RC (UK) Cardiac Arrest Management Demo

ResusCouncilUK
21 Apr 201709:47
EducationalLearning
32 Likes 10 Comments

TLDRThe transcript depicts a high-stakes emergency scenario where a team of medical professionals, including a resuscitation team leader, resource officer, and anaesthetic SPR, work cohesively to manage the case of a patient named Bernard who experienced cardiac arrest due to chest pain. Throughout the script, the team efficiently performs CPR, defibrillation, airway management, and administers necessary medications like adrenaline and amiodarone. They also consider and rule out potential causes such as hypothermia, hypoxia, and pneumothorax. The situation evolves positively as the team detects a return of spontaneous circulation, prompting a reassessment and further investigation through tests like a chest x-ray and ECG.

Takeaways
  • 👋 Introductions and role allocation mark the beginning of the resuscitation team's coordination.
  • 🚨 The patient, Bernard, was admitted with chest pain and found collapsed, indicating a cardiac arrest.
  • 📋 The team follows a structured approach, with specific roles for airway management, defibrillation, and chest compressions.
  • 💡 High-quality chest compressions and timely defibrillation attempts are crucial for patient recovery.
  • 🩺 The team performs CPR with appropriate oxygen support and airway management techniques.
  • 🌪️ The scenario involves rhythm checks and defibrillation, highlighting the importance of recognizing shockable rhythms.
  • 💊 Medications such as adrenaline and amiodarone are prepared and administered as part of the resuscitation efforts.
  • 🔍 The team considers various potential causes for the patient's condition, including thromboembolic events and cardiac tamponade.
  • 🏥 The resuscitation team works cohesively, involving other medical professionals such as the intensive care and cardiology teams.
  • 📈 Continuous monitoring and reassessment of the patient's condition, including vital signs and blood tests, guide the treatment plan.
  • 🎯 The team's goal shifts from immediate resuscitation to supporting spontaneous circulation and further assessment once a pulse is detected.
Q & A

  • What is the role of Mandy in the transcript?

    -Mandy is the resuscitation team leader in the given scenario.

  • What provider status does Keith have in the transcript?

    -Keith is introduced as the resource officer and an ALS provider.

  • What tasks are assigned to Yanni during the resuscitation?

    -Yanni is responsible for cannulation, initial blood fluid management, and swapping in and out with chest compressions.

  • What is the role of Isabel during the resuscitation?

    -Isabel is the anaesthetic SPR on call and later takes over airway management.

  • What is the initial complaint of the patient, Bernard?

    -Bernard was admitted with chest pain and subsequently found collapsed due to cardiac arrest.

  • What rhythm does the defibrillator show on the patient's heart?

    -The defibrillator shows a shockable rhythm on the patient's heart.

  • What medication is prepared for the patient in case of need?

    -1 milligram of adrenaline and 300 milligrams of amiodarone are prepared for potential administration.

  • What is the suspected primary cause of Bernard's condition?

    -The suspected primary cause is a thromboembolic event based on the history of chest pain.

  • What diagnostic tests are requested for Bernard?

    -A full 83 assessment, chest x-ray, 12-lead ECG, and focused cardiac ultrasound are requested.

  • What is the outcome of the resuscitation efforts?

    -Bernard shows signs of spontaneous circulation with a weak pulse and respiratory effort.

  • How does the team communicate and manage roles during the resuscitation?

    -The team communicates effectively, allocating roles and tasks, and periodically swapping duties to ensure continuous high-quality CPR and appropriate interventions.

Outlines
00:00
🚨 Resuscitation Team Introduction and Initial Actions

The script begins with a team introduction led by Mandy, the resuscitation team leader. The team members, including Keith, Yanni, and Isabel, state their names and provider statuses. They quickly allocate roles for managing a resuscitation scenario, with Keith handling defibrillation, Yanni taking care of cannulation and initial blood fluid, and Isabel being the anesthetic SPR on call. The team proceeds with CPR and airway management, while also preparing for potential defibrillation needs. The scenario involves a patient named Bernard who was admitted with chest pain and found collapsed, having experienced cardiac arrest. The team administers one shock with a defibrillator and continues CPR.

05:01
🏥 Ongoing Resuscitation Efforts and Medical Assessment

The second paragraph details the ongoing resuscitation efforts, with the team maintaining chest compressions and ventilation. They prepare and administer drugs such as adrenaline and amiodarone as part of the treatment protocol. The team also discusses the patient's history of chest pain and considers various potential causes for his condition, including thromboembolic events, toxins, and other possibilities. They perform continuous assessments, including blood tests and considering diagnostic tools like a focused cardiac ultrasound. The team manages the patient's airway, ventilation, and circulation while also coordinating with other medical personnel for further assistance and assessments.

Mindmap
Keywords
💡Resuscitation
Resuscitation refers to the process of reviving someone who is unconscious or has stopped breathing. In the context of the video, the resuscitation team is working to save a patient who has gone into cardiac arrest. This involves a series of coordinated efforts, including chest compressions, airway management, and the use of a defibrillator.
💡Defibrillation
Defibrillation is the act of using an electrical device, a defibrillator, to administer a shock to the heart in order to restore a normal heart rhythm, especially in cases of cardiac arrest. In the video, the resource officer Keith is responsible for managing the defibrillation, which is a critical part of the resuscitation process.
💡Cannulation
Cannulation is the medical procedure of inserting a cannula, a small tube, into a blood vessel to allow the withdrawal of blood or the injection of fluids. In the video, Yanni is tasked with cannulation to obtain blood samples for analysis and to administer fluids as part of the patient's care.
💡Airway Management
Airway management is a critical aspect of emergency medicine that involves ensuring that a patient's airway is clear and maintaining adequate ventilation. In the video, Isabel is asked to take over airway management, which includes using a bag-valve mask with oxygen and potentially securing a definitive airway with an endotracheal tube.
💡Cardiac Arrest
Cardiac arrest is a sudden loss of heart function, characterized by the heart's inability to pump blood effectively, leading to a stop in blood circulation and often resulting in loss of consciousness. In the video, Bernard is found in cardiac arrest, and the resuscitation team's primary goal is to restore his heart function.
💡Chest Compressions
Chest compressions are a vital part of CPR and resuscitation efforts, involving rhythmic pressing on the chest to maintain blood flow when the heart is not beating effectively. In the video, the team members are instructed to perform continuous chest compressions to keep blood circulating through the patient's body during the resuscitation process.
💡Rhythm Check
A rhythm check in the context of resuscitation refers to the monitoring of the patient's heart rhythm, typically using a defibrillator or ECG monitor, to determine if the heart is beating effectively or if it is in a shockable or non-shockable rhythm. In the video, rhythm checks are crucial for deciding whether defibrillation is required.
💡Ventilation
Ventilation refers to the process of providing artificial breathing or respiration to a patient who is unable to breathe on their own. In the video, the resuscitation team manages the patient's ventilation by using a bag-valve mask and later by securing an airway with an endotracheal tube.
💡Medications
Medications play a critical role in the resuscitation process, especially in the treatment of cardiac arrest. In the video, the team prepares and administers drugs such as adrenaline and amiodarone to help restore the patient's heart rhythm and improve circulation.
💡Focused Cardiac Ultrasound
Focused Cardiac Ultrasound (FCUS) is a point-of-care ultrasound examination used to quickly assess a patient's heart function in emergency situations. In the video, the team leader requests an FCUS to further investigate the potential causes of the cardiac arrest, such as cardiac tamponade.
💡Tetanus
Tetanus, also known as lockjaw, is a serious bacterial infection that causes painful muscle contractions, particularly around the jaw and neck. In the context of the video, tetanus is considered as a potential differential diagnosis for the patient's condition, although it is later ruled out based on the patient's symptoms and presentation.
Highlights

Introduction of team members and their roles in resuscitation efforts.

Allocation of specific tasks such as airway management, defibrillation, and chest compressions.

Mandy's leadership in coordinating the resuscitation team and managing the situation.

Use of advanced medical equipment like the defibrillator and the bank valve mask with oxygen.

CPR (Cardiopulmonary Resuscitation) being performed with precision and the team's readiness to deliver a shock.

Recognition of a shockable rhythm on the defibrillator and the team's response to continue CPR.

Isabel's role as the anaesthetic SPR on call and her involvement in airway management.

Yanni's responsibility for cannulation, blood fluid management, and chest compressions.

The team's efficient communication and coordination during the rhythm check and medication administration.

Preparation and administration of adrenaline and amiodarone to the patient.

Consideration of potential causes of the patient's condition, such as thromboembolic events and cardiac tamponade.

Request for a focused cardiac ultrasound to further investigate the patient's condition.

The team's shift to non-shockable rhythm management and the decision-making process.

Successful resuscitation efforts leading to the patient's spontaneous circulation and the team's subsequent actions.

The team's request for additional medical assessments like a chest x-ray and a 12-lead ECG.

Coordination with family and other medical teams indicating a collaborative approach to patient care.

Transcripts

Browse More Related Video

Cardiac Arrest and ALS (Code Blue) Simulation - Training Video with Questions

Mock Code Training Video

Code Blue

Interprofessional CPR Team Behavior Simulations: Facilitating and Debriefing

CARDIAC ARREST EMERGENCY MANAGEMENT, UNCONSCIOUS PULSELESS PATIENT TREATMENT ACLS RHYTHM REVIEW 2021

Cardiac arrest, reversable causes and prevention

Rate This

5.0 / 5 (0 votes)

Thanks for rating:

Related Tags
MedicalEmergencyTeamworkCPRDefibrillationAirwayManagementCardiacArrestSimulationHealthcareProfessionalsEmergencyMedicineLifesaving