Welcome to Hospital Scenes! This is a collection of clips from Hospital shows or the web. Please let be know in the comments sections if you know any other videos that should be here or that I could use.
Depending on the patients situation, direct to operating room (DOR) can and should be done. I had a patient that went to the OR tonight, but he was brought into the ED first. But a patient can definitely bypass the ED and go directly to the OR. Also, that’s a manual defibrillator, not an AED.
When would the assessment and decision for DOR be made if bypassing the ED? I assume in the ambulance on the way to the hospital. But in this short film, the patient was brought in not by medical personnel but by family members. Entered the hospital, placed on a gurney, straight to the OR. Is the depiction realistic?
It depends on the scenario. The decision for DOR can be made at any time.
Patients are brought in by civilians all the time, be they family, friends or strangers, so yes that’s realistic.
Also, somehow I missed commenting on the fact that he was being touched while being shocked. Now, there is a time when using defib pads instead of the paddles, you can actually keep your hands on the chest doing compressions during a shock. I have done it…you feel a minor shock but it’s not a big deal. Some people are afraid to do it, and that’s ok, too.
Paddles are actually becoming obsolete. Paddles are more “dangerous” than pads because they must be flat against the patient, and if they’re not, you can cause injury to them or yourself; and you have to lean in close to the patient or the bed/stretcher that they’re on, and you would get an unwanted shock if you’re touching them. Pads eliminate that because you can clear a distance from the patient, and deliver the shock. Internal paddles are still widely used because that’s the only way to shock a heart while the chest is open.
There is no difference in effectiveness, really, unless like I said the paddles are not flush against the chest.
Nice one! But shouldn't he be brought into the ER first and not straight to the OR? What do you think, PEDS ED RN?
ReplyDeleteDepending on the patients situation, direct to operating room (DOR) can and should be done. I had a patient that went to the OR tonight, but he was brought into the ED first. But a patient can definitely bypass the ED and go directly to the OR.
DeleteAlso, that’s a manual defibrillator, not an AED.
When would the assessment and decision for DOR be made if bypassing the ED? I assume in the ambulance on the way to the hospital. But in this short film, the patient was brought in not by medical personnel but by family members. Entered the hospital, placed on a gurney, straight to the OR. Is the depiction realistic?
DeleteNurses hand was touching the child's head , I'm no doctor but I know no one should be touching when the victim is being defibrillated
DeleteIt depends on the scenario. The decision for DOR can be made at any time.
DeletePatients are brought in by civilians all the time, be they family, friends or strangers, so yes that’s realistic.
Also, somehow I missed commenting on the fact that he was being touched while being shocked. Now, there is a time when using defib pads instead of the paddles, you can actually keep your hands on the chest doing compressions during a shock. I have done it…you feel a minor shock but it’s not a big deal. Some people are afraid to do it, and that’s ok, too.
What are the considerations of choosing between use of defib pads and paddles? Any difference in effectiveness or is it just a matter of preference?
DeletePaddles are actually becoming obsolete. Paddles are more “dangerous” than pads because they must be flat against the patient, and if they’re not, you can cause injury to them or yourself; and you have to lean in close to the patient or the bed/stretcher that they’re on, and you would get an unwanted shock if you’re touching them. Pads eliminate that because you can clear a distance from the patient, and deliver the shock. Internal paddles are still widely used because that’s the only way to shock a heart while the chest is open.
DeleteThere is no difference in effectiveness, really, unless like I said the paddles are not flush against the chest.
there is a group on telegram
ReplyDeleteCould you send the link please?
Deletesend link please
ReplyDeleteHi! How can i join discord server?
ReplyDelete