg pediatric) infused slowly.
The IO can be used for 24hrs & then removed. Want to learn more? Click the link in my bio!
It’s Nurse’s Week, baby!
12 hour shifts, mostly on our feet, often spent covered in bodily fluids, wiping butts, saving lives, welcoming new ones, other times being there to say, “goodbye,” to others. We cope with things we’ve seen with a twisted sense of humor, but remain true to our calling to help and care for others, and do our best to leave it at the door when we get home. We’re always tired, hungry, and most likely have to pee. #nursesbaldder
We’re a crazy bunch doing what we do, and I can guarantee none of us would have it any other way! So, tell the nurse(s) in your life thank you! Maybe give them a hug, some food, a drink (or two lol), or maybe just let ‘em sleeeeeep. Here’s to nurses everywhere! May we keep the crazy that is life going by providing the care we’re lucky to give to others every shift we work! ⚕️ #nationalnursesweek
CODE BLUE! Today’s lesson - ventricular tachycardia/ventricular fibrillation. Swipe left and educate yourself on how to recognize and treat it. POP QUIZ (2 questions):
Q1. After an axillary nerve block with 35cc 0.5% Ropivacaine a 45kg alcoholic woman becomes confused, hypotensive and develops VENTRICULAR FIBRILLATION, what would you give her?
A. 40mcg epinephrine IV
B. 1mg epinephrine IV
C. 40units vasopressin
D. Synchronized cardioversion
E. 100mg propofol bolus
Q2. WHY DID SHE DEVELOP V FIB?
A. Hypotension
B. Alcohol withdrawal
C. Local anesthetic systemic toxicity
D. Delirium tremens
E. Ropivacaine allergy
KEEP READING ⬇️ then SWIPE LEFT.
FREE ACLS, BLS, PALS or CPR, AED & First Aid certifications or recertification courses on NHCPS.com/doctorjarrett for FREE, no catch, just FREE! @NHCPS is a nationally accepted certification provider committed to providing health care education to all in partnership with the @DisqueFoundation #SaveaLifeInitiative Learn life saving skills you need to know in case of an emergency. #savealife freecpr
POP QUIZ ANSWERS WILL BE POSTED IN COMMENTS. (Update: vasopressin removed from ACLS guidelines - disregard vasopressin in 4th slide).
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#heartbroken # #meded #Anesthesiologist #BuzzFeedHealth #Doctors #studygram #doctorlife #medstudent #usmle #comlex #medicalschool #medschoollife #nursehumor #nurselife #medical #futuredoctor #hospital #Miami #cardiology #cardiacanesthesia #cardiologist #acls #cpr #codeblue #emergencymedicine #anesthesiaall #anesthesialife
What do we have here, What are our treatment options, and how do we ensure the most appropriate care is delivered to our patients?
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This rhythm is commonly known as SVT or Supraventricular tachycardia. Why? Well because it arrises from a conduction issue within the atria or the atrioventricular node which are all above the ventricles in the heart!
Treatment first starts with identifying what your patient looks like! Remember, treat the patient not the monitor. Ensure that the rhythm is not being generated by some outside force or artifact.
Symptoms can vary, from none at all to chest pain, shortness of breath, palpitations, dizziness and even syncope (you know passing out). ⚡️
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If asymptomatic, there is no harm in trying some vagal maneuvers. This works more often in children, but if it does work then you are done here! If not, medication will be needed. Because it is a regular narrow complex rhythm, Adenosine is the ACLS drug of choice and is given IV push RAPIDLY. First dose is 6mg, and if no change, then 12mg. Adenosine has an insanely short half life in the blood stream, hence the need for rapid push. Also, know that a sphincter puckering moment will occur where the heart rhythm is lost for a few seconds while it “resets” it’s conductions.
If the patient is displaying hypotension, poor perfusion, severe chest pain, or acute heart failure, then they are considered symptomatic and synchronized cardioversion at 50-100joules is advised and most effective!
Remember just because they are symptomatic, doesn’t mean they aren’t awake and oriented so consider versed or ketamine prior to pumping that much electricity through someone’s chest! ⚡️
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Finally, and as always, remember that if a pulse is lost at anytime, begin compressions!
Go ahead and follow my business page too @keepthebeatcpr
Quando eu vi a cena (tava trocando de canal), peguei o celular p gravar pq já imaginava o desfecho... a cena é de ficção, não tem sentido ficar analisando os 47 erros!!! mas dá p tirar um aprendizado bacana sobre o tipo de Parada de maior incidência nas novelas... a Assistolia, confira!! #emergencia #pcr #sav #acls #aha #enfermagem #topissima #assistolia
Collecter les statistiques #ACLS effectuez une recherche à l'obtention des statistiques (Aller à la sélection).