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  • 00:08

    Welcome to this edition of The First Aid Show. Today we are going to look at an ALS scenario
    Welcome to this edition of The First Aid Show. Today we are going to look at an ALS scenario

  • 00:12

    in a short film presented by Tony, our paramedic, who presents our advanced life support course.
    in a short film presented by Tony, our paramedic, who presents our advanced life support course.

  • 00:18

    What we are going to look at now is a patient who is being transported to hospital under
    What we are going to look at now is a patient who is being transported to hospital under

  • 00:23

    non-emergency conditions, who suddenly becomes unresponsive en route. I asked my colleague
    non-emergency conditions, who suddenly becomes unresponsive en route. I asked my colleague

  • 00:28

    to pull over and to come into the back to give me some assistance. Meanwhile, I will
    to pull over and to come into the back to give me some assistance. Meanwhile, I will

  • 00:33

    manage this scenario. Hello, hello, can you hear me? Kynan, can you come and give me a
    manage this scenario. Hello, hello, can you hear me? Kynan, can you come and give me a

  • 00:38

    hand? The patient's unresponsive. Airway. He has got no pulse and no respirations. Can
    hand? The patient's unresponsive. Airway. He has got no pulse and no respirations. Can

  • 00:52

    you set up the AED, please? Meanwhile, I will start chest compressions.
    you set up the AED, please? Meanwhile, I will start chest compressions.

  • 00:56

    Stay calm. Follow these instructions. Make sure emergency services are called now. Begin
    Stay calm. Follow these instructions. Make sure emergency services are called now. Begin

  • 01:05

    by exposing patient's bare chest. Remove or cut clothing, if needed. When patient's chest
    by exposing patient's bare chest. Remove or cut clothing, if needed. When patient's chest

  • 01:14

    is bare, remove the white square package from lid of AED. Do not touch the patient. Analysing
    is bare, remove the white square package from lid of AED. Do not touch the patient. Analysing

  • 01:23

    heart rhythm. Please wait. Shock advised. Do not touch the patient.
    heart rhythm. Please wait. Shock advised. Do not touch the patient.

  • 01:33

    Stand clear.
    Stand clear.

  • 01:34

    Stand clear, shocking.
    Stand clear, shocking.

  • 01:35

    Press. Shock delivered. It is now safe to touch the patient. Give 30 rapid compressions
    Press. Shock delivered. It is now safe to touch the patient. Give 30 rapid compressions

  • 01:44

    and two breaths as instructed.
    and two breaths as instructed.

  • 01:47

    Kynan, I think he is starting to take a breath.
    Kynan, I think he is starting to take a breath.

  • 01:49

    Place heel of one hand on centre of chest between nipples.
    Place heel of one hand on centre of chest between nipples.

  • 01:52

    Yeah, the patient is now breathing again.
    Yeah, the patient is now breathing again.

  • 01:54

    Place heel of other hand directly on top of...
    Place heel of other hand directly on top of...

  • 01:58

    Yeah, he has got a respiratory rate of about 12 so we will pop some oxygen on for starters.
    Yeah, he has got a respiratory rate of about 12 so we will pop some oxygen on for starters.

  • 02:06

    Hello, hello, can you hear me? He is still not responding. Can you keep talking to the
    Hello, hello, can you hear me? He is still not responding. Can you keep talking to the

  • 02:16

    patient and I will continue the assessment?
    patient and I will continue the assessment?

  • 02:18

    Hello, can you hear me?
    Hello, can you hear me?

  • 02:19

    His airway is clear. Let me know if there is any abnormal noises coming from his airway.
    His airway is clear. Let me know if there is any abnormal noises coming from his airway.

  • 02:25

    He has got a good cap refill centrally. Central and peripheral pulses are good. I am going
    He has got a good cap refill centrally. Central and peripheral pulses are good. I am going

  • 02:53

    to put an ECG on.
    to put an ECG on.

  • 03:08

    [pause]
    [pause]

  • 03:12

    I can see that the patient has got a normal sinus rhythm, which is good. Can you count
    I can see that the patient has got a normal sinus rhythm, which is good. Can you count

  • 03:23

    his respiratory rate for me, please? Pupils are equal and reacting. Can you just keep
    his respiratory rate for me, please? Pupils are equal and reacting. Can you just keep

  • 03:44

    talking to the patient, see if he responds?
    talking to the patient, see if he responds?

  • 03:46

    Can you hear me? Hello. Can you hear me? It is Kynan from the ambulance.
    Can you hear me? Hello. Can you hear me? It is Kynan from the ambulance.

  • 03:51

    Okay, sat is at 98 now so we are going to remove him from the oxygen and see how he
    Okay, sat is at 98 now so we are going to remove him from the oxygen and see how he

  • 03:56

    goes on. Okay. Hello, hello. Can you hear me? The patient is starting to respond now.
    goes on. Okay. Hello, hello. Can you hear me? The patient is starting to respond now.

  • 04:04

    So we can see from that scenario that if we act quickly and definitively as soon as the
    So we can see from that scenario that if we act quickly and definitively as soon as the

  • 04:09

    patient goes into a cardiac arrest, we stand a very good chance of reversing the ventricular
    patient goes into a cardiac arrest, we stand a very good chance of reversing the ventricular

  • 04:15

    fibrillation as it was then and getting a successful outcome for that patient.
    fibrillation as it was then and getting a successful outcome for that patient.

All noun
als
//
word
form of motor neurone disease

BLS Scenario

8,386 views

The First Aid Show

Video Language:

  • English

Caption Language:

  • English (en)

Accent:

  • English (UK)

Speech Time:

94%
  • 4:11 / 4:27

Speech Rate:

  • 111 wpm - Conversational

Category:

  • Education

Tags :

Intro:

Welcome to this edition of The First Aid Show. Today we are going to look at an ALS scenario
in a short film presented by Tony, our paramedic, who presents our advanced life support course.
What we are going to look at now is a patient who is being transported to hospital under
non-emergency conditions, who suddenly becomes unresponsive en route. I asked my colleague
to pull over and to come into the back to give me some assistance. Meanwhile, I will
manage this scenario. Hello, hello, can you hear me? Kynan, can you come and give me a
hand? The patient's unresponsive. Airway. He has got no pulse and no respirations. Can
you set up the AED, please? Meanwhile, I will start chest compressions.
Stay calm. Follow these instructions. Make sure emergency services are called now. Begin
by exposing patient's bare chest. Remove or cut clothing, if needed. When patient's chest
is bare, remove the white square package from lid of AED. Do not touch the patient. Analysing
heart rhythm. Please wait. Shock advised. Do not touch the patient.
Stand clear.. Stand clear, shocking.. Press. Shock delivered. It is now safe to touch the patient. Give 30 rapid compressions
and two breaths as instructed.. Kynan, I think he is starting to take a breath.. Place heel of one hand on centre of chest between nipples.
Yeah, the patient is now breathing again.. Place heel of other hand directly on top of....

Video Vocabulary

presented

/prəˈzent/

verb

To appear or happen.

respiratory

/ˈrespərəˌtôrē/

adjective

(Medical) concerning breathing.

presents

/prəˈzent/

other verb

Gifts. To show something to someone who will examine it.

emergency

/əˈmərjənsē/

noun

serious and unexpected situation.

talking

/ˈtôkiNG/

adjective noun verb

engaging in speech. action of talking. To say things or ideas to someone with words.

advanced

/ədˈvanst/

adjective verb

With a high level of skill or development. To change or improve.

hospital

/ˈhäˌspidl/

noun

institution providing medical and surgical treatment and nursing care.

transported
verb

To carry things from one place to another.

suddenly

/ˈsədnlē/

adverb

quickly.

edition

/əˈdiSH(ə)n/

noun

Form in which a book, magazine etc. is released.

support

/səˈpôrt/

noun verb

Evidence that helps prove something is true. To give assistance or advice to someone.

continue

/kənˈtinyo͞o/

verb

To start doing again after a break, pause, or stop.

breathing

/ˈbrēT͟HiNG/

noun verb

process of taking air into and expelling it from lungs. To say something very softly.

unresponsive

/ˌənrəˈspänsiv/

adjective

not responsive.

services

/ˈsərvəs/

noun other verb

action of helping or doing work for someone. Maintenance of machineries so it runs well, e.g. cars. To help or do work for someone, e.g. in a store.