Excellent lecture as always! DDX Shock= Septic, spinal,, deHydration/hemorrhage,, Obstructive tamponade, tension Pneumthx, Compartment synd, cardiogenic,, K=endoKrine, anaphylaKtic. Hypotenisve pt--May add pressors (Norepi) if fluids not enough by 30 min. ( mortatlity/infarction increases 5% /hr if hypoTensive). be more liberal with cardioversion/shock. If pressure drops with fluid, think PE. Raising legs is like giving a bolus of 250--to see if fluids need to be given. Calculate shock index,, hr/sbp0.8. DO NOT intubate.
This gentleman/doctor is SPOT ON when he talks about hypotension and tissue infarction. Every minute a patient is hypotensive tissue is dying and much of this organ injury is completely irreversible. Even if a patient is non-toxic appearing do not let them sit with suboptimal perfusion. Great lecture. His K was a bit of a stretch though haha!
Sir...... if only I had seen this in the early days of my medic career!! Those HypoK+ strips... I had so many of those in the field. Was taught "prolonged QT with inversion". Even a couple ED docs didn't recognize it. Shaking my head! And fascinating info on the Shock Index!! I love this field! I love how there is always more to learn! 23 years in and STILL learning!! Thank you for doing the vids, sir!
We live 2 parts of our lives in diastole! Genius! I used to have a problem explaining that to surgeons that I have worked with, during the part of my career working in Cardiac Surgery ICU. They just love SBP below 120 mmHg no matter what the MAP value is.
Great sir. Thank you. Lots of new learning. Shock index, DBP importance, Pressors right away in PE- all life altering . Both for physicians and PATIENTS
Brother I want to make a whatsapp group and I want to add doctors in it so that knowledge is shared and all of us learn please be a part of my group - chat.whatsapp.com/Eji8SQbPUEhA3yxzmS10Lh
What happens when you give 1L of fluids in patients with low hb (5g/dl) and low bp 90/35mmHg? Are we treating the shock or worsening with hemodilution?
Triangle of death - hemodilution ,acidosis and hypothetmia is killer so if u have low hb in go warm blood and blood products ,giving fluids is a bad idea
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As a new paramedic this guy is teaching me so much more than any textbook could
Yes because EMS education assumes youre retarted and teaches you EM as if you were a monkey....... - Current paramedic about to start medical school
Excellent lecture as always! DDX Shock= Septic, spinal,, deHydration/hemorrhage,, Obstructive tamponade, tension Pneumthx, Compartment synd, cardiogenic,, K=endoKrine, anaphylaKtic. Hypotenisve pt--May add pressors (Norepi) if fluids not enough by 30 min. ( mortatlity/infarction increases 5% /hr if hypoTensive). be more liberal with cardioversion/shock. If pressure drops with fluid, think PE. Raising legs is like giving a bolus of 250--to see if fluids need to be given. Calculate shock index,, hr/sbp0.8. DO NOT intubate.
A
This gentleman/doctor is SPOT ON when he talks about hypotension and tissue infarction. Every minute a patient is hypotensive tissue is dying and much of this organ injury is completely irreversible. Even if a patient is non-toxic appearing do not let them sit with suboptimal perfusion. Great lecture. His K was a bit of a stretch though haha!
Sir...... if only I had seen this in the early days of my medic career!! Those HypoK+ strips... I had so many of those in the field. Was taught "prolonged QT with inversion". Even a couple ED docs didn't recognize it. Shaking my head! And fascinating info on the Shock Index!!
I love this field! I love how there is always more to learn! 23 years in and STILL learning!! Thank you for doing the vids, sir!
Freaking love this guy
Right? He’s incredibly easy to listen to. Funny, and so smart. He keeps it simple.
We live 2 parts of our lives in diastole! Genius! I used to have a problem explaining that to surgeons that I have worked with, during the part of my career working in Cardiac Surgery ICU. They just love SBP below 120 mmHg no matter what the MAP value is.
Excellent presentation, thank you!
Amazing medical educator...wish more were like Dr. Mattu...
Great little lecture. Great delivery. A little comment here tho; please do NOT wait for an X-ray to pick up tension ptx as mentioned here 2:20
He’s absolutely brilliant he is! Highly highly intelligent and marvellous to watch
Awesome lecture. Will be using your information in my TNCC shock lecture. love it!
Great sir. Thank you. Lots of new learning. Shock index, DBP importance, Pressors right away in PE- all life altering . Both for physicians and PATIENTS
Such a high caliber of useful information! Amazing!
Brother I want to make a whatsapp group and I want to add doctors in it so that knowledge is shared and all of us learn please be a part of my group - chat.whatsapp.com/Eji8SQbPUEhA3yxzmS10Lh
Wonderful job Dr Mattu,
Thanks
ER Physician From Pakistan
This stuff is gold!
Wonderful explanation 👏
I appreciate your effort
May Allah bless you
Thanks
Amal is a great EM physician
This pneumonic - isn’t easier. Learn the categories and understand their sub groups. BUT the talk was great and some great advice.
Is this conference still going on?
GREAT TEACHER
I just love this guy and his ecg weekly.
You are great & my god of cardiology!!! It's a pleasure to hear & see you & your presantations!! *Please weekly* :)) !!! Greetings from Gemany
Very good teaching 👏
Thanks. Very helpful and practical
Excellent lecture Sir! Greetings from Poland!
Very nice
Greetings from Egypt
Very very relavent and high quality education
Excellent!
Amazing presentation Sir! Thank you so much for this valuable information!
I adore Amal
Wao what a teaching.v impressive
amazing presentation! such useful info for practice. thank you:)
Gracias !
4:58 I theoretically knew this but now #MINDBLOWN
Succinct and packed with great info! Great job!
Great! I come from Vietnam.
Simple and clear
Nice
Thank you from Italia
excellent
Amazing
Genious!
Hail You Professor ! 😎
What happens when you give 1L of fluids in patients with low hb (5g/dl) and low bp 90/35mmHg?
Are we treating the shock or worsening with hemodilution?
Triangle of death - hemodilution ,acidosis and hypothetmia is killer so if u have low hb in go warm blood and blood products ,giving fluids is a bad idea
thank you very much! thanhhoa 22/9/2019
Awsem and great
Thanks a lot ^^
Thankyou from Viet nam
legend
What classes is he talking about with antiarrhythmics? If it's the Vaughan Williams classification he's got it totally wrong...
Xcellency of xcelleny
Acute adrenal insufficiency!!!
Hat off my hat before dear colleague!
Dr amal makes me look like an idiot.
Cavallo vero
excellent