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😊🙏
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...🙏
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.
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....
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!!
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 😊😊😊
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.
@@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??
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.
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
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 )
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.
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
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
Summary :
*Confirm Diagnosis -Anaphylaxis
*Maintain ABC
*i.m. Adrenaline ( 1 in 1000 dilution )
*If emergency - i.v. Adrenaline
(1 in 10000 dilution )
✌
AS a medical student...I am daily learning so much from your lectures..Thank you sir 🤗 ❤
He is so clear , point to point information..
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. 🙏🙏
Should we dilute the adrenaline for Im or sc
Wooo, what a presentation sir, marvelous 👌
Sir, best thing about ur lecture is that, its 100% conveyed!😎😎❤️
🙏
Very informative and excellent way of teaching please keep prod-casting similar videos
Crystal clear explaination salute sir Dr. Sree krishnan sir God blessings 🙏 easy way to understand
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😊🙏
Aap ka koi swarth nahi hai phir b kis passion say aap padha rahe ho, hats off🙏
🙏
Thanks a lot sir..don't know why the videos like this is so underrated....
Sir please make a video regarding managemeNt of shock in ER
Superb explanation sir......catch all points sir .keep on uploading this kind of video .
Nice explanation sir thank you for the useful video ❤❤❤❤
I can listen to this dr all day ! Thank you !
Excellent explaination sir...love from Pakistan 🇵🇰♥️
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...🙏
🙏sir very very important lecture taken by you thank you so much
Everything u spoke reached me smoothly ❤️❤️
Thank you sir for your great explanation . ,🙏
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.
Awesome!Please make more vedieos like this.
Vry useful info sir... Tq sooo much for sharing ur knowledge sirr🙏🙏🙏
🙏
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....
Thank you so much sir..god bless all ur team..
Nice presentation sir love from kashmir
Better then one hour study❤️😍
Great explanation. However all patients with anaphylaxis should be admitted. There is always a chance of second phase reaction. Keep for 24hrs
This. Second phase occurred to my mom after 12 hours.
@@jumpjeyv2692 bullshit there is no thing as second phase reaction.
@@frrfrrry6311 Some anaphylactic reactions are biphasic in nature. Sometimes there can be a second phase hours later.
@@frrfrrry6311 wow you are so certain you must be an expert.
@@jumpjeyv2692 😂 😂 lol
Nice explanation sir😍
Dear doctor sreekrishnan, please make more videos ...include all medical and surgical emergencies...keep up the good work sir🤝
Great Sir. Great
Sir please start online certificate programme on Fellowship in Emergency medicine with 2 months contact programme.
Thank you for this video
Thanks for the video.
Dr SreeKrishnan is awesome..
sir plz try to zoom in the equipments while showing it...den it wud be more interestig
Excellent presentation
Excellent sir.
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!!
Available please check
@@AETCMEmergencyMedicine
Thank u sir... For the Great information
🙏
Great work sir. Kindly do vdo on ventilator settings,modes ,..Airways .🙏
th-cam.com/play/PLRROFo2MvqBT8bBiTFosnq1btRHdqy22q.html
hats off ur efforts ❤️
Very help ful thnq sir
Thank you so much sir 🎉😊❤…it’s done
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 😊😊😊
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
@@AETCMEmergencyMedicine thank you so much sir 🙏🙏🙏
Good explanation
Thanks sir 🙏
Thank u very much sir 💗💗💗
Please make a video on the burnt cases and oxygen toxicity.
Many thanks.
Thank You 🔥
🔥🔥👍👍
Thank you sir 🙏
Thank you sir...
Very good
Thnkuuu for sharing sir
Nice
Thank you so much sir 🙏🙏
🙏
Please do a vedio for management of dka
Nice presentation.. Thanks.. Need to advice, how to use EpiPen..
Epipen is disposable for kids 0.15 mg is available and for adult 0.3mg
Im anterolateral aspect of thigh
Thank you sir...🙏
Please keep uploading videos a lot
Thank you soo much
❤
Sir , is there any video about urinary retention and management?
Ok sir
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.
Honey bee sting management also same?
In community health centers frequently honeybee sting cases came...
Please check its availabile in our channel
@@AETCMEmergencyMedicine plz can u share the link 🙏
th-cam.com/video/A7D3YJ0hqjs/w-d-xo.html
Thank you sir. Do we need to do anything extra in case of snake bite?
Didn't understand your question
@@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??
👍
Sorbitrate itself contains nitroglycerine,, why NTG is given twice?
??!
If the anaphylaxis occurs while pt on canula, can we give iv adrenaline rather than im?
Dilution has to be changed, and has to be done under proper guidance
Dilution has to be either 1:10000 or 1: 100000
@@AETCMEmergencyMedicine can you please make a video on dilution ratios of such drugs.🙏🏼
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.
For anaphylaxis doc is adrenaline
@@AETCMEmergencyMedicine Agreed.
Thanks.👍😊
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
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
Email to aetcmacademy@gmail.com
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 )
We can use it as an adjuncts
Sir best site to give IM adrenaline??
Nd when to give repeat dose adrenaline??
Im thigh or gluteal or deltoid, ideally one dose
@@AETCMEmergencyMedicine thankyou sir
which drugs causes most of anaphylaxis, pls tell sir
Nsaids sulpha pencillins
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.
Drug of choice for anaphylaxis is adrenaline
Please describe adrenaline dose
Any contraindication for giving Adr??
No
Why not iv adrenaline
Only in shock Dilution has to be 1:10000 /1:100000
Sir i am asking ..can we give iv adrenaline
Anaphylaxis is an allergic reaction or what
Yes
Sir pt have sudden any cardiac problem we can give adrenaline?
Question not clear
Why it's occur?
It occurs as response to any allergens
Like insects bite
Yes
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
How to know pt need more adrenaline ?
Symptoms recovery
What is the dose of adrenaline for anaphylaxis in Paediatric patients???
Age ans weight depended
Racemic Adrenaline Nebulization, and inj dexanethsone
Can be tried
Only adrenaline is sufficient or when to use hydrocort?? N what are the doses plz explain
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
@@AETCMEmergencyMedicine Thank u sir....
Great work sir 👏👏👏
Can make video on poison emergency ??
Yes
Please make a video on hypertensive emergency and dka
Already available please check
thanks sir
role of ink.avil,inj.dexa,inj.rantac
Refer to the chart at the end of the video
Acute pain abdomen
you are speaking very very fast
Decreasse speed in youtube
Doc u r talking tooooooo fast
Decrease the speed in youtube
@@AETCMEmergencyMedicine 😄
@@AETCMEmergencyMedicine can't the doc talk slowly-he may win the competition with spb
@@AETCMEmergencyMedicine 🤣🤣
Thank you sir