Love your lectures. As a PA student undergoing a clerkship in the CCU your lectures have grounded me amongst all the madness...well, during nonclinical time that is. Thank you for bring it all together.
I wish you were my instructor for pathophysiology. ALL of the MEDCRAM video's I have found have been a tremendous help!!! You have a real gift for clearing up things I don't understand all the way! THANK YOU!!!!!!!! I'm sure that it will probably never happen, but I would be honored to meet the man responsible for this!!!!!!!!!
As a student in nursing school i have to say your videos are awesome - much better than the foreign language my instructors use when trying to explain this.
I've been a 'brittle' T1 Diabetic for 17 years. Through this time, I've gained a lot of understanding about the chemistry of the (my) body, but your videos have, and are, helping me understand a lot more. Thanks so very much. I'm a firm believer that it's easier to 'fix' things when we understand how they work, and why certain things are happening. Thanks again. DKA is probably the worst thing I've ever gone through. Hopefully this will help me from going through it again.
I just wanted to say thank you. You have given the best explanation. Chem has always confuse me, but you were crystal clear :) I will send this video to my fellow nursing students that are struggling to understand acids and bases.
Thanks a lot. The video series helped me lot and it really demystified this tricky topic. The last vignette was a great lot challenging and informative. It showed that despite a normal pH,pCO2,HCO3 a pt. may have serious problem which can be figured out by the algorithm described here. Would like to see more such enjoyable lectures !! Knowledge increases when it is shared. Thanks again for this good job. Keep it up!!
thank you so much for the time you took to create these series! I never thought that i would learn this acid base thing so perfectly ! thank you again ! Namaste
By far better than anything else I have found on TH-cam. Please let me know if there is anything else I can do to help support these videos other than facebook and subscribing to them!!!!
There are those that are inclined to interpret acid base derangements based on an ABG alone. After watching this whole series by Dr. Seheult, to them, I say stop :) Follow Dr. Seheult's method as detailed in this whole series, apply Winters formula and get a better clinical picture of what is going on with your patient. Simultaneously a patient might be experiencing a host of alkalotic or acidotic processes at the same time. Thank you for another top notch series, life for me will be easier as I will now not waste any more time on this topic, its all good now :)
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
Thanks for going over basic principles and building from there. Very good explanations and examples. Really enjoy reviewing these concepts which were somewhat of a BLURR in my early chemistry courses.
I'm humbled - but at the same time motivated to do more. Thanks for the feedback. Actually there are several men responsible for this and they all say thank YOU.
This is amazing! Thank you so much! Everything's so simple now.I can't believe how much I've stressed about thios topic before and in 14 min you made it clear!
Fantastic Video series. I've struggled with acid base for awhile and have perused a bunch of books and shortcut tutorials but never came to grasp it in a systematic way, until now. Well done. It is a difficult topic for a student to learn outside of clinical context because the demented physiologists who teach renal don't know how to frame it. I think this is why it's absolutely not tested in depth on the usmle step 1, which never really made sense to me because it seems awfully important. It would be great if you expanded this series to include some clinical instances and what to expect from a hypokalemic, hypocholremic, acidosis/alkalosis. for example, walk through the pathophys and workup of lactic acidosis, vomiting, or saline responsive metabolic alkalosis. It's all rather bothersome I really have no clue how to interpret blood electrolytes despite preforming excellent on my board exam. I just don't know how in depth this stuff goes i guess, and your videos have been the only solid foundation i've been able to retain.
Wonderful explanations! I appreciate the time you put into this. I'd love to see more on the kidney such as creatinine clearance and basic nephron functioning with the associated pathologies.
Outstanding lectures. Can you please do lectures on how to approach to poisoning? Many patients are brought to the hospital/ICU with unknown substance poisoning. Thank you.
I knew there was a difference between pCO2 and CO2, but not the HCO3/CO2 relationship. It would be great if you would go into this a little bit more as I'm not following how they correlate fully. :) Great videos!
Great review for RN / MD study. Also,...as an aside; "Deep breathing, under normal circumstances helps the body to maintain homeostasis" due to slightly lowering the inherent metabolic balancing mechanism of the kidneys to add/subtract HCO3's to buffer one's pH. We American's need to all 'breath more easily'.....RN/MD or not.
Hi Dr. I am very fond of your lectures but there is one problem...If there are more than one lectures on a topic say for example acid base balance, they should be marked part 1, part 2 etc in the title, as it gets sometimes difficult to find the next part of same lecture. Like in acid base lecture at the end you said, rest in the ensuing lecture and that next i am unable to find
Very well done. What software and hardware do you use to create the lectures? Oleg Georgiev, MD, MS Internal Medicine, Nephrology, Critical Care Medicine
With the Coronavirus..... how are they using one vent machine to regulate settings for multiple patients? Don't you need to regulate each patient's settings depending on their response?
A point I’m needing clarification on is this: if CO2 is elevated, it stimulates chemoreceptors and is blown off. But an elevation in CO2 will also shift the equation to the right? So which happens first and/or predominantly? The two concepts seem contradictory, but I know there is a piece I must be missing. Thank you.
+Phillip Lefas I’ve made that mistake before. College test question. Name a basic amino acid. I didn’t realize that we’re referring to lysine arginine or histadine. (Pka was greater than 7). So I put alanine. An aa that I thought was a basic (simple) amino acid. Good laugh!
Can someone please make a video explaining actute/chronic acidosis from an etco2 perspective?? And can anyone confirm whether co2 dilates or constricts vessels? Capnography is the only tool us paramedics have as far as finding out a patient's pH. There don't seem to be any Videos on the internet that explain any of this. Thank you very much.
Does anybody know what software he is using to create the video. I am an instructor and would like to utilize the same video format. I bought a tablet today, but it was unable to do many of the things he is doing. Any ideas would be greatly appreciated. I teach chemistry.
I just cannot understand one thing: if, according to that equation, one mole of CO2 gives 1 mole of H+ and 1 mole of HCO3-, why do we have more H+, and therefore lower pH in respiratory acidosis? Why the H+ is not compensated by the HCO3- produced by the same reaction?
ACIDOSIS Acute:0.1 meq/L raise in HCO3 for every 1mmHg raise in PCO2 raotio is 1:0.1 Chronic: ration is 1:0.35 ALKALOSIS: Acute: 0.2meq/L fall in HCO3 for every 1mmHg fall in. PCO2 Ratio: 1:0.2 Chronic: ratio: 1:0.5
Love your lectures. As a PA student undergoing a clerkship in the CCU your lectures have grounded me amongst all the madness...well, during nonclinical time that is.
Thank you for bring it all together.
I wish you were my instructor for pathophysiology. ALL of the MEDCRAM video's I have found have been a tremendous help!!! You have a real gift for clearing up things I don't understand all the way! THANK YOU!!!!!!!! I'm sure that it will probably never happen, but I would be honored to meet the man responsible for this!!!!!!!!!
As a student in nursing school i have to say your videos are awesome - much better than the foreign language my instructors use when trying to explain this.
I've been a 'brittle' T1 Diabetic for 17 years. Through this time, I've gained a lot of understanding about the chemistry of the (my) body, but your videos have, and are, helping me understand a lot more. Thanks so very much. I'm a firm believer that it's easier to 'fix' things when we understand how they work, and why certain things are happening. Thanks again. DKA is probably the worst thing I've ever gone through. Hopefully this will help me from going through it again.
I have a clinical chemistry exam tomorrow and you just made an 1.5 hr lecture more understandable in 13 minutes. Bless you!
MedCram and Khan Academy videos are the reason why I'm making it through pathophysiology in Paramedic school! Thank you
I just wanted to say thank you. You have given the best explanation. Chem has always confuse me, but you were crystal clear :) I will send this video to my fellow nursing students that are struggling to understand acids and bases.
your ability to remember the processes within the processes (WITHIN THE PROCESSES) amazes me!
Thanks a lot. The video series helped me lot and it really demystified this tricky topic. The last vignette was a great lot challenging and informative. It showed that despite a normal pH,pCO2,HCO3 a pt. may have serious problem which can be figured out by the algorithm described here. Would like to see more such enjoyable lectures !! Knowledge increases when it is shared. Thanks again for this good job. Keep it up!!
thank you so much for the time you took to create these series!
I never thought that i would learn this acid base thing so perfectly !
thank you again !
Namaste
That was the best acid base lecture series I've seen on youtube. Thanks
great presentation - no need for slides but clear logical step wise presentation does the job
By far better than anything else I have found on TH-cam. Please let me know if there is anything else I can do to help support these videos other than facebook and subscribing to them!!!!
Thank you for this series! I thought I understood acid/base before, but I learned a lot from this.
Understanding Greek roots is very useful. -Osis from ōsis, means “process”. -Emia, hemato, from haimat, which means “blood”.
Thank you this is a life saver for me in preparing for my first Pathophysiology exam in nursing school.
You are tremendously amazing .......extraordinary teaching .....keep forwarding ......thank you doc
There are those that are inclined to interpret acid base derangements based on an ABG alone. After watching this whole series by Dr. Seheult, to them, I say stop :) Follow Dr. Seheult's method as detailed in this whole series, apply Winters formula and get a better clinical picture of what is going on with your patient. Simultaneously a patient might be experiencing a host of alkalotic or acidotic processes at the same time. Thank you for another top notch series, life for me will be easier as I will now not waste any more time on this topic, its all good now :)
Thanks for an excellent explanation of this.... This concept has always been a thorn in my side ever since undergrad (I'm just a lowly dietitian)!
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
MEDCRAMvideos
MedCram - Medical Lectures Explained CLEARLY s
thank you . i have found this very helpful. something i didn't understand through nursing school i finally understand thanks to you :)
You explain things so well, I am a nursing student and this is so helpful! Thank you!
Save Martha.
Thanks for going over basic principles and building from there. Very good explanations and examples. Really enjoy reviewing these concepts which were somewhat of a BLURR in my early chemistry courses.
I must have listened to over 20 vdos and still was confused....you totally rocked!
Thank you so much! This has totally helped me in understanding the principles for ABG's as a Respiratory Therapy major :)
Excellent knowledge transmission for the needy ! Thanks a million !
+Ravi You're welcome- thanks for your comment!
Your videos are so unbelievably helpful. Thanks so much!!
Samantha Moore Good to hear, thank you
I have exams coming up soon. And ur videos helped immensely! Thank u so much :)
Jo ka glad the lectures were helpful with your exams.
I'm humbled - but at the same time motivated to do more. Thanks for the feedback. Actually there are several men responsible for this and they all say thank YOU.
All I can say is thank you!! I FINALLY GET this!!!
+Rachael Watson Good to hear- thank you
I love you❤, thank you!! Immense Appreciation!!
Excellent presentation
Thanks! Part 1 done. Next up, part 2.
And was the clinical significance of all that you have explained.
This is amazing! Thank you so much! Everything's so simple now.I can't believe how much I've stressed about thios topic before and in 14 min you made it clear!
Test today for AEMT. THANK YOU for having these videos!!! =D
+OneSkiWonder Best of luck on the test and thank you for the comment
MEDCRAMvideos Passed it. :D Now to start studying for the next one. x.x
OneSkiWonder wat exam you did
The Advanced Emergency Medical Technician class has several tests throughout the class, before the final exams, and the National Registry exam.
Thanks a lot for this. I was wondering when you are going to make some pulmonary videos! Need that for path/pharm! Thank you so much! :)
Videos are very good. Please can you do additional videos of metabolic acidosis and treatment, use of bicarb, how much bicarb, rate of infusion etc
really very very helpful! very nicely explained each and every small point! Can u give lectures on CVS. arrhythmia. or ECG. . if possible, please?
Very helpful, thanks a lot Doc. Have a good day!
Thank you, Doctor!!!
Perfect Love the soft way you explain things!
GREAT channel
outstanding series- thank you!
Great VDO! thank you for teaching.
Fantastic Video series. I've struggled with acid base for awhile and have perused a bunch of books and shortcut tutorials but never came to grasp it in a systematic way, until now. Well done. It is a difficult topic for a student to learn outside of clinical context because the demented physiologists who teach renal don't know how to frame it. I think this is why it's absolutely not tested in depth on the usmle step 1, which never really made sense to me because it seems awfully important.
It would be great if you expanded this series to include some clinical instances and what to expect from a hypokalemic, hypocholremic, acidosis/alkalosis. for example, walk through the pathophys and workup of lactic acidosis, vomiting, or saline responsive metabolic alkalosis. It's all rather bothersome I really have no clue how to interpret blood electrolytes despite preforming excellent on my board exam. I just don't know how in depth this stuff goes i guess, and your videos have been the only solid foundation i've been able to retain.
Benjamin sch Thanks for the feedback and suggestions- glad the series was helpful
Thank you :) very good explanation to help clear things up from class I was unclear about!
+Stephanie Salopek Glad the video helped clear things up- thanks for the comment
finally you made me clear regarding this concept ! thankd a lot Dr ! :))))
amazing, well explained! even better if you watch it on twice the speed haha, just kididng. thank you very much for making those videos! :)
Wonderful explanations! I appreciate the time you put into this. I'd love to see more on the kidney such as creatinine clearance and basic nephron functioning with the associated pathologies.
wow.Henderson heselbach got into my brain for the first time.
Outstanding lectures.
Can you please do lectures on how to approach to poisoning? Many patients are brought to the hospital/ICU with unknown substance poisoning.
Thank you.
I knew there was a difference between pCO2 and CO2, but not the HCO3/CO2 relationship. It would be great if you would go into this a little bit more as I'm not following how they correlate fully. :) Great videos!
Great review for RN / MD study.
Also,...as an aside; "Deep breathing, under normal circumstances helps the body to maintain homeostasis" due to slightly lowering the inherent metabolic balancing mechanism of the kidneys to add/subtract HCO3's to buffer one's pH.
We American's need to all 'breath more easily'.....RN/MD or not.
breathe. with an e at the end.
Excellent, thank you very much sir.
great job!
Very interesting reading
thank you, these video really helped me.
Great to hear, thanks for the comment!
Thank you so much for these videos!
wow. this is what I needed. Thanks doc.
Great Videos!!!!
great video!
Hi Dr. I am very fond of your lectures but there is one problem...If there are more than one lectures on a topic say for example acid base balance, they should be marked part 1, part 2 etc in the title, as it gets sometimes difficult to find the next part of same lecture.
Like in acid base lecture at the end you said, rest in the ensuing lecture and that next i am unable to find
Go to MedCram.com for the complete set!
thank you so much. you did an awesome job explaining :-)
Thank you for the feedback!
Really helpful, thank you so much !
you rock. thank you so much!!!
Danke schön Herr Doktor.
thanx alot .
teşekkür ederim
شكراً
Ahmed Yazji, der Säure-Basenhaushalt gut erklärt. 🙂
Thanks! very helpful!
thanks alot..this was amazing!
Videos improve my knowledge
Thank u 👍
Thanks for all your help. Please how can I get the kind of board you are using?
This stuff is amazing, thank you so much, very helpful in my first yr as a doctor and im sure many yrs to come. =) Ta!
Very well done.
What software and hardware do you use to create the lectures?
Oleg Georgiev, MD, MS
Internal Medicine, Nephrology, Critical Care Medicine
Avio Avio Front Cam and smooth Draw 4. Thanks for watching.
MEDCRAMvideos Thanks. What is the hardware you use to draw and write? It is very clear and nice.
what is emia and gnosis
what if both acidosis and alkylosis have in our body
or both metabolic and respiratory acidosis or alkylosis
Great video, but should have included units for pCO2 and HCO3-
+John Doe pCO2 is mmHg and HCO3- is mmol/L or mEq/L
@@Medcram But why was it not included? Just to make it more simple I guess?
Anyways, great vids. Much appreciated!
awesome!
With the Coronavirus..... how are they using one vent machine to regulate settings for multiple patients? Don't you need to regulate each patient's settings depending on their response?
Nice explanation doc
Bamboo tablet and any drawing program. Front cam can be used to capture the video
A point I’m needing clarification on is this: if CO2 is elevated, it stimulates chemoreceptors and is blown off. But an elevation in CO2 will also shift the equation to the right? So which happens first and/or predominantly? The two concepts seem contradictory, but I know there is a piece I must be missing. Thank you.
The elevation occurs despite the fact that there has been a shift .
More subjects must be available
Hello. What is the application used for explaining please?
kindly solve this one for me: PH= 7.187 pCO2= 44.6, HCO3= 16.3, anion gap= 14, Na= 145, Cl-= 114.
+susil bisoyi on first blush it looks like combined metabolic and respiratory acidosis.
thank you...
thanks
Hi, great video. Question... is PO2 the same of PaO2?
Thank you
+Fabrizia D'Arrigo: generally yes
How does this Help the Diabetic ??
What program did you use to make the videos? Thanks.
So you went over the basics...
What about the acidics?
/kneeslap
+Phillip Lefas I’ve made that mistake before.
College test question. Name a basic amino acid.
I didn’t realize that we’re referring to lysine arginine or histadine. (Pka was greater than 7). So I put alanine. An aa that I thought was a basic (simple) amino acid.
Good laugh!
Great
Would you pls give me a weblink where I can practice lots of Acid base problems . Thanks in advance!!
awesome thanks alot :D
+Abdullah Mekkawy A lot is two words.
I'm single and would like to marry this video. That is how helpful it is the night before my renal physio quiz. Thank you so much.
Can someone please make a video explaining actute/chronic acidosis from an etco2 perspective?? And can anyone confirm whether co2 dilates or constricts vessels? Capnography is the only tool us paramedics have as far as finding out a patient's pH. There don't seem to be any Videos on the internet that explain any of this. Thank you very much.
Does anybody know what software he is using to create the video. I am an instructor and would like to utilize the same video format. I bought a tablet today, but it was unable to do many of the things he is doing. Any ideas would be greatly appreciated. I teach chemistry.
For rental system control metabolic acid base?
what is the app or program you are using in illustration???
+Doaa Ageeli We use soft draw and a bamboo tablet
I wish your videos could be watched at 1.5 speed.
I just cannot understand one thing: if, according to that equation, one mole of CO2 gives 1 mole of H+ and 1 mole of HCO3-, why do we have more H+, and therefore lower pH in respiratory acidosis? Why the H+ is not compensated by the HCO3- produced by the same reaction?
ACIDOSIS
Acute:0.1 meq/L raise in HCO3 for every 1mmHg raise in PCO2 raotio is 1:0.1
Chronic: ration is 1:0.35
ALKALOSIS:
Acute: 0.2meq/L fall in HCO3 for every 1mmHg fall in. PCO2
Ratio: 1:0.2
Chronic: ratio: 1:0.5