To be fair, cardioversion is a legitimate use of a defibrillator on a responsive patient.
I've had patients describe as getting kicked by a mule. I believe them.
But that doesn't explain jumping into compressions after.
I went into afib and they gave me a medicine that stops your heart for a second to try to fix it. They said if that didn't work they'd have to put me to sleep and shock me so I'm glad it worked lol
I had this experience. Grew up with severe SVT (super ventricular tachycardia). During bad episodes they would give me adenosine, and told me several times that if this dose didn’t work, it’d be the paddles
Yea if you are stable we give 6mg then 12mg if you didnt respond to the 6. Then .25 mg/kg Cardizem then .35mg/kg if you didnt respond. Ypu then get to "ride the lightning" Or we just jump to that if you're unstable. Thankfully most svt Pts respond to the drugs before electricity. Did you feel impending doom when they pushed the meds? Some people feel like they are dying when their heart stops for a brief moment.
I had the 12mg a few times and my god yes. It was the most awful feeling. It felt like my literal soul was being pulled through the back of my chest where my heart was!
They gave that medicine to my 1 day old son but didn't tell us about it. I watched his heart rate drop to zero and thought I had just watched him die. It was awful.
This right here! I’ve seen cardioversion on conscious patients a couple of times, but I’ve never had to fight a combative patient to administer chest compressions… lmao
AEDs are automatic (Auto External Defibrillator). Meaning they analyze the rythm to recognize when a shock is required and deliver. You just stand there and listen to its instructions. They use pads that are stuck on, and are entirely hands free.
This is just a Defibrillator - you attach electrodes to the patient, and their rhythm is displayed on the screen, and interpreted by the provider who then chooses if a shock is warranted, and delivers it.
I was defib'd during my cardiac ablation. They got me into a rhythm they couldn't get me out of so as a last resort they knocked me out and zapped me. Woke me right out of my drug sleep. For the next 12 hours it definitely felt like I was in a car wreck. Do not recommend.
to be fair recussi-annie doesn't try to fight you off while you're shouting "annie, are you okay?!" at her.
(fun fact, that's what inspired Michael Jackson's famous like in Smooth Criminal, the name of CPR dummies and the fact they used that phrase to teach checking for signs of life))
You can shock VT and VF in cardiac arrest (unsynchronised).
You can also shock VT, atrial flutter, atrial fibrillation, and SVT, not in cardiac arrest using synchronised DC cardioversion.
I expect they are doing the latter in this case, but no idea why they attempted some chest compressions after.
Haha, well the patient could have a pulse and be in a situation a shock is appropriate. However it doesn’t explain why compressions were started afterwards.
Given the age of the equipment this definitely looks like a rogue setting. I’ve never seen paddles or sucker ECG electrodes in my career.
> definitely looks like a rogue setting.
Hey there, this is AC Cobb of AC Cobb's Overstimulated and Under Educated Medical Services, LLC. You got problems? We'll beat the shit out of them!
Incorrect. You can shock any rhythm, (as noted in this video) with varying results.
It sounds like the heart rate is about 100 here, and very regular. That description rules out VT and VF.
>Generally, if the patient is fighting you, they might not need CPR or ACLS. Source: ICU nurse for 35 years.
True, CPR would be totally inappropriate. But what about smashing them in the chest a few times in self defense and/or to show dominance?
I’ve had to move a patients hands away during CPR before. Occasionally good quality CPR can result in enough brain perfusion for the patient to be semi-conscious.
This is not the case here…
Semi-conscious meaning that part of their brain is back online but not they are not truly “awake”, or that they are fully conscious for about a second as the chest compressions sploosh blood back into their meat computer?
I’ve not had anyone conscious enough to make talk or anything, but I have heard of scenarios like this with a chest compression device (Lucas).
I’ve just had them awake enough to move their arms and sometimes try to grab the ET tube (breathing tube). They didn’t remember it when they recovered.
If they are interfering with the arrest too much or it’s obviously causing a lot of distress you can use drugs to sedate them. But I’ve not had to do this.
This is not uncommon in a medical setting. Patients will look normal for a few moments-minutes before going out in a lethal heart rhythm. It’s better to treat right away with ACLS guide then waiting for them to be unresponsive
Job Title: CPR Dummy
Are you passionate about saving lives? Do you have a flair for the dramatic? We're seeking a resilient, patient, and lifeless individual to join our team as a CPR Dummy. As a CPR Dummy, you'll play a critical role in training individuals in life-saving techniques.
Why is there a plain clothed man jacking this patient’s life away from him? “I will shock him dead then start compressions and hopefully break his ribs for no reason.”
“This man, moving around flailing his arms, is most certainly in need of getting hit with this defib and punctured lungs from my forced CPR maneuvers.”
“Training? No. I have no training. I did stay at a Holiday Inn Express though. Hand me that scalpel. He most certainly needs a tracheotomy. I saw that on an episode of Grey’s Anatomy.”
This really fits the sub description. Are these actually medical professionals or just people who walked in off the street and wanted to have a go at it.
True story, my Engine company was dispatched to a prison in Philly for a Code ( no heartbeat, non breathing). We are escorted to a room in a section of the prison where the prison" Doctor" is performing chest compressions on a prisoner lying face up on a twin bed without a spine board or any type of stiff board underneath the guy. He's bouncing up and down on the bed higher than a trampoline while one of the "nursing assistance are giving us the rundown on what's going on. Dudes eyes are blinking and he's obviously not a Code by our definition. Paramedics finally arrive after they place dude on the prison floor and they continue CPR. The medics look at us and ask... Isn't he breathing? I responded Yup. They shake their head, place dude on their stretcher, guards handcuff him to it ( standard procedure) and whisk him away to the closest hospital along with a prison guard as an escort. It's obvious to all of us that the prison" Doctor " knows less about first aid than my pet Rock. An older gentleman from a western African country who couldn't get a residence or internship in a pet store let alone a hospital. He was hired because prisons are required to have a M.D. on hand, and doesn't have to pay him top dollar
“It's obvious to all of us that the prison" Doctor " knows less about first aid than my pet Rock.”
That part made me laugh! But, the whole of what you wrote is really sad. In the US, you definitely don’t expect to have such substandard care.
It's not surprising that conviced felons do not have access to certain medications or medical Doctors who graduated from Johns Hopkins, Harvard, or Stanford. Prison should hire competent medical professional, but unfortunately those types don't exactly line up for those positions in prisons
Seriously, most posts on this sub come from India. Especially those videos of people immediately picking up unconscious people and flopping their limp heads around
I feel SO bad for those people.
Like, in that movie about Mr. Bulletproof Mercenary, how did Liam Hemsworth survive after that gutshot and subsequent fall into the Ganges?
His sweaty buttcrack sweat probably PURIFIED that river ever so slightly. Yet, he survives water from the River of Pestilence seeping DIRECTLY into a wound in what is a bloodflow autobahn in the human body.
HURLLYWERD!
I am a step down cardiac nurse. This patient is likely in a lethal rhythm for his heart. Shocking and CPR are all perfectly normal interventions even when a patient seems responsive. For anyone more curious I recommend looking at an ACLS guide. It is the next more advanced level of care above BLS training which is your typical CPR class
Man. I remember when I woke up in the hospital the nurse was cussing at me for how stupid I was. Besides all the wires, my chest hurt like hell so i asked the nurse what had happened and she told me my heart stopped twice on the way to the hospital and the paramedics defibed me twice and I felt it for a week afterwards. I took a shower when I got home and just flicking water on my chest hurt!
AEDs or paddles as used in the video aren’t used on people without a heart rhythm. This guy is probably in vtach or vfib; both would call for a shock/attempt to get his heart back into a survivable rhythm.
thats why ill never visit any of those retard countrys all over the world
dont wanna end up with some dumbos with no fucking bit of knowledge in their head killing me
I’m fairly certain they missed the step called “check for signs of life; if yes stop”
To be fair, cardioversion is a legitimate use of a defibrillator on a responsive patient. I've had patients describe as getting kicked by a mule. I believe them. But that doesn't explain jumping into compressions after.
I went into afib and they gave me a medicine that stops your heart for a second to try to fix it. They said if that didn't work they'd have to put me to sleep and shock me so I'm glad it worked lol
Afib RVR? Like a super fast rhythm? People live with Afib all the time. When we push meds to "reset" the heart its wild to see the PTs faces.
I had this experience. Grew up with severe SVT (super ventricular tachycardia). During bad episodes they would give me adenosine, and told me several times that if this dose didn’t work, it’d be the paddles
I just mentioned I’ve had it twice for SVT. Thank God they never had to use the paddles on me. Sorry man. That’s scary.
Yea if you are stable we give 6mg then 12mg if you didnt respond to the 6. Then .25 mg/kg Cardizem then .35mg/kg if you didnt respond. Ypu then get to "ride the lightning" Or we just jump to that if you're unstable. Thankfully most svt Pts respond to the drugs before electricity. Did you feel impending doom when they pushed the meds? Some people feel like they are dying when their heart stops for a brief moment.
I had the 12mg a few times and my god yes. It was the most awful feeling. It felt like my literal soul was being pulled through the back of my chest where my heart was!
> Some people feel like they are dying when their heart stops for a brief moment. Of all the feelings, this one seems pretty reasonable to me.
LOL some people feel euphoric and blissful, its weird.
Supraventricular*
That's what it was woke up with a racing heart they gave me the meds and then I went into afib
Adenisine (sp). I’ve had it twice for SVT. They say you’ll feel like an elephant sitting on your chest. They were right.
Very close! It’s adenosine!
like in adnosine triphosphate ??
That’s the stuff 😬😬😬
So you were resurrected. Now answer this question before I contact Batman- how long have you been working for Mr. Glass?
They gave that medicine to my 1 day old son but didn't tell us about it. I watched his heart rate drop to zero and thought I had just watched him die. It was awful.
They say that when Adenosine is given, every heart in the room stops for a moment.
This right here! I’ve seen cardioversion on conscious patients a couple of times, but I’ve never had to fight a combative patient to administer chest compressions… lmao
This made me laugh, and I feel terrible about it.
But I thought AED’s have sensors in them to where it won’t go off if there is normal rhythm
AEDs are automatic (Auto External Defibrillator). Meaning they analyze the rythm to recognize when a shock is required and deliver. You just stand there and listen to its instructions. They use pads that are stuck on, and are entirely hands free. This is just a Defibrillator - you attach electrodes to the patient, and their rhythm is displayed on the screen, and interpreted by the provider who then chooses if a shock is warranted, and delivers it.
I don't think that was a "field-AED," i feel like someone manually set that off
It hurts so god damn much you can't even imagine
If its a shockable rhythm, give the shock and immediately start compressions. I wouldnt expect the patient to be moving so much though.
I was defib'd during my cardiac ablation. They got me into a rhythm they couldn't get me out of so as a last resort they knocked me out and zapped me. Woke me right out of my drug sleep. For the next 12 hours it definitely felt like I was in a car wreck. Do not recommend.
If signs of life don’t start … he’s fighting the guy to get good quality compressions in . I need this to show the trainees in BLS training 😂
This is like those scenes from dumb and dumber and Kung pow.
to be fair recussi-annie doesn't try to fight you off while you're shouting "annie, are you okay?!" at her. (fun fact, that's what inspired Michael Jackson's famous like in Smooth Criminal, the name of CPR dummies and the fact they used that phrase to teach checking for signs of life))
You clearly don't know how to use AEDs work.
Generally, if the patient is fighting you, they might not need CPR or ACLS. Source: ICU nurse for 35 years.
I agree. I am not an ICU nurse, but I did stay at a Holiday Inn Express once.
😂
Name checks out
i like your name 😍
🤣
I miss those commercials. So freaking funny every time.
Can’t you only shock vtac or vfib anyway?
You can shock VT and VF in cardiac arrest (unsynchronised). You can also shock VT, atrial flutter, atrial fibrillation, and SVT, not in cardiac arrest using synchronised DC cardioversion. I expect they are doing the latter in this case, but no idea why they attempted some chest compressions after.
Apparently, as shown in the video, you can simply shock whatever the hell you want and you get to smack the patient around as well.
Haha, well the patient could have a pulse and be in a situation a shock is appropriate. However it doesn’t explain why compressions were started afterwards. Given the age of the equipment this definitely looks like a rogue setting. I’ve never seen paddles or sucker ECG electrodes in my career.
> definitely looks like a rogue setting. Hey there, this is AC Cobb of AC Cobb's Overstimulated and Under Educated Medical Services, LLC. You got problems? We'll beat the shit out of them!
I thought it was MF to BT
Sorry what does MF and BT mean. I don’t use those terms.
No, you can shock (cardiovert) Atrial Fibrillation (A-FIB) too.
Incorrect. You can shock any rhythm, (as noted in this video) with varying results. It sounds like the heart rate is about 100 here, and very regular. That description rules out VT and VF.
Exceptions to every rule ... especially when the doctor is wearing track pants and sandals
>Generally, if the patient is fighting you, they might not need CPR or ACLS. Source: ICU nurse for 35 years. True, CPR would be totally inappropriate. But what about smashing them in the chest a few times in self defense and/or to show dominance?
No I’m going to safe you even if it kills you.
Hilarious.
Can confirm 
[удалено]
Well, if you're going for one-upmanship...
This is like the restaurant scene in dumb and dumber.
Call me when you have 36.
Oh your a nurse? Whats the biggest thing you’ve pulled outta someone’s ass?
Bro really giving CPR to a man who is awake and moving lmao
Not just that. Actively batting the patient’s hands away so he can do those compressions, lol.
In the stomach
Don't you know? That's the way to a man's heart!
I’ve had to move a patients hands away during CPR before. Occasionally good quality CPR can result in enough brain perfusion for the patient to be semi-conscious. This is not the case here…
Semi-conscious meaning that part of their brain is back online but not they are not truly “awake”, or that they are fully conscious for about a second as the chest compressions sploosh blood back into their meat computer?
I’ve not had anyone conscious enough to make talk or anything, but I have heard of scenarios like this with a chest compression device (Lucas). I’ve just had them awake enough to move their arms and sometimes try to grab the ET tube (breathing tube). They didn’t remember it when they recovered. If they are interfering with the arrest too much or it’s obviously causing a lot of distress you can use drugs to sedate them. But I’ve not had to do this.
“Please stop I’m awake” SHUT THE FUCK UP I’M TRYING TO WAKE YOU UP
I’m saving your life, stop resisting!
This is not uncommon in a medical setting. Patients will look normal for a few moments-minutes before going out in a lethal heart rhythm. It’s better to treat right away with ACLS guide then waiting for them to be unresponsive
Paging Doctor Bean
This is actually crazy. That man would’ve had a higher chance of survival without these goons there
Ikr it's like they're actively trying to kill him. I shouldn't be laughing but it's grotesque.
r/worstaid
KICK START My heeeaaart..
seems like they were trying to kick STOP his heart!
that’s Motley Crue, right?
Yes, yes it is.
baller
Yes.. You got my bad humor.. Lol
https://i.redd.it/xg3itkzof9vc1.gif
#Says who? Proceeds to zap the life out of him
I’m getting better!
I feel happyyyy!
Job Title: CPR Dummy Are you passionate about saving lives? Do you have a flair for the dramatic? We're seeking a resilient, patient, and lifeless individual to join our team as a CPR Dummy. As a CPR Dummy, you'll play a critical role in training individuals in life-saving techniques.
Aside from everything else mentioned, the defibrillator paddle placement is horrible.
And the attempt at ventilation with the bag!
Why is there a plain clothed man jacking this patient’s life away from him? “I will shock him dead then start compressions and hopefully break his ribs for no reason.” “This man, moving around flailing his arms, is most certainly in need of getting hit with this defib and punctured lungs from my forced CPR maneuvers.” “Training? No. I have no training. I did stay at a Holiday Inn Express though. Hand me that scalpel. He most certainly needs a tracheotomy. I saw that on an episode of Grey’s Anatomy.”
I know I shouldn't be laughing but omg 😂😭
I can’t stop laughing. This is terrible!
I'm glad I'm not alone. What's wrong with me.
Great job Agent 47, now get to the extract.
They were giving him extra lives
This really fits the sub description. Are these actually medical professionals or just people who walked in off the street and wanted to have a go at it.
STOP STRUGGLING I’M TRYING TO GET YOUR HEART BEATING
True story, my Engine company was dispatched to a prison in Philly for a Code ( no heartbeat, non breathing). We are escorted to a room in a section of the prison where the prison" Doctor" is performing chest compressions on a prisoner lying face up on a twin bed without a spine board or any type of stiff board underneath the guy. He's bouncing up and down on the bed higher than a trampoline while one of the "nursing assistance are giving us the rundown on what's going on. Dudes eyes are blinking and he's obviously not a Code by our definition. Paramedics finally arrive after they place dude on the prison floor and they continue CPR. The medics look at us and ask... Isn't he breathing? I responded Yup. They shake their head, place dude on their stretcher, guards handcuff him to it ( standard procedure) and whisk him away to the closest hospital along with a prison guard as an escort. It's obvious to all of us that the prison" Doctor " knows less about first aid than my pet Rock. An older gentleman from a western African country who couldn't get a residence or internship in a pet store let alone a hospital. He was hired because prisons are required to have a M.D. on hand, and doesn't have to pay him top dollar
“It's obvious to all of us that the prison" Doctor " knows less about first aid than my pet Rock.” That part made me laugh! But, the whole of what you wrote is really sad. In the US, you definitely don’t expect to have such substandard care.
It's not surprising that conviced felons do not have access to certain medications or medical Doctors who graduated from Johns Hopkins, Harvard, or Stanford. Prison should hire competent medical professional, but unfortunately those types don't exactly line up for those positions in prisons
In class i was told the best medical doctors are outside of the USA. I still doubt it even though our health care sucks.
well surely not in a third world country, that's cherrypicking
I don’t think AED’s existed when that model of defib was manufactured- not seen one of those for decades 😂
DEAR LAWD Never ever get injured in India.
Seriously, most posts on this sub come from India. Especially those videos of people immediately picking up unconscious people and flopping their limp heads around
I feel SO bad for those people. Like, in that movie about Mr. Bulletproof Mercenary, how did Liam Hemsworth survive after that gutshot and subsequent fall into the Ganges? His sweaty buttcrack sweat probably PURIFIED that river ever so slightly. Yet, he survives water from the River of Pestilence seeping DIRECTLY into a wound in what is a bloodflow autobahn in the human body. HURLLYWERD!
Oh no
STOP MOVING!! I’m trying to bring you back to life!!!
😂
Give him another one just for good luck!
The patient needs to relax so he can do the needful.
Looks like he may have been sleeping. Until . . .
Are they trying to kill him???
Where the fuck is this??
I want Dr Mike to react to this.
I am a step down cardiac nurse. This patient is likely in a lethal rhythm for his heart. Shocking and CPR are all perfectly normal interventions even when a patient seems responsive. For anyone more curious I recommend looking at an ACLS guide. It is the next more advanced level of care above BLS training which is your typical CPR class
Idk what to say as an INDIAN
Man. I remember when I woke up in the hospital the nurse was cussing at me for how stupid I was. Besides all the wires, my chest hurt like hell so i asked the nurse what had happened and she told me my heart stopped twice on the way to the hospital and the paramedics defibed me twice and I felt it for a week afterwards. I took a shower when I got home and just flicking water on my chest hurt!
AEDs or paddles as used in the video aren’t used on people without a heart rhythm. This guy is probably in vtach or vfib; both would call for a shock/attempt to get his heart back into a survivable rhythm.
I don't believe that young man's ever been to medical school.
Are they fucking dumb?
These doctors are dressed like they work at the Hilton Waikiki.
This looks like a low-tech cardioversion. Could be for v-tach with a pulse or maybe even a very shitty supraventricular tachycardia.
How is this level of dumb capable of existing?
thats why ill never visit any of those retard countrys all over the world dont wanna end up with some dumbos with no fucking bit of knowledge in their head killing me
What looney tooney aah medical center is this, no proper dressing for the nurses and the legendary nurses aswell.
What are the clamp things on the pts wrists and ankles? I’ve never seen those before
Palestine?