WEBVTT

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mhm

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mm hmm . Uh huh

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mm mm . Mhm . The

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equipment proficiency check or E . P .

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C . For the pro pack . MD defibrillator

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should take no longer than the time

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specified by the instructor evaluation

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will be based on your ability to

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perform the appropriate pre flight

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procedure verbalized the unit's power

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requirements , battery time and

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recharge time . Check the unit's power

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and charge status , verify ready for

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use indicator , set noninvasive blood

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pressure for an appropriate interval .

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Yeah . Cycle the blood pressure Cuff

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one time , identify the appropriate

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placement of electrodes for 12 lead EKG

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obtain a 12 lead ecg kg and

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identify cardiac rhythms , verbalizing

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appropriate medications and

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demonstrating use of electrical therapy

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as per A CLS guidelines for lethal

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rhythms such as ventricular tachycardia

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and ventricular fibrillation . Take a

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cardiac rhythms such as atrial

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fibrillation , atrial flutter and

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symptomatic tachycardia and brady

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cardiac rhythms such as 1st , 2nd and

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3rd degree atrial ventricular blocks

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and severe sinus bradycardia ,

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two minutes .

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Yeah .

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Perform the appropriate pre flight

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procedure for the pro pack M . D . Look

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for both the yellow be met and orange .

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P . M . I . A . E . Certification label

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verbalized that the power requirements

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for the pro pack M . D . R . 100 to 240

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volts A . C . At 50 to 60 hertz or 100

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to 115 volts A . C . At 400 hertz .

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The battery takes four hours to charge

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and will last for six hours with 10

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shocks at 200 jewels ,

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inspect the monitor and cables for any

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sign of damage or disrepair and check

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the front led to see if the monitor is

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charging and plugged into power . Check

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the charge status of the attached

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battery by pressing the indicator

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button on the battery . Finally turn

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the unit on , confirmed that the self

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test has been passed and that the red

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no symbol has turned to a black octagon

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on the R . F . U . Indicator . After

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completing Preflight . Set up

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noninvasive blood pressure for an

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appropriate

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interval .

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Next demonstrate how to manually cycle

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the bp cuff . Once Next obtain a 12

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lead ecg kg . Start by verbalizing

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appropriate E K . G . Lead placement as

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follows . The one is placed at right

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sternal border , 4th intercostal space .

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V two is placed at the left sternal

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border . 4th intercostal space . Yeah ,

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the forest placed mid class , vehicular

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fifth intercostal space .

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Mhm V three goes between Leeds . v .

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two and v . four . V . Sixes

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mid axillary fifth or sixth intercostal

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space . Mhm . B five goes

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between the leads . v . four and v .

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six . After the 12 lead EKG

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leads are attached to the patient ,

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Press the 12 lead soft key and press

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the 12 lead clipboard to input the

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patient's demographics , typically the

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patient's and h as given by the

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instructor .

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Next capture the 12 lead by pressing

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the softkey next to the softkey camera

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icon .

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Next perform proper A CLS interventions

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for the following situations .

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First , a tacky dysrhythmia is shown .

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The patient is currently stable ,

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verbally identified the rhythm and

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proper interventions , vagal maneuvers

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and medication . A dentist seen a first

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dose of six mg followed by 12 mg

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and another 12 mg . If necessary ,

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the patient becomes unstable . You

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must now perform the proper steps for

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synchronized cardioversion , ensure

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that the electrical therapy cable is

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connected to the monitor and the

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patient

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press the sync button on the bottom of

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the pro pack M . D . And visualize the

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yellow S . Is that accompany the QRS

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complexes press button one

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to select energy . Typically start at

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100 jewels .

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Press button to to charge

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once fully charged . Clear

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the patient . And press and hold button

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three or the shock button until you see

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a drop in the Q . R . S . Yeah I'm

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clear your clear everybody's clear

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shocking shock delivered . If the

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patient remains in the previous state

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and an additional shock is required .

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You must press the sync button again to

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synchronize cardio over at the patient .

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Mhm . Yeah .

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You now see a bradycardia rhythm on the

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monitor . The patient is currently

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stable . You must verbally identify the

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rhythm and proper interventions . There

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is a wide complex bradycardia

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medication is 0.5 mg of atropine .

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Every 3 to 5 minutes to a maximum dose

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of three mg the patient becomes

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unstable . You must now perform the

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proper steps for pacing . Press the

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Pacer button on the bottom of the pro

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pack . MD . The Pacer menu will appear .

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First start Pacer and visualize the

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blue peas that appear . Mhm .

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Next set your rate as given by the

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instructor . Then slowly increase the

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Pacer output until a QRS is captured

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with every blue P . Once you achieve

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capture increase the output by 10 to

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assure capture . Yeah . Mhm .

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Also verify capture by checking a pulse .

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Yeah . Mhm . Finally state the

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reason for pausing the pacer which is

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to check the patient's underlying

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rhythm . Mhm . Pause pacer to check

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underlying rhythm .

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Mhm . Yeah .

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Now ventricular tachycardia or

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ventricular fibrillation will appear on

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the monitor . You check for a pulse and

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find that the patient is pulseless .

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Immediately advise someone to start cpr

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and perform the proper steps for

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defibrillation . Start cpr press button

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one to select energy . Select the

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proper defib dose typically between 120

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and 200 jewels . Press button to to

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charge once fully charged . Clear the

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patient and press button three or the

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shock button . I'm clear your clear

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everybody's clear , shocking shock

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delivered state . To resume Cpr ,

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resume cpR . You must also verbalize

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proper a CLS medication administration ,

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one mg , epinephrine every 3 to 5

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minutes and 300 mg , amiodarone for the

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first dose and 150 mg for the second

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dose . Finally verbalize how often to

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check for a pulse . Check for a pulse

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every two minutes or every five cycles

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of cpR . This completes the equipment

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proficiency . Check for the pro pack M .

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D . Yeah .