ACLS Megacode 2010 Guildlines Treating V-Fib

This is a perfect resuscitation according to the American Heart Association guidlines. 100% They are seven seconds off of flawless!

Category:

Education

Tags:

• Arrest

[BoscoWillaby]

They don't check the rhythm before giving the second or third shock

[MasterTrainInc]

@BoscoWillaby

They stop CPR, she looks at the monitor over the patient's bed where she sees V-Fib and orders a shock.

[nursemell2000]

Uh oh! They didn't switch compressors after the first 5 cycles of CPR... Tisk, Tisk...

[MasterTrainInc]

You are correct. However, high-quality chest compressions were started within 20 seconds of the arrest and they were effective. Anthony is going to medical school to become an E.D. doctor. He is a pretty big guy and he does really good CPR. He took us to the first shock. He wasn't winded so he continued to the second assessment. How do we know his compressions are effective? Because we use a high fidelity simulator!

[captmercer]

@Jordanld Ok well apparently you dont know what the hell your talking about either. I have pushed so many damn code drugs without a "special" "MD, DO, RN, or any other Advanced care provider" that I have lost count. Who gives a damn what they want. Last time I checked the "DR" was not out in the freezing cold working his ass off trying to revive some one in their home. Oh and BTW, EPI and AMI, would be the first line drug pushes in certain codes! Stupid Idiot!! From all my fellow MEDICS and FF.

[kjd208]

@BoscoWillaby what about a blood sugar...he is a diabetic...coma??

[TheBrewingMedic]

@jordanld, sorry man but you made yourself look ridiculous with your "when is the last time a medic pushed epi or amiodirone" comment. We carry anywhere from 30 to 50+ emergency medications depending on the agency you work for. Cardiac meds are a huge part of that, Epi, Vasopressin, Amiodirone, Lidocaine, Atropine (recently removed from ACLS protocol) are the heart of our "Code" drugs, next you'll say we dont intubate, stop now we carry a full array of ET tubes, combitubes and the new I-gels

[TheBrewingMedic]

@903629338, starting a peripheral line in a "clinical" setting aka, moving ambulance is not that difficult, and doing so during compressions is actually helpful as you only get flash if blood is moving. As an ACLS instructor I could list a half dozen errors in their near "flawless" performance, although it was done well enough to pass

[andrewsapirate]

@Jordanld are you an idiot? Medic's push drugs all of the time, especially the drugs you mentioned in certain codes. I work in a county ambulance service, and the town hospital will often call medics to do intubation for the because of a medics experience. You have absolutely no idea what you are talking about. You are just another snob in med school excited for the day someone calls you Dr. Dickface. Medics don't do this shit for the money, you do. ASSHOLE

[andrewsapirate]

@captmercer I love you!

[903629338]

In real clinical situation, it's really hard to put on an IV line during chest compression!

[tweakz20]

what's the point of using a device to set the beat if the dude completely ignores it

[mypawgi]

@Jordanld

have you ever tried doing ASSESSMENT, CPR, INTUBATION, IV INSERTION, and VENTILATION in a MOVING AMBULANCE...i bet NOT...we MEDICS respect the DOCTORS and RN's because we're in the same field...but in terms of the superiority in ACLS...i must agree...EMT/PARAMEDICS can do it ALONE...while our partner is driving...and in a UNCONTROLLED ENVIRONMENT...not like in the HOSPITAL SETTING (which is a CONTROLLED ENVIRONMENT) where u need 8-12 persons

but hats off to EMT, RNs & DOCs

[kingbear3472]

@Jordanld You have NO idea what you are talking about.....Medics do it ALL in a uncontrolled setting!!