High-quality CPR and in-hospital adult resuscitation

– Hi, Mr. Jones, My name is Tekela. I’m gonna be your nurse today. Mr. Jones? Mr. Jones? Somebody call for a code! I can’t feel a pulse! – [Meredith] Okay, I got the
defib, they’re calling a code. I got the cuff, here you go. (machine beeping) – [Meredith] I’m gonna put the pads on. You know, if your
compressions are ineffective, it looks like you need
to get on the bed anyway. Why don’t you try that. Is it helping? – [Tekela] Yeah. – [Meredith] Okay, until I find a stool, as soon as I’m done hooking up the pads I’ll try to get one. – [Voiceover] Compress deeper. (machine beeping) – All right, get your cart. Do we have a rhythm? – [Meredith] We don’t, I
just attached the pads. I’m not quite sure what
his initial rhythm is. – All right, there,
we’re getting a signal. Can you hold compressions so
we can get a rhythm check? All right, looks like we have to get back on while we’re charging. All right, go ahead and clear. And shock, get back on the chest. – [Meredith] One, two,
three, four, five, six, seven, eight, nine, ten– – Great compressions, Meredith. – [Meredith] 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30. – Did the thing come undone? – [Meredith] One, two, three, four, five– – [Voiceover] Anesthesia! – We’re gonna need an airway. Mer, a little deeper
please on the compressions. – [Tekela] I’ll relieve you. – [Meredith] 21, 22, 23, 24, 25 26, 27, 28, 29, 30. One, two, three, four, five, six, seven, eight, nine, ten, 11, 12, 13, 14, 15, 16– – Go ahead and keep doing the compressions while he intubates. – [Tekela] I’m right behind you Meredith. – Do we have an airway? – We have an airway.
– A little deeper on the compressions please, excellent. Okay, we’re switching to continuous now. – [Meredith] One, two, three, go. I’ll get the BacAway. – We’re gonna deliver
another shock in 40 seconds. Slow down the ventilations,
make sure you’re only doing a breath every six or seven seconds. – [Tekela] Tell me when
you’re ready Meredith. – We lost the connector. Can you check all the connections, please. Great compressions. – [Meredith] On the count of three. One, two, three, up. Done. Do you want me to get any meds for you? – Excellent, I’d love another milligram of epinephrine and then we’re gonna go ahead and charge the defibrillator. Keep doing chest compressions. I’m gonna take a look at the rhythm. We’re not connected. Can you make sure my pads are on. Keep doing chest compressions. And I’m charging. – One milligram of epi given. – Excellent, all right, I need everyone to clear
so I can do a rhythm. All right, it looks like
we’ve got an organized rhythm. Can we feel for a pulse? – I feel a pulse.
– I also feel a pulse. – Excellent, excellent job. Okay, let’s cycle a blood pressure cuff.

23 thoughts on “High-quality CPR and in-hospital adult resuscitation

  1. Wrong– 1st check DNR in all elderly hospitalized pt — pulse-less non electrical activity is CPR with IV/IM epinephrine until Electrical activity -if V-tach then un-synchronized cardioversion if pulse = synchronized cardioversion –the chest compressions should be deep pushing to the Aorta direction (the idea is to pump blood to the aorta) make sure to inflat Patient with Oxygen – endotracheal entubation is best –

  2. Hello. tying to find out: are there signs or symptoms when an advance paramedic persone can look at a body and deem CPR as useless or ineffective. In other words, what are cases when no CPR is nedded, or it is an obligation to do it as by Samaritan law when on duty @ any time? Like if one collapsed, convulsed, voided bowels, turned gray and stop breathing and appears to be completely dead and the experience tells you the one is gone… would it be unethical to not to perform CPR on a corpse?

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