ACLS ECG Recognition SVT- Classes Sacramento

[swentsetal]

same like in this video (but with meds)

[swentsetal]

Because you had SVT and they needed to chemically cardiovert you

[loescheimer]

Very interesting video; thank you

[IanHomichRPSGT]

Great video, thanks for posting!

@tayman1975...this video would feel like a vibration; if your heart was really "vibrating" for 5 minutes as in VFib, as also seen in this video, you would not be feeling that for very long at all! :) @usmcwifey9609: awesome, DDs are cool. I don't "need" to know them, but then again, I like that kind of stuff, and I suppose it never hurts to know it. Thanks!

[jjovereats]

@myself Continuing on... Order (cont):

Doctor: Well, you had an SVT, then you fibrillated, then you had a slow heart, then you're here!

[jjovereats]

Order:

Supra-V. Tach

V. fib (not good, shock him again)

Sinus Bradycardia (is he conscious?)

Sinus regular (Hello, YAWN what DEEP BREATH in the heck BREATHE OUT happened there?)

[tayman1975]

Mine felt twice as fast as this. Is this even possible. It just felt like a vibration for almost 5 minutes straight.

[Thegamer4447]

is that tachycardia btw im not a doctor im training atg the age of 11

[Carloscofradebetis94]

es grave esto?

[LucidExposure]

Get the ACLS manual for cheap here:

cgi.ebay.com/ACLS-Provider-Man­ual-/220729672762?pt=US_Texboo­k_Education&hash=item336483843­a#ht_500wt_1156

[yonigga223]

At 2:00 the patient needs .5mg atropine, a fluid bolus I'd do my calculations for 5mcg/kg dopamine(wouldn't start it until patient non-responsive to atropine and pacing.)

[UTubeLightBulb]

Woah, that's a faced hardrate.

[Crackerton0006]

Had emerg cardioversion pulseless due to many complications from congenital condition and just the sound is FREAKIN me out!

[kittycountry2010]

...

[healer378]

In any case Adenosine is better than shock, even in sympotamotic pt whom are still awake, because shock can convert it (at times) to v-fib or even asystole!!

[usmcwifey9609]

hi, i am a 20 year old female who has experience svt (began in feb 2010). never had a previous histoty of any health problems, i have had hormone levels tested, multiple ecco's that were normal, numerous ekgs that were all in normal sinus rhythm.. just too fast. recently had an mri of my heart (all was normal).. have had adrenaline studies done (all normal), had thyroid checked mulitiple times...

had three major episodes of svt (bpm on average 170/180's)

any advice or help you can offer?

[EasyCompany911]

@usmcwifey9609 mayo clinic they are your best bet of finding out.

[yonigga223]

@usmcwifey9609 differential diagnosis of intermittent svt: pheochromocytoma-(surgery to remove the tumor from your adrenal gland)cushing's syndrome(surgery to remove tumor from pituitary) -chronic anxiety-excess chemical stimulation(caffeine, cocaine, others)- von hippel lindau disease- wolf parkinson white syndrome-(cardiac ablation to cure this) and previous silent myocardial infarction which has led to injury and consequent dysfunction of the cardiac muscle. sorry not enough room.

[yonigga223]

@healer378 Symptomatic patients yes, unstable or hemodynamically compromised patients no. If your patient is awake and complaining about discomfort or trouble breathing but that pressure is fine or borderline, give him the 6mg adenosine. If the patient is diaphoretic, altered and hypotensive, then you have to take a more aggressive stance against the arrhythmia or risk hypoperfusing the patient's vital organs.

[HeavenlyH3R0]

i had SVT when i was like 9 years old and mine went up to over over 250 bpm i had the surgery all fine now

[yonigga223]

@HeavenlyH3R0 You gotta love cardiologists!

[MultiNerve]

Holy shit his heart rate was over 225?

[ladymae88]

nice....

[realized087]

How many joules are you going to cardiovert d pt., who is unstable with SVT?.

[lltomich]

Oh, yeah, I remember having this for years. Like someone else said, thank you medical science for my ablation...SVT's are no fun. Hey, Maria, if you are still around you want an ablation for WPW it's a pretty dangerous SVT. Do it...don't mess with WPW. An ablation is a no-brainer, a couple hours and you get your life back!

[etherealbylar]

Last Question, has

A) Unsyncronized cardioversion

B) CPR

C) Defibrilation

D) A or B

Answer cannot be "D" 'cos it says -A or B-

In this case change the order in answers, making it match with the answer, change actual answer D, to the B place.

[slyrocks3]

72bpm is my normal heart rate,I can tell because I compared it with the video.

(I'm 10 yrs. old.)

[Parizeau21]

That was me on the first clip during the ambulance ride. 225-242 heart beat ftw woohooo....Worst feeling EVER.

The ablation changed my life so thank you science!

[partyender13]

helo

im willing to do this ablation so what ever ??

whats ur advice ?

i have svt it occurs rarely but its a pain in the ass u know what i mean !

[joecalifa]

Hey I loved the brazilian song you had , cool, keep up the good work.

[nicolesmith101]

I had the condition of SVT for years. Im only 21. I got pregnant and had my baby of sept 08. During my PG, My SVT went crazy. I had to take heart medication. After I had my baby, about 2weeks later, I finally had an ablation. It didnt work. It didnt fix the prob. Its been a year later, I have the choice to have the surgury again, but my chances of needing a pace-maker increase. Having SVT sucks. It affects alot of things involving ur everyday life.

[maria39208]

@nicolesmith101 I have WPW & they want ME to have the ablation. I don't know. One doctor says it's not an emergency, & one doctor says different.

[vitalethics]

Treatment for hemodynamically unstable patients with SVT (with pulses) is "immediate" syncronized cardioversion. Valsalva/vagal maneuvers are treatment that is "attempted" for "stable" patients. In which case if vagals do not work, adenosine is the next appropriate intervention per current ACLS guidelines.

Electricity is not a bad thing.......its a good thing...on the right patient.

[angelsgurl]

Do you know how truly helpful this was?? I'm a nursing student with a test tommorow in Critical Care...Cardio & Renal. O_O

THANKS!

[NDPofNovaScotia]

@vitalethics

I went to the hospital with a heart rate of about 200 yesterday, and was given adenosine immediately? Why would this be?

[bouncingfish]

not necessary to get the paddles, SVT usually self resolves with the valsalva manouver :D

[virtualetude]

OMG get the paddles, synchronized cardioversion!