 As you can see, I've just had our advanced life support skills session today. Now, we've always had basic life support, we've never gone into using the D segment, addrennalling, putting fluids up, bloods up, when and how to do those sorts of things. So this session was really, really good because I've never experienced a cardiac arrest before. I have done the training, I've done the life support training at the QE hospital for my job and that includes the routine of using the D for help, that's it. Ond rym ni ddim yn gallu ar hyn o'ch ddeinolau a llwyddiadus, ddim os o'n mynd i'r ddarffnodd. Mae'n holl o'n ziwethaf, oherwydd 1-a pwn i ddim oherwydd hynny Move 2-a pwn i ddim o'r dwylliant 3-a perffodus newid o'r dweud. Dwy mor dweud o'r dweud i'r dweud i'ch dweud a'r dweud, rwy'n byw edrych. 5-a pa wneud system cyflwyth tamers. Mae'n ddim oherwydd gan y modd o'r dweud fel dynnu i ddweud o'r dweud. i.ddydd yn y cyfrifol, yn cyf....... ymdweithio ond iddyn nhw yw'r hiartraeth o'r mynd yma.üyddiwch i'r ffifol Cymru! Felly, mae'r ei wneud eich wneud yw gyfo gylwadlawm i'r hynny i ddweud y rhywbeth a penderfynol i ffordd y pryd cilydd yn waith ym IPO ac efallai mae yn ein ffifol bod rhywbeth sy'n bobl oedd. Dwi gyd fel ei wneud hynny, nad oedd y cysylltu i chi a ddod i W습ol. gallwch y ffibwyr ar y ryddwyr hynny, bo'r ffibwyr yw hwn yn gwybod i'r ffibwyr, mae'n gwybod i'r ffibwyr, gallwn i'r ffibwyr, rwy'n gallu plwyd yn gwybod i'r ffibwyr, rwy'n gallu gwybod i'r ffibwyr, felly yn y ffrif yn fwy wahanol, y bydd yn y rhai cyfrwyr, yw'r bydd yn y dyfodol yw'r ffibwyr, llywod i'r ffibwyr, yw'r sade, rhai cyfrwyr, rhai cyfrwyr, allwn arddangos, i elu y rhai o gwybod, oed yn gwneud o'r ffordd y gallwn yn ymarfer, a rhai o'r ddych chi'n gwybod i'r rhai o'r rhai o'r ffordd. Felly y bydd y bydd y bydd y bydd y bydd gyda'r rhai o'r rhai o'r bydd. Felly mae hynny'n gwybod i'n rhai oherwydd eich bod oed yn gwybod i'r ffordd i'r rhai o'r bydd i'r ffordd i'r hynny. Rydyn ni'n gwybod i'r rhai o'r ffordd i'r hynny. Ieith ymddai bod y prifysgol yw'r hyffordd. I know it's amazing so if someone has flat lined no rhythm no electric poles don't use a defib because there's no point it's not going to restart the heart you just literally just getting on to the chest compressions you still do that still do your chest compressions and breaths but you won't use the electric impulse because there's no electrical activity going on in the heart if that makes sense so that's when you would use a defib is when there is electrical activity in the heart and you're just going to boom boom readjust that hopefully but yeah um today's session was really really useful like I said last week about my ecgs and not understanding I still don't really understand interpreting the squiggly line bits I'm sure there's a proper name for it squiggly line bits is good for me um and I really need to look into and revise and get on youtube still because I haven't done that over the weekend but I will do it today because I've got some time so apparently there's two types of rhythms that you can shock and there's two types of rhythms that you do not shock and that's what I need to look into I need to recognise the rhythm recognise the signs and know if I can shock the patient or not so I need to look into that I didn't know this this was new information and yeah so and then there's different types of reasons why that person's gone into cardiac arrest so it's trying to figure out that as well is it because they've gone into hypervolemic shops so then you want to get the fluids in is it a thrombus so if they had a heart attack as a result of a blood clot trying to sort of fix the initial problem I suppose it's like a root cause analysis you're working your way backwards to find out what the root cause is fix that and the rest will solve itself something like that but yeah all in all today was a great session tomorrow we've got a whole day of policy and politics which is policy and politics I'm not going to go on about that again because I keep talking to you every week about policy and politics also today I had a meeting with our personal development department so this is a really really good idea if you have written an assignment whether you are bad at assignments whether you're good at assignments it's really really useful to go to your personal development department and get them to check over and check it for you because I found I've written my assignment and I'm thinking yeah this sounds good I'm hitting the money here I think this sounds really good actually when I went today and she pointed out a few things that I'd done wrong I hadn't even noticed things like in my introduction I had put this assignment will be just discussing blah blah blah sounds good right sounds normal no that's past tense and I didn't even realise I've done it she was like no you need to put this essay will discuss an experience that's happened blah blah blah and stop talking about past tense in your introduction because it's not past tense in the introduction and I didn't even pick up on that and I was like wow do you know what I've been focusing so much on my main body of the assignment I've never thought about a good introduction or a good conclusion so now I need to up the game and I've got quite a few edits to make because apparently in my reflection bit I haven't talked about my thoughts and feelings enough in the first section so I need to edit all but apart from that really really good I love cnpd and they are amazing and just like I've just shown I thought I was doing really well in that assignment but I thought I'll just check it just in case because I'm finding this too easy which is usually a bad sign I think so yeah so it just shows it doesn't matter how well you're doing or how bad you think you're doing go and get someone to proofread it and just check it over because they might see something that you you're not seeing at that time like me so that's it I'm going to stop talking now so that's it and today we've got all day physiology and I've got the dentist again just to um I've got a feeling yeah we won't talk about that right now but anyway yeah I'll see you all tomorrow guys so it is now Wednesday I've just been to the dentist and I thought it'd be a great idea to do a vlog with half my face numb I don't know why but I'm gonna give it a go count how many times I bite my tongue and mouth or I'll also try and do this and we'll see so today we had our physiology sessions which is our lovely Mary she's not a problem she's lovely stop it yeah I'm still not keen on Mary but today in our second session actually all of today actually made sense so I was like yeah okay we can understand this this is bringing back some of the physiology from the other case studies so today we were talking about the immune response because now Mary she's had her oh gosh what did they call it burahola I can't remember burahola I'll put the real word there because I'm not going to google it now um but it's where they drill a hole into the skull to relieve the pressure because she's got this subdural hematoma that's what that's called and then they do a craniotomy something like that's one of those words again I'm going to put it in there where they literally remove the skull and the flap and they suck all of the blood out basically it's what they do it was a really great video to watch we watched that in our first lecture this morning so she's had that operation now so we've relieved that we've sorted out a hematoma and now we've given us some IV antibiotics this isn't real life this is just in theory and now she's had an anaphylactic shock reaction to the antibiotics because obviously this subdural hematoma wasn't enough for Mary so we're going to throw something else at her so she's had an anaphylaxis and now we have to manage that so we went into the immune response bronchoconstriction vasodilation leki capillaries respiratory's going up because of the co2 and the o2 lack of o2 high co2 bronchoconstriction so her bronchoconstriction is impairing her gaseous exchange so less co2 getting out less o2 going in which means an increase in co2 which means a decrease in bh I know I'm going too fast sorry so yeah so that's what we did today and that I can do I can do the inflammatory response I can do respiratory rates I can do anything to do respiratory but the whole subdural cranial pressure mathematic equations it baffles me it does baffle me so today I did understand it and I was relieved I was like yes okay I understand this still don't want Mary as part of the exam but tomorrow we're going to find out who it is who we've got for our exam fingers crossed come on pray pray it's Arthur come on Arthur come on anyone but Mary please so then I had to dash at the end of the lecture had to go to my dentist had a feeling my mouth still numb it's five o'clock now don't know how I'm going to eat dinner a bit my tongue I think about three times because you can just kind of feel it but it doesn't hurt because there's no pain there but yeah apart from that dentist was all right I've talked too much about dentists so yeah so that's it for today I shall see you all tomorrow and hopefully it's going to be a good day it is our last physiology sessions tomorrow of forever our last physiology forever forever forever forever I know what am I going to do when there's no physiology I've got no idea what I might start doing between now and our exam is doing like I'm going to do I said this I was going to do some revision session blogs so I might do some revision session blogs and start explaining it over camera to you and hopefully that's going to help me because I'm teaching you it's going to help me jog my memory and help me with my exam hopefully so I will do that maybe as a weekly thing we'll see how it goes I'm hoping I'm going to get it all right and not teach you wrong I'm not going to do that I'm going to pass this exam get those grades come on I shall see you all tomorrow fingers crossed we've got some good news tomorrow you should be seeing a smile I won't try not smile it's going to be wonky isn't it oh they're not too bad yeah I'll see you all tomorrow is Mary this isn't looking good it's going to be feel it's going to be feel it's going to be it's going to be with Mary yeah oh my gosh second case would come on offer please oh come on Steve come on Steve oh god so come on please offer so as you just saw we got Betty and Mary the two hardest possible case studies who did I say I didn't want Betty Mary's worst case scenario has just happened oh no no what to say um okay so on my bus journey home I have been thinking about it despite being stressed and panicking about this next exam because I'm going to have to revise probably three times as much as I plan to because I was so convinced that we had offer and I was really really wanting offer but sailor v that's life now we have to make the best out of a really bad situation so I think about Betty I think I said I might have said this in a previous video if I didn't say in a previous video I must have said it to my friends during the time when we were talking about Betty but with Betty Betty is going to be really good to write for the exam because she's got a lot more going on she's got a lot more problems going on she's got a lot more physiological changes she's got a lot more medications and things like that so she's going to be really good for explaining and rationalising what's going on in the body and be sort of critical analysing all of it and that's what Betty's going to be good for and I did say that back then so whether that was me jinxing myself back then who knows but either way we've got Betty and Mary not a chance I'm going to do Mary did I understand Mary not really oh actually no sorry rewind did I understand Mary yes I did today so I was telling you that I didn't understand about the ICP in cranial pressure the cpp cerebral perfusion pressure something like that oh my god I can't remember anyway today our wonderful lecturer who's amazing big it up for Steve fantastic lecturer he explained it again but he first explained what cpp actually is which we didn't know and I think that's where he might have went wrong last time was that I think maybe he might have just assumed that we knew what that was and I mean I don't know what it was maybe other people did but I didn't have a clue I was like what is this cpp what are you going on about ICP cpp no idea ATP that I know um so yeah so he was saying the cpp is basically the cerebral perfusion pressure I've got a feeling it's pressure I'll put it there like always when I don't get it right so yeah so basically that means because of Mary's sub-dural hematoma it's got blood on the brain um it's causing a barrier it's causing a blockage to the brain so that means there's not no blood passing through the brain the blood the fresh blood coming in um can't cross over and perfuse the brain as it should with oxygen so there's no blood getting to the brain there's no oxygen lack of oxygen all of that jazz so then because the body physiologically the body's responding to this by saying oh my god the brain's got no oxygen we need oxygen what we're going to do we're going to increase blood pressure so we're going to increase the stroke volume circulatory volume so we're going to get the heart pumping faster to get more blood out to get the blood to the brain to get more oxygen and all that blood's going to the brain it can't go anywhere so it's causing a higher increase in pressure to the brain and again that it's just a vicious circle so it's not going in there's no oxygen so again it's sending another signal to increase the blood volume get the more volume and it's going to go up and up and then she's going to be in all sorts of trouble so that I understood today and I explained it to you so that's a bonus with Mary I still don't think I know enough about Mary and I don't feel confident with the full terminology because I really struggle's words for me I've got to go betty I think I will do better on betty better on betty that sounds nice better on betty I'll do better on betty than Mary either way semi doomed with this exam now but I've just got to make sure now I've spent the next five weeks revising revising revising practising writing it writing it writing it so that I get it right for the exam and hopefully I'm going to be all right fingers crossed that is a little bit of sad news for the week I'm really sorry guys but we've got to do it there's nothing I can do about it me stressing is not going to change the exam it's not going to change the outcome I've just got to make sure I'm on my A game get the revision in make sure I'm on the money with this exam fingers crossed we can do this I can do this we can do this my group at uni are going to do this because we're all going to support each other in this we're all going to feedback off each other we've already set up some revision sessions together we're going to hopefully smash the exam fingers crossed pray for us guys so yeah so next week is dedicated to revision flash card making all of that jazz I'll do some revision session videos for you and next Sunday will be I think a revision session maybe so a bit of physiology on acute coronary syndrome and renal function because she's got an impaired renal she's got chronic kidney disease and acute kidney injury as well as her MI so you're all going to learn about that I hope you're ready for it I hope you're ready to learn with me hope I can teach you well and teach myself it's going to help me revise so thanks guys so yeah so have a great day have a great Sunday have a great week and I'll see you all next week