วีดีโอ

If thrombolydud is given then we wait 24 hrs and ct should not show bleed,then we start. If ME then can start earlier If no thrombolysis/ME then give straight away 150-325 mg /day When we give thrombolysis we have to wait bcz at time it causes bleeds

@youngindiaintensivist7709 thanks sir

@@doctorsushrut5194 ,,,thank you for your kind words♥️

@Aiims...pl see from 00.56.00 th-cam.com/video/HbjWRIb_tBo/w-d-xo.htmlsi=mbs0lJMDWEmltKGP My video on cpr

@basishan ..U should avoid,,but if no option then we hv to give,

i think all that is covered in this, there was a lecture on antiarrhythmic drugs also --its a difficult topic-go thru again,, monitor recognition is bedside teaching and generally one needs ecg

@pradeep ...thank you for your donation , f💕inancial support from channel members like u help us in running it free - - in editing videos, payments to other vendors and billers. Moreover, we can create a website where journals and books can be made available . 🌹 🙏📚💰

In ards due to pneumonia steroids are indicated and should be started early in a dose upto 300 mg hydrocortisone /day or eqvt

@sheema ---thank you for your donation , f💕inancial support from channel members like u help us in running it free - - in editing videos, payments to other vendors and billers. Moreover, we can create a website where journals and books can be made available . 🌹 🙏📚💰

@pradeep ...thank you for your donation , f💕inancial support from channel members like u help us in running it free - - in editing videos, payments to other vendors and billers. Moreover, we can create a website where journals and books can be made available . 🌹 🙏📚💰

@sabba...yes,every 2 months we conduct journal clubs There are 2 more uploaded Thank you

@Haywire91.. u hv to subtract bcz that wl give the true Na value,when there is hyperglycemia water is drwan into blood thereby lowering the sodium

@@kamaldalmia6085 excellent!🤩

@drpuma welcome to yi2,thank u for kind words♥️ The excellence emanates from the background🙏

Yes Rohit

My younger brother injury to burn​@@youngindiaintensivist7709

Please state clearly what help u want

Safdarjung hospital m burn and plastic surgery ki treatment ka process kya h ye puchna thaa sir..?​@@youngindiaintensivist7709

@ROHIT -- IF SUFFERING FROM ACUTE BURNS THEN HE HAS TO GO TO EMERGENCY IF NEEDS RECONSTRUCTIVE SURGERY HE HAS TO GO TO PLASTIC / RECONSTRUCTIVE SURGERY OPD BEST WISHES FOR RECOVERY , GOD BLESS

@rafik - u can take him to the emergency and he wl be seen by unit on call and if possible they may admit him since beds are mostly full// alternatively u can take her appt and show in opd if he can go to opd --hope this helps--best wishes

An adult patient capable of taking healthcare decisions may refuse LST even if it results in death 2. LST may be withheld or withdrawn lawfully under certain conditions from persons who no longer retain decision-making capacity, based on the fundamental right to Autonomy, Privacy and Dignity 3. AMD that meets specified requirements is a legally valid document 4. For a patient without capacity, FLST proposals should be made by consensus among a group of at least 3 physicians who form the Primary Medical Board (PMB) 5. The PMB must explain the illness, the medical treatment available, alternative forms of treatment, and the consequences of remaining treated and untreated to fully inform the surrogate 6. A Secondary Medical Board (SMB) of 3 physicians with one appointee by the Chief Medical Officer (CMO) of the district must validate the decision by the PMB 7. Active Euthanasia is not lawful u cannot remove the vent without the legal/admin process pl se post also

ALL ARE UPLOADED

,@bhavin.. u r right ...slip of tongue...thanks for pointing out

@dhoomachale6810 - this is a non profit free channel with no earnings ,as you can see there is no source of earnings. in fact i put in from my own pocket and rely on donations and request you the same I BELIEVE AND PROMOTE FOAMed for our student community

it v good if interested ,however its less concept based and more knowledge based loaded with facts, there is less competition

Yes, cerebrospinal fluid (CSF) lactate can be a reliable marker to monitor the response to treatment in bacterial meningitis and may even be superior to CSF glucose in certain scenarios.: as glu has limitations in dm/ sampling etc, slow response Advantages of CSF Lactate: Marker of Infection Severity: Elevated CSF lactate (>4 mmol/L) strongly suggests bacterial meningitis. It is less influenced by systemic factors like blood glucose levels compared to CSF glucose. Lactate increases in response to bacterial metabolism, local tissue hypoxia, and inflammation, making it a sensitive marker for bacterial infection. Faster Normalization: CSF lactate tends to normalize within 2-4 days of effective antibiotic treatment, reflecting rapid control of infection. This provides a clearer and more immediate indication of therapeutic success compared to CSF glucose. Utility in Special Populations: In conditions where CSF glucose interpretation may be challenging (e.g., diabetics or individuals with impaired glucose metabolism), CSF lactate offers a more reliable alternative. HOWEVER DX SHOULD BE CLEAR OF ABM AS CSF LACTATE CAN RISE BCZ OF OTHER REASONS AND ALL LABS DO NOT MEASURE IT

@youngindiaintensivist7709 thank you so much sir for your time Also in case of surgical meningitis where cellularity and protein etc may change due to disruptive effects of surgery ..lactate can have better specificity..

Pl write q clearly