REMEMBER THE ''SEPSIS SIX RULE'' TAKE 3, GIVE 3 TAKE 3 Blood cultures Blood sample for FBC, Urea, Electrolytes Start Monitoring Urine Output GIVE 3 High Flow Oxygen IV fluid Challenge IV antibiotics DON'T FORGET TO CLICK ON SUBSCRIBE BUTTON :) FOLLOW ME ON Instagram: instagram.com/docwaqasfazal/ Facebook: facebook.com/Drwaqasfazal
I have healed myself alone in a cheap hotel room in India from severe sepsis gangrena on both legs from knees to feet fingers , it took me 6 months , I had the all seasons , in long and large , with dead body bad smell putrefaction , first two months was going 3 times per day to pharmacy for triple dose antibiotics injection , then failure so i went hardly to emergency , the doctor wanted to cut my legs i refused and leaved the hospital on same day , he changed my treatment to oral treatment , one month more with chlorhexidine oily bandage all long my legs every days , then at home a nurse helped me , i had no money for admission , in india , I am french , was paralysed on floor 5 months the rest of the Time , after 3 months treatment it took me 3 months to re grow my skin my meat on the legs , it was burning firing like hell 24 hour 7/7 when moving , no possible to reach my bed or standing for urination , I survived and saved my legs in becoming my own doctor , it just took longer , i can imagine no money peoples having this illness it's mean infection & amputation faster than sunlight speed , cause India is so dirty that these bacterias are everywhere ...
My mother had sepsis from uti....day before..no sign of anything wrong..next morning..didn't know who i was..went to ER...she's good now..apparently, sepsis can come on..fast
Thank you for this I went thru septic shock last year and i was in the hospital for 19 days. Unfortunately on the third day there I ended up coding out in my room and my oxygen dropped below 20% they ended up saving me. But I was so out of it and they had to pump me with so many antibiotics that the communication with the doctors and nurses was difficult. But watching this explains a lot so thank you sir.
How are you feeling now? Better? Any issues that you see now on daily basis? Please share as my mom is going thru exactly same thing and she is in the ICU right now. Your inputs will help for sure. Thank you in advance
Sadly my Mother passed away on the 6th of August 2023. 87 years and showed no signs of infection. She was recovering from a broken hip 10 months earlier and was doing very well. Friday before she died she was healty and talkative. Saturday she complained not feeling well. Sunday morning she was confused and I rushed her to emergency room at hospital. Missed diagnosed and poor service, she died less within less than 3 hours. Was told she died of Septic Shock after the blood results came back.
Doctor , i am not a Doctor, but followed your very informative narrative. My son recently passed away due to septic shock at a government hospital in Goa, India. he was admitted for severe brain injury caused by an accident . The Doctors who treated him , are not sharing information regarding the treatment for SS , they say that only a combination of antibiotics is given from a reading of the reports , i can find no kind of treatment as suggested by you. Doctor , what is the treatment suggested by you the standard followed all over India/the World? i would like to get in touch with You.
I had been through this nasty infection. Thank to Allah l am here today. But after that, I didn't get back my health how it was. Still alive but lots of health issues.
Lost my mother due to this ,By watching your video i was just wondering that how unlucky i was that i did not came across doctor who are capable like you i could have saved my mother now days most of the Doctors are not capable enough to treat something like this even though it was treatable and when a senior doctor from any other hospital tries to help them then they take it on there ego. I mean someone life is on stake and Doctor are having ego problems ! 😢😢
Thank you very much Dr you are my best tutor on line since I started getting your lectures.Sir I a have a condition I am suffering fro presently.there is cold always from my knee down wards to my feet and the cold radiate to the upper leg .I fill sweat from the trunk upwards but yet the feet upper legs are cold.what will be your advice to this condition sir?
What if the patient is a known hypertensive with usual BP of 160/100... Can a BP of 110/80 be considered as a sign of sepsis with dropping temperature, loss of consciousness and low urine output? Another question is in shock is there a risk of increased intracranial pressure?
I had sepsis earlier this year. After about 2 days I got severe muscle pain and lack of strength in every muscle in my body. Could that be from build up of lactic acid? My lactase was over 3 mmol.
CMS guidelines indicate for septic shock a fluid bolus of 30ml/kg/hr. I noticed your video indicates a fluid bolus of 500cc over 15mins x2 totaling 1000cc. then moving to vasopressors. Is this a different form of practice as opposed to CMS?
Sir, I listen your lecture. I am a girl 19 month ago . I lost my baby after delivery this cause fulminant sespis. Dr. Bol rahe hai k pet se hi aisa hua hai . Mere Q- scnd bby plan karu to same problem face hoga kya ?? Plz reply me sir
A Patient with malignancy with high fever 104 f with sepsis not improved with iv paracetamol 6thry and naprosyn 500 bd and with antibiotic due to low এফ 30% ,my queries are what to give to reduce fever,and how much fluid to give because as per sepsis protocle iv fluid to give ,here how xan I give iv fluid what t।ও do ,sir please guide
@@MedNerdDrWaqasFazal thank you doctor. I admire your initiative to help educate doctors/ med students well so that they can save others lives from this deadly phenomenon of septic shock. God bless you sir
@@MedNerdDrWaqasFazalsir I am suffering from sepsis repeatedly due to a misdiagnosed bone infection in my tibia or fibula I have an MRI I could send you if youd be willing to view it. Id be willing to pay whatever you want. Thanks for your time
As-salam-alikum Sir, this was one of the excellent videos on sepsis. But sir, one thing, you have not talked about all those things like SOFA criteria, qSOFA, SIRS (Systemic Inflammatory Response Syndrome). And also, one important antibiotic can be Tetracycline right sir? Because it covers some deadly pathogens like Klebsiella, etc. And at what stage is Carbapenems given? Do we need to wait for culture reports or can carbapenems be started empirically? And for refractory shock with/without hypoxemia , can ECMO be used as an adjunct to other supportive measures? Do we need to check for viral/fungal/parasitic infections also if someone presents with sepsis?
@peggyoneal325 just 23 years old, i lost him on 14th February, valentine day,his grave was full of red roses 🌹 and my heart and soul still bleeding 💔 Red...
@@UK_1487, Thank you for sharing such sentimental information about your Brother…..I can only imagine how beautiful your Brother’s grave was, surrounded by beautiful roses… Please keep talking about your Brother, And I will too …. This is how we keep their memories, alive….Grieve, laugh, cry, reminisce and we will keep both of our Brothers, close to our hearts… Be Encouraged..:
![[MV] A leap of faith...ความเชื่อใจครั้งสุดท้าย (From "Petrichor the series")](http://i.ytimg.com/vi/U1piZH2CNXA/mqdefault.jpg)
REMEMBER THE ''SEPSIS SIX RULE'' TAKE 3, GIVE 3
TAKE 3
Blood cultures
Blood sample for FBC, Urea, Electrolytes
Start Monitoring Urine Output
GIVE 3
High Flow Oxygen
IV fluid Challenge
IV antibiotics
DON'T FORGET TO CLICK ON SUBSCRIBE BUTTON :)
FOLLOW ME ON
Instagram: instagram.com/docwaqasfazal/
Facebook: facebook.com/Drwaqasfazal
My friend died sir.
I have healed myself alone in a cheap hotel room in India from severe sepsis gangrena on both legs from knees to feet fingers , it took me 6 months , I had the all seasons , in long and large , with dead body bad smell putrefaction , first two months was going 3 times per day to pharmacy for triple dose antibiotics injection , then failure so i went hardly to emergency , the doctor wanted to cut my legs i refused and leaved the hospital on same day , he changed my treatment to oral treatment , one month more with chlorhexidine oily bandage all long my legs every days , then at home a nurse helped me , i had no money for admission , in india , I am french , was paralysed on floor 5 months the rest of the Time , after 3 months treatment it took me 3 months to re grow my skin my meat on the legs , it was burning firing like hell 24 hour 7/7 when moving , no possible to reach my bed or standing for urination , I survived and saved my legs in becoming my own doctor , it just took longer , i can imagine no money peoples having this illness it's mean infection & amputation faster than sunlight speed , cause India is so dirty that these bacterias are everywhere ...
What ever you are doing-you are saving the entire world with your lectures. Wish you live for 200 years
Teaching is an art and you are the artist. Hats off to you sir💯
That's very nice of you Camran K. Thank you 😊 Keep supporting
My favourite part in start of every video❤
"Ok, so today we will discuss....."
My mother had sepsis from uti....day before..no sign of anything wrong..next morning..didn't know who i was..went to ER...she's good now..apparently, sepsis can come on..fast
Please deliver a lecture on the management of bronchial asthma
One day you will be pioneer for all medical students inshaAllah
I went into septic shock because of infected gallstone this explains a lot as I have no memory of it!
Thank you for this I went thru septic shock last year and i was in the hospital for 19 days. Unfortunately on the third day there I ended up coding out in my room and my oxygen dropped below 20% they ended up saving me. But I was so out of it and they had to pump me with so many antibiotics that the communication with the doctors and nurses was difficult. But watching this explains a lot so thank you sir.
Hii
How are you feeling now? Better? Any issues that you see now on daily basis? Please share as my mom is going thru exactly same thing and she is in the ICU right now. Your inputs will help for sure. Thank you in advance
Sadly my Mother passed away on the 6th of August 2023. 87 years and showed no signs of infection. She was recovering from a broken hip 10 months earlier and was doing very well. Friday before she died she was healty and talkative. Saturday she complained not feeling well. Sunday morning she was confused and I rushed her to emergency room at hospital. Missed diagnosed and poor service, she died less within less than 3 hours. Was told she died of Septic Shock after the blood results came back.
In which hospital u got admitted... please tell me because my relative is suffering from this
I cannot express my gratitude well enough. Thanks mate, you are saving lives.
Doctor , i am not a Doctor, but followed your very informative narrative. My son recently passed away due to septic shock at a government hospital in Goa, India. he was admitted for severe brain injury caused by an accident . The Doctors who treated him , are not sharing information regarding the treatment for SS , they say that only a combination of antibiotics is given from a reading of the reports , i can find no kind of treatment as suggested by you. Doctor , what is the treatment suggested by you the standard followed all over India/the World? i would like to get in touch with You.
You’r amazing sir i have an ER exams next days and your videos made me muchmore confident ❤❤❤
I had been through this nasty infection. Thank to Allah l am here today. But after that, I didn't get back my health how it was. Still alive but lots of health issues.
Thank God you made it, am praying the same for my mother right now. She's on oxygen support.
@@droneherts9291how is she now
Bhai wer u recovered, my brother right now in hospital, suffering with this stepsis
Lost my mother due to this ,By watching your video i was just wondering that how unlucky i was that i did not came across doctor who are capable like you i could have saved my mother now days most of the Doctors are not capable enough to treat something like this even though it was treatable and when a senior doctor from any other hospital tries to help them then they take it on there ego. I mean someone life is on stake and Doctor are having ego problems ! 😢😢
Sir,U am an MBBS doctor, doctors like us face problems in treating brain or heart stroke patients. Please make videos on these emergency cases also.
Many thanks, Dr. this is an invaluable resource for Rns around the world.
Don't ever say if you like my video
Because all of your videos are liked and worthy of BIG LIKE 💝
You are a very good teacher. Thank you so much for your content. I have learnt so much from you in so little time
Sir, please focus more abd more about treatment, dosage, adminstration, and follow up.
May Allah Bless you & make you His beloved 💖💖💖
Thanks a lot 🙏
Ameen and thank you Dr. Zubair. 😊
I like your method teaching sir, simple . Thank you
Really great lesson! I love every bit of information! Thanks again
So Nice of you Jacob. Stay blessed 😊
Thank you very much Dr you are my best tutor on line since I started getting your lectures.Sir I a have a condition I am suffering fro presently.there is cold always from my knee down wards to my feet and the cold radiate to the upper leg .I fill sweat from the trunk upwards but yet the feet upper legs are cold.what will be your advice to this condition sir?
What if the patient is a known hypertensive with usual BP of 160/100... Can a BP of 110/80 be considered as a sign of sepsis with dropping temperature, loss of consciousness and low urine output? Another question is in shock is there a risk of increased intracranial pressure?
such a great way of explaination
I love how you explain... Simple but very understandable
Excellent explanation. Thank you Doctor
Excellent ,
clear lecture. Thank you, Dr.
You're welcome. Keep supporting 😊
Thanks a lot for this class
Boss ! You are so wonderful..a story teller
Thank you Dr. Fazal. Very helpful video.
Very nicely 👍 explained sir. Delivered a lecture on guidelines of sepsis
Thank you so much Doc 💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚
Sir plz make a video of Hypo and hyperthyroidism and its management
Sure Resmi Arun, I will. 😊
@@MedNerdDrWaqasFazal Thank you sir for making such wonderful videos🙏
Good presentation. Very easy to understand ❤
bless you Doc.
please do the cardiogenic shock mx
Sure Ibrahim Mohamed, I will 😊
Are Finsh or not yet
Nicely explained Sir, thank you🙏
Thanks allot sir. You are good and the best
Hay sir good evening am big fan of you you are great teacher plz keep it up sir thank you
I had sepsis earlier this year. After about 2 days I got severe muscle pain and lack of strength in every muscle in my body. Could that be from build up of lactic acid? My lactase was over 3 mmol.
Dr. Thank you sooo much, this was very helpful..
Woow such an amazing teacher
Thank you so much sir.......you make the thing so much easy......really...
So Nice of you Amit. Keep supporting 😊
Yes ...sir....your way of explanation is so much good.....I appreciate it..................you cover the all the important part of any topic.... 😊👍👍👍👍
Yes ...sir....your way of explanation is so much good.....I appreciate it..................you cover the all the important part of any topic.... 😊👍👍👍👍
Sir
Kindly make a video on Electric Shock management
Wah sir..superb
Aap bohot Acha padhate hai.. Plzz sir hindi me video banaiye na😊
My father died due to sepsis and he suffered a lot in the hospital I m in a deep pain. I wish I could speak little bit in his last time.
I just lost my mother from septic shock. I understand you.
Sir please do vedio on Anemia topic
U explain excellently sir
Plz tell the dose of NA AND HOW TO MAKE PREPARATIONS FOR INFUSION
AND VASOPRESSIN TOO
Great sir to the point icu lecture
بارك الله فيك
A good video. Thank you.
CMS guidelines indicate for septic shock a fluid bolus of 30ml/kg/hr. I noticed your video indicates a fluid bolus of 500cc over 15mins x2 totaling 1000cc. then moving to vasopressors. Is this a different form of practice as opposed to CMS?
30ml ×70kg=2100mls/hour
500ml+500ml=1000ml in 15+15 minutes =30 minutes ...so 1000ml in half hour and 2000mls in one hour.....whats the difference
Thank you very much🎉
Thanks ❤. شكرا لك
Please make video on ecg
Sir please upload regular
We r still sad about this so please tell me more 😢
Love your lecture, short and sweet and full of info that is easy to grab them. Thank you
Thanks for your efforts sir 👍👍👍
Just wow!
Hey sir today my girl said to me that she had a blood infection can you please Give me some instructions so it can help her please 🥺
Is this beutiful knowledge u are sharing With us are from herrison ?
Thank you, your way of explanation is Amazing
Sir, I listen your lecture.
I am a girl 19 month ago . I lost my baby after delivery this cause fulminant sespis.
Dr. Bol rahe hai k pet se hi aisa hua hai .
Mere Q- scnd bby plan karu to same problem face hoga kya ??
Plz reply me sir
Consult with a doctor mam, offline. Hope you get blessed by another baby🥺
A Patient with malignancy with high fever 104 f with sepsis not improved with iv paracetamol 6thry and naprosyn 500 bd and with antibiotic due to low এফ 30% ,my queries are what to give to reduce fever,and how much fluid to give because as per sepsis protocle iv fluid to give ,here how xan I give iv fluid what t।ও do ,sir please guide
Sir vedios and information really good.
But add more about drug doses in evry vedio.
Thank you Dr. Sachin. Sure will add more about doses. Keep supporting 😊
Very good
Today my mother died of septic shock. God bless her soul.
Very sorry to hear about your mother. My deepest condolences 💐
@@MedNerdDrWaqasFazal thank you doctor.
I admire your initiative to help educate doctors/ med students well so that they can save others lives from this deadly phenomenon of septic shock.
God bless you sir
@@MedNerdDrWaqasFazalsir I am suffering from sepsis repeatedly due to a misdiagnosed bone infection in my tibia or fibula I have an MRI I could send you if youd be willing to view it. Id be willing to pay whatever you want. Thanks for your time
V v informative sir
Again thanks a lot sir 👏
Well explained, may you succeed ❤❤
Thank you sir🙏🏻
Sir.. In shock If urination does not occurs from 12 hour... Then Gentamicin will be safe???
Excellent explanation. Very Informative lecture.
You are amazing!
After meropenum injection is colistin the right choice
Sir please board writing change in Capital latter type again
As-salam-alikum Sir, this was one of the excellent videos on sepsis. But sir, one thing, you have not talked about all those things like SOFA criteria, qSOFA, SIRS (Systemic Inflammatory Response Syndrome). And also, one important antibiotic can be Tetracycline right sir? Because it covers some deadly pathogens like Klebsiella, etc. And at what stage is Carbapenems given? Do we need to wait for culture reports or can carbapenems be started empirically? And for refractory shock with/without hypoxemia , can ECMO be used as an adjunct to other supportive measures? Do we need to check for viral/fungal/parasitic infections also if someone presents with sepsis?
Psoas abscess can be drained with the help of USG only.
Thank you sir
Pls suggest me gynaecology obs channel for treatment
So good sir. 👍
Great video sir
Sir..Dopamine is not on 1st line choice
Fantastic
Is it latest guidleine base of sepsis?
What food to giv after hospitalised
I watched each bit of your video and took screemshots but no avail..my brother died of Sepsis Shock due to Delayed Treatment 😢
I’m so sorry for your loss….
I loss my Brother too, due to Sepsis…
It sure do hurt….
Do you mind me asking,
How old was your Brother?
@peggyoneal325 just 23 years old, i lost him on 14th February, valentine day,his grave was full of red roses 🌹 and my heart and soul still bleeding 💔 Red...
@@UK_1487, Thank you for sharing such sentimental information about your Brother…..I can only imagine how beautiful your Brother’s grave was, surrounded by beautiful roses…
Please keep talking about your Brother,
And I will too …. This is how we keep their memories, alive….Grieve, laugh, cry, reminisce and we will keep both of our Brothers, close to our hearts…
Be Encouraged..:
just WOW!
MasAllah sir 👍
💯💯 perfect 👍
Sepsis thik hone kitna time lagta
Tq sit
Thankyiu sir
Sir, u are working in which hospital sir
Sad my father died due to sepsis 😢😢😢😢😢
Legend boss
Hello sir
My grandmother died due to septic shock with mods 😢😢😢
Sir dose of vasopressors!