Emergency Cardioversion

I am forever grateful to this patient for allowing the team to record his cardioversion, as I am studying for my PALS this is very helpful. Thank you for uploading the video as well.

Oh hell no I’ll do the adenosine!

This happened to me. Zero risk factors. No history. Just happened one day. Went to ER and spent a night getting drugs to slow my heart rate down enough for cardioversion. Propofol, jolt, wake up, go home. Will likely never happen again.

Do you try giving some adosine?

BSI! but good job.

It’s like getting hit by a Mack truck

why the pt seems alert when HR @256, but confused when HR drop to 120?

Why no drugs?

Wow I have just found this channel it is amazing thank you

That shock seemed brutal. I was admitted into the hospital bc my heart rate was up in the 200. I wasn’t in any pain. They gave me 2 doses of some meds that made me feel like a horse was sitting on my chest. Then my heart rate decreasing back to the normal rate. The diagnosis was Super ventricular tachycardia.

Brave man,heroic staff.

I do not having a VT, but when I hardly run, My heart reaches 160-170 beats per minute.

Why is the ECG waveform so small?

Thank you from a nursing student.

That nurse touching his bloody arm with her bare hand ....

My partner’s driving and New Orleans’ streets once converted an SVT for me. Pt was tach-ing along at 200 and I was in back preparing to start my IV and give her adenosine when he hit a bump hard. She momentarily came up off the stretcher (yes she was strapped in but not tight) and when she slammed back down she converted to sinus rhythm.

Thanks drs and patient

Kinda late to the party. But are the limb leads flipped with the positive deflection in Avr?

How can he be so calm at that heart rate?

Boa noite alguém poderia me explicar que procedimento e esse ?

he was very chill until he denied that mask lol

I’ve got to have one of these with a TEE I’m having done in early June in about ten days.

Good video, but the individual pressing the shock button NEEDS to make sure everyone is clear before multiple patients develop.

Forget the Versed, Ketamine please!! He needs a banana bag for sure and maybe some more benzos for the withdrawal!

No mention by any staff member of giving the patient any pain medication.

When your heart rate exceeds the BPM of the techno music it’s time for cardioversion, brah.

236 to 127 on seconds. My Lord!

I thought this was some comedy skit
from the music in the beginning then he got serious

I hope he had a speedy recovery

Is it always necessary to call anestesiologist to give propofol, or you could give for example 2mg morfium or 0,5ml fentanyl before synchrone DC schock? And if TA is about 90/60, patient does not lose concious would you prefer prefer farmacological treatment or DC?

Thanks for the video!

Ty to this gentleman for allowing me to view this so that I can learn to help.

Thank you

The nurses are amazing

You forgot to say clear

why is the oxygen on during cardioversion??

Nice Video Dr Mellick, thank you so much for sharing it! I'm a nurse working on ambulance in italy, i have two question about this video: the first is: I know that the BP was too low and propofol was not indicated, why you didn't use a small bolus of benzos such as midazolam? And why provide high flow o2 with reservoir ? was the patient hypoxic befor the cardioversion or what? Thank you so much for any information!

Put a knob back on that MP30!

Great video but this is ER situation, put on gloves

the music at the beginning is kind of representing his heart lol

great videos really appreciate,,,i have going to emergency department tomorrow for rotation and its great help...love you guys

Why the hell don't they sedate him? Low blood pressure can be handled. And because he has VT, the blood pressure is low. Once you get it back to sync the pressure will rise. I'm an ER doc myself, and I've done countless cardioversions. But not once while the patient is awake. Wow, not nice at all.

I had 183 bpm Tuesday and have SVT and palpitations. I can't imagine 256!

why they didnt give him propofol before cardioversion or midazolam, of course he had hypotension because of hemodynamic instability and rapid heart rate

I did not like how rough they placed the breathing bag on this gentleman

My unit routinely uses Levophed before cardioversion if the pressure falls either due to the tachycardia itself or to counteract sedation-induced hypotension. This would have allowed you to use full sedation. Perhaps there was a reason you guys didn't want to use pressors, but to each their own.

No sedation?? Kim Jong-un would love this!

i have these happen and they are so scary. feel like im about to die, had a mini one sunday night this week, heart hit 150 for about 30 mins, flexed and stopped it.

The doctors and nurses were so great. This is the type of care i would want if i were in this situation.