MBBS Case scenario anaphylaxis

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  • เผยแพร่เมื่อ 14 ก.ย. 2020
  • #Anaphylaxis#allergy#AmritaHospitals

ความคิดเห็น • 148

  • @123_suryas7
    @123_suryas7 3 ปีที่แล้ว +28

    Summary :
    *Confirm Diagnosis -Anaphylaxis
    *Maintain ABC
    *i.m. Adrenaline ( 1 in 1000 dilution )
    *If emergency - i.v. Adrenaline
    (1 in 10000 dilution )

  • @missblush6412
    @missblush6412 2 ปีที่แล้ว +14

    AS a medical student...I am daily learning so much from your lectures..Thank you sir 🤗 ❤

  • @vishalhadiya570
    @vishalhadiya570 3 ปีที่แล้ว +7

    Wooo, what a presentation sir, marvelous 👌

  • @drmariam5655
    @drmariam5655 2 ปีที่แล้ว +2

    Very informative and excellent way of teaching please keep prod-casting similar videos

  • @dr.yogeshteli3351
    @dr.yogeshteli3351 3 ปีที่แล้ว +4

    Very good information you explained sir thank yiu so much....
    Plz give more such videos to improve our knowledge about handling the emergency patients thank you😊🙏

  • @surumia8240
    @surumia8240 3 ปีที่แล้ว +2

    Superb explanation sir......catch all points sir .keep on uploading this kind of video .

  • @strikingshravan6550
    @strikingshravan6550 3 ปีที่แล้ว +3

    Crystal clear explaination salute sir Dr. Sree krishnan sir God blessings 🙏 easy way to understand

  • @dev186
    @dev186 3 ปีที่แล้ว +2

    Excellent sir ! To the point explanation and clearly explained about all the procedures to follow..Found it very helpful sir.
    Thank you very much for uploading such a nice and much needed video...🙏

  • @mamtabora3372
    @mamtabora3372 3 ปีที่แล้ว +10

    He is so clear , point to point information..

  • @viswajithsp7303
    @viswajithsp7303 3 ปีที่แล้ว +29

    Sir, best thing about ur lecture is that, its 100% conveyed!😎😎❤️

  • @innovator5145
    @innovator5145 หลายเดือนก่อน

    Nice explanation sir thank you for the useful video ❤❤❤❤

  • @shadesofanodia
    @shadesofanodia 3 ปีที่แล้ว +8

    Thanks a lot sir..don't know why the videos like this is so underrated....

  • @sonalkumar3485
    @sonalkumar3485 3 ปีที่แล้ว +3

    Everything u spoke reached me smoothly ❤️❤️

  • @drdelhi418
    @drdelhi418 3 ปีที่แล้ว +3

    Awesome!Please make more vedieos like this.

  • @jenifersagayam9712
    @jenifersagayam9712 ปีที่แล้ว +1

    Thank you sir for your great explanation . ,🙏

  • @drhousemd3359
    @drhousemd3359 3 ปีที่แล้ว +3

    Excellent explaination sir...love from Pakistan 🇵🇰♥️

  • @KK-gc5lj
    @KK-gc5lj 2 ปีที่แล้ว +4

    I've seen many great doctors , but not a great doctor who is a Very good teacher. Some doctors can convey the message very precisely. 🙏🙏

  • @doctorsofgoldenhour
    @doctorsofgoldenhour 3 ปีที่แล้ว +2

    Aap ka koi swarth nahi hai phir b kis passion say aap padha rahe ho, hats off🙏

  • @dr.soubhagyaranjanmohapatr2258
    @dr.soubhagyaranjanmohapatr2258 3 ปีที่แล้ว +26

    Sir please make a video regarding managemeNt of shock in ER

  • @mushtaqahmad3648
    @mushtaqahmad3648 3 หลายเดือนก่อน

    Nice presentation sir love from kashmir

  • @dr.michaelpaul5927
    @dr.michaelpaul5927 3 ปีที่แล้ว +1

    Vry useful info sir... Tq sooo much for sharing ur knowledge sirr🙏🙏🙏

  • @zachx3895
    @zachx3895 10 หลายเดือนก่อน

    I can listen to this dr all day ! Thank you !

  • @RajKumar-ey6tg
    @RajKumar-ey6tg 3 ปีที่แล้ว +11

    Thank you so much sir for this great explanation.....😊👍👍.....sir can you put a seperate video for airway management (including ambu bag , mask ventilation, etc) and separate video for monitors in emergency department like cardiac monitor machines....

  • @mangalsingh-1999
    @mangalsingh-1999 ปีที่แล้ว

    🙏sir very very important lecture taken by you thank you so much

  • @saru4683
    @saru4683 3 ปีที่แล้ว +2

    Dear doctor sreekrishnan, please make more videos ...include all medical and surgical emergencies...keep up the good work sir🤝

  • @bhakti443
    @bhakti443 3 ปีที่แล้ว +2

    Thanks for the video.

  • @shreedharangadi5399
    @shreedharangadi5399 3 ปีที่แล้ว +2

    Nice explanation sir😍

  • @asmitamuni3810
    @asmitamuni3810 3 ปีที่แล้ว +2

    Excellent sir.

  • @syedreshma3369
    @syedreshma3369 3 ปีที่แล้ว +1

    Very help ful thnq sir

  • @habibullahafridi4997
    @habibullahafridi4997 2 ปีที่แล้ว +1

    Great Sir. Great

  • @munnaashif4057
    @munnaashif4057 3 ปีที่แล้ว +4

    Better then one hour study❤️😍

  • @otamialoysiusassah9553
    @otamialoysiusassah9553 ปีที่แล้ว +1

    Thank you for this video

  • @shashikanttrivedi9460
    @shashikanttrivedi9460 2 ปีที่แล้ว +3

    I have anaphylaxis or like that 18 times in four years. (Rigor also have similar symptoms and most doctors do not know). I never knew the symptoms are so severe and I pray to God that it should never come to anyone. The strange thing is that I had fever during each event -- 102-103 degree. Every time I was mid-way enjoying either song, television or filing reports in my office. Eventually, when none of the doctors ( I consulted many) could diagnose, what was it, I approached New Delhi AIIIMS. A group of doctors asked me N number of questions without any clue. After one hour of grilling, a chest specialist advised to go for lung test and gave me two medicines, one of them was a proton pump inhibitor. I came back to my hotel took my dinner and medicines. At around 12.45 pm I felt similar symptoms; flushing near ears and cheek, they becoming warm, the onset of cough, bone-chill shivering, trouble in breathing and high fever. none was in the room with me. I was helpless, my BP might be 00-00 pulse was 180 and my heart wanted to come out of my chest. I had already taken paracetamol, anti-allergic medication and started inhaling carbol capsules (I always keep certain medicines with me 24x7. Symptoms subsided by 4 00 am in the morning. The real culprit was the proton pump inhibitor. It is a banned drug in the USA and entire Europe. Believe me, none should go into such symptoms so dreary and life-threatening. I can write reams of papers on every episode. Once I was in a national park where no phone works, although I knew nearby district hospital and medical college doctors. Again I had to manage myself on my own. Beware while taking medicines.

  • @PriyaRanjan-ql7qp
    @PriyaRanjan-ql7qp ปีที่แล้ว

    Excellent presentation

  • @josephpunnoose
    @josephpunnoose 3 ปีที่แล้ว +1

    Good explanation

  • @shashikumar-yd4hv
    @shashikumar-yd4hv ปีที่แล้ว

    hats off ur efforts ❤️

  • @rajarshidas4240
    @rajarshidas4240 5 หลายเดือนก่อน

    Thank you so much sir 🎉😊❤…it’s done

  • @vinitanaik3079
    @vinitanaik3079 3 ปีที่แล้ว +1

    Very good

  • @mk-wb4yl
    @mk-wb4yl 3 ปีที่แล้ว +1

    Thank u very much sir 💗💗💗

  • @drsreejith8509
    @drsreejith8509 3 ปีที่แล้ว +3

    sir plz try to zoom in the equipments while showing it...den it wud be more interestig

  • @WaterLilliezz
    @WaterLilliezz 3 ปีที่แล้ว +1

    Thank u sir... For the Great information

  • @DrAdi070
    @DrAdi070 3 ปีที่แล้ว +2

    Please make a video on the burnt cases and oxygen toxicity.

  • @sevvandhikuilan4745
    @sevvandhikuilan4745 3 ปีที่แล้ว +2

    Thank you sir...

  • @fozf9193
    @fozf9193 3 ปีที่แล้ว +30

    Great explanation. However all patients with anaphylaxis should be admitted. There is always a chance of second phase reaction. Keep for 24hrs

    • @jumpjeyv2692
      @jumpjeyv2692 3 ปีที่แล้ว +2

      This. Second phase occurred to my mom after 12 hours.

    • @frrfrrry6311
      @frrfrrry6311 3 ปีที่แล้ว

      @@jumpjeyv2692 bullshit there is no thing as second phase reaction.

    • @benbaang6964
      @benbaang6964 2 ปีที่แล้ว +1

      @@frrfrrry6311 Some anaphylactic reactions are biphasic in nature. Sometimes there can be a second phase hours later.

    • @jumpjeyv2692
      @jumpjeyv2692 2 ปีที่แล้ว +4

      @@frrfrrry6311 wow you are so certain you must be an expert.

    • @Nerdmedicine
      @Nerdmedicine 2 ปีที่แล้ว

      @@jumpjeyv2692 😂 😂 lol

  • @dr.ankitsingh6388
    @dr.ankitsingh6388 3 ปีที่แล้ว +1

    Many thanks.

  • @shivarajkumark3004
    @shivarajkumark3004 3 ปีที่แล้ว +9

    Sir please start online certificate programme on Fellowship in Emergency medicine with 2 months contact programme.

  • @pandeeshwarieshwari2399
    @pandeeshwarieshwari2399 3 หลายเดือนก่อน

    Thank you sir

  • @poonamkar6419
    @poonamkar6419 3 ปีที่แล้ว +1

    Nice

  • @lifeholders_24
    @lifeholders_24 2 ปีที่แล้ว

    Thnkuuu for sharing sir

  • @drvishalswami6145
    @drvishalswami6145 2 ปีที่แล้ว +2

    Great work sir. Kindly do vdo on ventilator settings,modes ,..Airways .🙏

  • @BalkrishanYadav-mo1sg
    @BalkrishanYadav-mo1sg 2 ปีที่แล้ว +1

    Thanks sir 🙏

  • @nakkavenkatesh2992
    @nakkavenkatesh2992 3 ปีที่แล้ว +1

    Thank you sir 🙏

  • @dr.vikrantpatil3289
    @dr.vikrantpatil3289 11 หลายเดือนก่อน

    Sir can we give avil(pheniramine maleate)/chlorpheniramine/promethazine injections for allergic reactions triggered by cns depressant drugs like dicyclomine/pregabalin/clonazepam/tramadol/muscle relaxants(thiocolchicoside/tizanidine/chlorzoxazone) etc...and if yes then should we need dose adjust ment aof antihistamines for that.

  • @aashikaam6627
    @aashikaam6627 3 ปีที่แล้ว +1

    Thank you so much sir 🙏🙏

  • @deepikachouhanchouhan5554
    @deepikachouhanchouhan5554 2 ปีที่แล้ว +1

    🔥🔥👍👍

  • @akshsharma862
    @akshsharma862 2 ปีที่แล้ว +1

    Thank You 🔥

  • @vastavkumar9482
    @vastavkumar9482 3 ปีที่แล้ว +1

    Please keep uploading videos a lot

  • @busjiolife8116
    @busjiolife8116 ปีที่แล้ว

    Sir , is there any video about urinary retention and management?

  • @bhawanipuri9860
    @bhawanipuri9860 2 ปีที่แล้ว +2

    Words are not enough to thanking you sir🙏🙏🙏🙏🙏 Ur every vedios are very informative, thank you a lot n in this vedio I didn't get the point abt adrenaline dilution if possible could you please reply in the comment section.i will be highly appreciated 😊😊😊

    • @AETCMEmergencyMedicine
      @AETCMEmergencyMedicine  2 ปีที่แล้ว +2

      Available 1 mg 1ml 1:1000 Dilution
      Take this and dilute in 10 mk, take 1 ml from this it will become 1:10000 you can give this slow iv

    • @bhawanipuri9860
      @bhawanipuri9860 2 ปีที่แล้ว

      @@AETCMEmergencyMedicine thank you so much sir 🙏🙏🙏

  • @ramalingamkc2153
    @ramalingamkc2153 3 ปีที่แล้ว +2

    Ok sir

  • @drnitigyanonhare8085
    @drnitigyanonhare8085 3 ปีที่แล้ว +16

    A video of various uses of adrenaline along with it's dosage and how to prepare the dose would be very much appreciated.
    Very helpful initiative. Thank you sir!!

  • @ananddoctor6109
    @ananddoctor6109 2 ปีที่แล้ว +1

    👍

  • @strugglertech9313
    @strugglertech9313 ปีที่แล้ว

    Hyy sirr i want to join the EMT course i have completed Gnm and Pbbsc nursing is going on so what the next step to join

  • @aseenaabdulkareem4884
    @aseenaabdulkareem4884 ปีที่แล้ว

    Hi sir...my child is 5 and half year old.he has a risk of febrile seizure after two years onwards.he has food allergy to egg prawns etc...these two are noticed one.he has sudden breathing problem during night...and he was struggling to take breath at that time...it is very fearful to see..after vomiting he is ok ...these happened with in ten minutes always.but we thought this was febrile seizure and go for treatment for that.he was conscious at that time he can't talk.peaditrician told us we can't say anything to see his condition directly.when we go to hospital he vomits on the way and he will be ok.sir could you give any proper suggestion for his condition

  • @DrAswanth
    @DrAswanth ปีที่แล้ว

  • @AG-fs9xe
    @AG-fs9xe 2 ปีที่แล้ว

    Please do a vedio for management of dka

  • @preveenjoseph7088
    @preveenjoseph7088 3 ปีที่แล้ว +1

    Nice presentation.. Thanks.. Need to advice, how to use EpiPen..

    • @AETCMEmergencyMedicine
      @AETCMEmergencyMedicine  3 ปีที่แล้ว +2

      Epipen is disposable for kids 0.15 mg is available and for adult 0.3mg
      Im anterolateral aspect of thigh

  • @ishanidesilva6631
    @ishanidesilva6631 3 ปีที่แล้ว +3

    If the anaphylaxis occurs while pt on canula, can we give iv adrenaline rather than im?

    • @AETCMEmergencyMedicine
      @AETCMEmergencyMedicine  3 ปีที่แล้ว +4

      Dilution has to be changed, and has to be done under proper guidance
      Dilution has to be either 1:10000 or 1: 100000

    • @karthikreddy8567
      @karthikreddy8567 3 ปีที่แล้ว +4

      @@AETCMEmergencyMedicine can you please make a video on dilution ratios of such drugs.🙏🏼

  • @DILEEPYADAV-qq8jq
    @DILEEPYADAV-qq8jq 2 ปีที่แล้ว +1

    Hi all and pls help me out to understand the situation, I had gone for CT abdominal contrast iv , as dye inserted in my body I start feeling the dye travelling whole body and felt allergy like bee is biting whole body, i stand up and asks rediologist to stop immediately and fainted, after some time when I wake up I peed in my pant and Doctor told me we have given you CPR. Let me know how normal is this ? Can I live life normal and this will not happen again, how is my life expectancy, my all body vitals are ok ,I kept 1 day in hospital to check my vitals. Pls help me out it was shock or cardic arrest. This will definately give me idea what was happend to me actually. Will be appreciated. Thanks God bless everyone

  • @Stopthisrightnow560
    @Stopthisrightnow560 2 ปีที่แล้ว +1

    Can you make a video for anaphylaxis that doesn't involve administration of adrenaline? I have the rare kind that just has me vomiting until my body shuts down and dies.

  • @touchreceptor8706
    @touchreceptor8706 3 ปีที่แล้ว +1

    Honey bee sting management also same?
    In community health centers frequently honeybee sting cases came...

  • @padigadineshkumar
    @padigadineshkumar ปีที่แล้ว

    Please describe adrenaline dose

  • @shitpost2577
    @shitpost2577 2 ปีที่แล้ว +1

    Thank you sir. Do we need to do anything extra in case of snake bite?

    • @AETCMEmergencyMedicine
      @AETCMEmergencyMedicine  2 ปีที่แล้ว

      Didn't understand your question

    • @doctormedico6752
      @doctormedico6752 2 ปีที่แล้ว

      @@AETCMEmergencyMedicine she is asking, if neurotoxic patient comes to us, and we injected ASV without giving any glance on patch test..
      An if he is allergic to ASV, then in the subsequent anaphylaxis, what measures, should be taken??

  • @Kandhanhealthcarekanchipuram
    @Kandhanhealthcarekanchipuram 3 ปีที่แล้ว +1

    which drugs causes most of anaphylaxis, pls tell sir

  • @ijazibrahim9474
    @ijazibrahim9474 3 ปีที่แล้ว +1

    Sir pt have sudden any cardiac problem we can give adrenaline?

  • @majju99
    @majju99 2 ปีที่แล้ว +1

    What is the dose of adrenaline for anaphylaxis in Paediatric patients???

  • @doctorbaloch6778
    @doctorbaloch6778 2 ปีที่แล้ว +1

    Thankyou for such a great video sir.
    My question is should adrenaline be used in patients hemodynamically stable at presentation and only having rash/itch?
    As of now we arent using it in ER as first line of management.
    Best regards.

  • @kiskumurmu9400
    @kiskumurmu9400 3 ปีที่แล้ว +1

    Acute pain abdomen

  • @abrahamsaud2918
    @abrahamsaud2918 3 ปีที่แล้ว +1

    Racemic Adrenaline Nebulization, and inj dexanethsone

  • @psd7318
    @psd7318 2 ปีที่แล้ว +1

    Sir best site to give IM adrenaline??
    Nd when to give repeat dose adrenaline??

    • @AETCMEmergencyMedicine
      @AETCMEmergencyMedicine  2 ปีที่แล้ว +2

      Im thigh or gluteal or deltoid, ideally one dose

    • @psd7318
      @psd7318 2 ปีที่แล้ว

      @@AETCMEmergencyMedicine thankyou sir

  • @moondancerqq8685
    @moondancerqq8685 2 ปีที่แล้ว +1

    Please explain why didn't you mentione about Nebulisation here for impaired breathing if i'm not mistaken..Just for clarification. thanks for these invaluable vedios.(ETU nurse from srilanka )

  • @hannathch8252
    @hannathch8252 3 ปีที่แล้ว +1

    Any contraindication for giving Adr??

  • @jeyendiranr5509
    @jeyendiranr5509 3 ปีที่แล้ว +1

    Anaphylaxis is an allergic reaction or what

  • @shadabanwar3293
    @shadabanwar3293 2 ปีที่แล้ว +1

    How to know pt need more adrenaline ?

  • @shadesofanodia
    @shadesofanodia 3 ปีที่แล้ว +3

    Only adrenaline is sufficient or when to use hydrocort?? N what are the doses plz explain

    • @AETCMEmergencyMedicine
      @AETCMEmergencyMedicine  3 ปีที่แล้ว +7

      Steroids will act only after 4 hrs
      You can definitely add steroids and H1 and H2 blockers along with adrenaline
      Dose of Hydrocortisone in adult 200 mg /chlorpheniramine 10 mg

    • @shadesofanodia
      @shadesofanodia 3 ปีที่แล้ว +1

      @@AETCMEmergencyMedicine Thank u sir....

  • @jeyendiranr5509
    @jeyendiranr5509 3 ปีที่แล้ว +1

    Why it's occur?

  • @class1901
    @class1901 2 ปีที่แล้ว +1

    Why not iv adrenaline

    • @AETCMEmergencyMedicine
      @AETCMEmergencyMedicine  2 ปีที่แล้ว

      Only in shock Dilution has to be 1:10000 /1:100000

    • @class1901
      @class1901 2 ปีที่แล้ว

      Sir i am asking ..can we give iv adrenaline

  • @ramalingamkc2153
    @ramalingamkc2153 3 ปีที่แล้ว +2

    thanks sir
    role of ink.avil,inj.dexa,inj.rantac

  • @sumitaghosh3233
    @sumitaghosh3233 3 ปีที่แล้ว +2

    Please make a video on hypertensive emergency and dka

  • @chavdaramesh2009
    @chavdaramesh2009 3 ปีที่แล้ว +1

    Great work sir 👏👏👏
    Can make video on poison emergency ??

  • @vickyeastwood9368
    @vickyeastwood9368 2 ปีที่แล้ว +1

    you are speaking very very fast

  • @samking4446
    @samking4446 3 ปีที่แล้ว

    Doc u r talking tooooooo fast

    • @AETCMEmergencyMedicine
      @AETCMEmergencyMedicine  3 ปีที่แล้ว +2

      Decrease the speed in youtube

    • @samking4446
      @samking4446 3 ปีที่แล้ว

      @@AETCMEmergencyMedicine 😄

    • @samking4446
      @samking4446 3 ปีที่แล้ว

      @@AETCMEmergencyMedicine can't the doc talk slowly-he may win the competition with spb

    • @happypills7978
      @happypills7978 3 ปีที่แล้ว

      @@AETCMEmergencyMedicine 🤣🤣

  • @Nagaraj-we2kr
    @Nagaraj-we2kr 2 ปีที่แล้ว

    Thank you sir...🙏