Blood Products & Their Uses EXPLAINED!

แชร์
ฝัง
  • เผยแพร่เมื่อ 27 พ.ค. 2024
  • The different blood products used in critical care explained. 📝 Free Quiz: adv.icu/3bd10w0 (💲Weekly Prizes)
    In this lesson, we start a new series talking about blood and bleeding in critical care. We kick things off with a discussion of the different types of blood products that we commonly use. I explain how they related to whole blood and or how they are derived, as well as some of the common use cases and expectations for each.
    ----------
    📚📖BOOKS I RECOMMEND
    ✔️Barron’s CCRN Exam: amzn.to/2MFWIkH
    ✔️Pass CCRN!: amzn.to/36apxgN
    ✔️AACN Essentials of Critical Care Nursing: amzn.to/2F5riQs
    ✔️Kaplan Adult CCRN Review: amzn.to/37igv1t
    ✔️Marino’s The ICU Book: amzn.to/2ZzKP4Y
    🩺🏥🖊SOME OF MY FAVORITE NURSING GEAR
    ✔️3M Littmann Master Cardiology Stethoscope: amzn.to/2sn0wR5
    ✔️Rip Shears - Trauma Shears: amzn.to/35diZwR
    ✔️Leatherman - Raptor Shears: amzn.to/2MGF801
    ✔️Stethoscope Tape Holder: amzn.to/2snWkAy
    ✔️Pilot FriXion Erasable Pens: amzn.to/2Qw9pQg
    💻🎙GEAR THAT I USE TO MAKE THESE VIDEOS
    ✔️Apple Pencil: amzn.to/368qS83
    ✔️iPad Pro 12.9”: amzn.to/367s2QV
    ✔️Blue Yeti Mic: amzn.to/2Q7vrK9
    ✔️MacBook Pro 15”: amzn.to/2tcDegM
    👍🏼👍🏼👍🏼
    If you enjoyed this video or found it useful, please hit the like button as this greatly helps our channel out! Also make sure and subscribe and hit the bell icon and select all notifications to stay up to date on our latest videos!
    👁🎥👁🎥
    Check out these other great lessons and series of lessons below!
    ✅ Hemodynamics: • Hemodynamic Principals
    ✅ Shock: • Shock
    ✅ ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
    ✅ ICU Drips: • ICU Drips
    ✅ ECMO: • ECMO
    ✅ CRRT: • CRRT Explained!
    🙏🙏 A Special THANK YOU to TH-cam and Patreon Members!!! 🙏🙏
    Patreon Members:
    🏆 Code Team: Tsz & Tim!
    🥇Trauma Team: Frisco, Remigio, Nereida, BT, Angel, Natasha, Yintenchi, Drea, Janna, Jonah!
    🥈Rapid Response Team: Quetina, Stephanie, Ty, Sherri-lynn, Emily, Jackson, Yulia, Claudia, Amanda, Julianne, Christoph, Mandi, Karen!
    TH-cam Members:
    👏🏼 Nondumiso, Martin, Conor,, Tina, LIVE LIFE, Swaroop, RNMedic289, Joseph, Dr Parmer, Maria, Frank, Anthony, Neel, Sham, Ly, Oscar,, Faith, Yanet, Mohamed, Samuel, Sham, Finess, Shayna, Eduardo, Krishna, Christopher, Alison, Temitope, Merlyn, Teya H, Marthaleene, Shyamkumar, Willieumc512, Heather, Rajarajan, Nurse Howie, Teya F, LaShonda, Deb, Honey, Dawn, Kim, Eloisa, Nurse Wenckebach, Bobby, Melinda, Araya, Mara, Ong-Orn, Oriya, Mohammed, Helen, Foxa08, Jessica, Karen, Thomas, Easy button,Melissa, Murlidhar, Dona, Maryam, Julia, Katherine, Sanfi, Cornelia, Ivy, RN SHARMA, Susie, Marcia, Camille, Stanley, Ni, Sabah, Irene, Jonathan, MsReagan, Fareeda, Sunil, Camila, Mindy, Jade, Terrina, Pjotr, Gautum, Tipsydoggy, Karen, Sonia, Denishan, Jaroslaw, Theodora, 趙祥元, Zac, Caroline!
    🤔Curious how you can show your support?
    I recently activated the TH-cam channel membership to go along with the Patreon page. On these, I provide extra content and incentives to our amazing fans! The additional support will go directly towards improving this channel and making it even better for you.
    If you are interested in supporting ICU Advantage....
    on TH-cam channel membership head over to: / @icuadvantage
    on Patreon head over to: / icuadvantage
    If not, no worries, as you watching videos here, liking them, commenting and sharing them also really help to support the channel! 😍
    ⚠️⚠️ DISCLAIMER: Links included in this description are affiliate links. If you purchase a product or service with the links that I provide I may receive a small commission. There is no additional charge to you!
    ❗️❗️PLEASE NOTE: ICU Advantage medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider. The information is present here to give you a starting place to further look in to the proper treatments and recommendations for the care of your patient.
    0:00 Intro
    1:31 Whole Blood
    2:30 Red Blood Cells (RBCs)
    6:16 Fresh Frozen Plasma (FFP)
    7:57 Platelets
    9:30 Plasma Components
    9:44 Albumin
    10:53 Cryoprecipitate
    11:58 Prothrombin Complex Concentrate (PCC)
    13:54 Wrap up
    #ICUAdvantage #Blood #BloodProducts

ความคิดเห็น • 134

  • @ameliepointe2673
    @ameliepointe2673 4 หลายเดือนก่อน +6

    Wow,this is an amazing video! I am not a nurse,I am a lab scientist and blood banker,so my view of this subject is very different. I watched this video to understand the floor's POV so I could provide better service and have a common ground explanation. I will share this with my lab so the lab and floor can all speak the same language, lol. Thanks again!

  • @nakiajohnson89
    @nakiajohnson89 2 ปีที่แล้ว +16

    Been a Med Surg nurse for 5 years. Ready to go to the ICU. This is great review, and good for me to know what I will be dealing with. Great channel.

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว +1

      Awesome. Best of luck in your transition. Glad you liked the video.

  • @juanmerayo800
    @juanmerayo800 2 ปีที่แล้ว +4

    Great video, thanks for education everyone on these important topics for patient care. One thing I noticed in this video minute 8:14 describes that 1 unit of platelets(6pack) volume is only 50 mLs... when to my knowledge a 6 pack should have around 200-300 mLs. Thanks for any feedback.

  • @dmarcellus
    @dmarcellus ปีที่แล้ว +1

    Thank you for all you do Eddie. Your videos are so helpful.

    • @ICUAdvantage
      @ICUAdvantage  ปีที่แล้ว

      You are very welcome Derek. Glad to hear your find them helpful!

  • @alanrafyq
    @alanrafyq 6 หลายเดือนก่อน

    Thanks for sharing your knowledge with us

  • @zulfalhiemohmad363
    @zulfalhiemohmad363 2 ปีที่แล้ว

    Great explanation!

  • @chrisenglert7588
    @chrisenglert7588 2 ปีที่แล้ว +6

    I really love watching all your videos, and it definitely puts a lot of things in perspective for me especially since I am new in a HFICU. What would you think about doing some VAD/Impella type videos? I love what you are doing! Please keep it up.

    • @ashadias2970
      @ashadias2970 ปีที่แล้ว

      Great information, I transferred to ICU recently and these information help me to take care my patients effectively and to anticipate order from md

  • @elainesalyer2926
    @elainesalyer2926 3 ปีที่แล้ว +18

    This is great! I don't remember learning this in nursing school. Keep up the good work!

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +3

      Awesome! Glad I was able to provide some new info 😊

    • @hongating6538
      @hongating6538 ปีที่แล้ว

      references of the subject is only available in clinical trainings / Ng updates should one will consider a career in icu whilst the same is not taught in Ng School.

  • @swaroopak8368
    @swaroopak8368 ปีที่แล้ว

    Very well explained

  • @joylienvillegas3165
    @joylienvillegas3165 2 ปีที่แล้ว

    Thank you for imparting your knowledge ❤️

  • @doristhecoder765
    @doristhecoder765 3 ปีที่แล้ว

    Very helpful and simplified

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว +1

      Always happy to hear this and to hear from you. Hope you have been well!

  • @JGPRAISINGOD
    @JGPRAISINGOD 2 ปีที่แล้ว

    Excellent lesson!

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      Thank you! Good to see you popping in!

  • @henriquelopes9596
    @henriquelopes9596 3 ปีที่แล้ว

    Thanks. Excelent work.

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      Thank you so much Henrique!

  • @aliamer2868
    @aliamer2868 3 ปีที่แล้ว +6

    Thanks bro for the help good work

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +1

      Awesome! Happy to be able to help and glad you liked it!

  • @stallinjhervoice
    @stallinjhervoice 2 ปีที่แล้ว

    Thank you Sir for all your Videos.

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      You're welcome! Glad you enjoy them!

  • @adelaideoti8086
    @adelaideoti8086 3 ปีที่แล้ว +2

    Thank you very helpful ☺️

  • @marly3677
    @marly3677 3 ปีที่แล้ว

    Great video! Love the channel.

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +1

      Thank you Marlissa and really glad you liked it!

  • @you4us
    @you4us 2 ปีที่แล้ว

    thank you doctor, you are amazing, your video is one of the best ever on youtube!

  • @danny-vp5ct
    @danny-vp5ct 3 ปีที่แล้ว +2

    Recommend you to all my friends. Awesome video as always👍

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Heck yeah! I really appreciate you helping to spread the word Danny! Glad you liked it!

  • @dhruvidhoka3215
    @dhruvidhoka3215 3 ปีที่แล้ว

    Great work !!!

  • @malazmahmoud7895
    @malazmahmoud7895 3 หลายเดือนก่อน

    Thank you so much for this informative video, Blood products were always my weak point and you made it very easy to understand thank you 🤩😇

  • @lamyaazeyada554
    @lamyaazeyada554 3 ปีที่แล้ว

    Marvelous
    V great video
    Keep on plz, they're v great useful videos, waiting 4 more

  • @thelegendgamer33
    @thelegendgamer33 3 ปีที่แล้ว +2

    Excellent thankyou.

  • @justinparker9892
    @justinparker9892 3 ปีที่แล้ว

    Awesome stuff as always

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      Really appreciate that Justin!

  • @shikha7438
    @shikha7438 2 ปีที่แล้ว

    Just sooooo thankful 👍 ......

  • @FahadAli-xw4hh
    @FahadAli-xw4hh 8 หลายเดือนก่อน

    Kindly make videos on thalassemia and anemia management also! Pleaseeeeee

  • @desereachievous8831
    @desereachievous8831 2 ปีที่แล้ว

    great the videos you send save my life

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      Awesome. Happy to hear they are helpful for you!

  • @meykor4960
    @meykor4960 3 ปีที่แล้ว +1

    Thanks alot...

  • @cassandregousse4792
    @cassandregousse4792 ปีที่แล้ว

    I always learn a new tidbit from your videos!
    For platelets, since we do not need a pump for that transfusion, are we still required to use blood tubing or just a regular primary tubing?
    Also, I never knew that some hospitals required a blood transfusion consent for albumin! 🤯

    • @ICUAdvantage
      @ICUAdvantage  ปีที่แล้ว +1

      Awesome! I always try to think of some things to include that may be helpful so really glad to hear this.
      For platelets, though we still do need to blood set for the filter.
      And yeah, it is weird. Only one hospital I worked out did this, large system. So weird. Literally every other place has been just like any other fluid/med.

    • @pagenpwoblem
      @pagenpwoblem ปีที่แล้ว

      @@ICUAdvantage Our hospital never needed consent for albumin, but it wasnt until I spoke with some travel nurses that I found out that some hospitals require them.

  • @coral2726
    @coral2726 2 ปีที่แล้ว

    Thank you so much, never seen pcc before

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว +1

      It's quite expensive, and it wasn't something I've seen used often. But it has its benefits.

    • @coral2726
      @coral2726 2 ปีที่แล้ว

      @@ICUAdvantage I see, thank you

  • @aleximalmgren5301
    @aleximalmgren5301 3 หลายเดือนก่อน

    I'm a regular O- donor I see you have my type here . The nurses at the center say I'm quite special .

    • @aleximalmgren5301
      @aleximalmgren5301 3 หลายเดือนก่อน

      AB is the universal plasma type so you have given those people a shout out too .

  • @TheDuddleyCo
    @TheDuddleyCo 2 ปีที่แล้ว

    A pretty good overview. If you ever want to ask a blood banker on any of this material prior to publishing a videohit me up.

  • @mrStone024
    @mrStone024 2 ปีที่แล้ว

    Thanks!

  • @swatiprajapat8214
    @swatiprajapat8214 ปีที่แล้ว

    You are great.... Thanku for giving uss soo much study material for freee.. m a nursing student from India and u help me a lot...... uptill now as much vedios I have watched are superrrr. Amazed thanku ❤️❤️❤️❤️ plzzz make a vedio on intubation and extubation done in ICU I'll be really great full to u

    • @ICUAdvantage
      @ICUAdvantage  ปีที่แล้ว

      Awesome! Glad to hear the videos have been helpful for. I really appreciate the great comment.
      I do have intubation stuff covered in the Airway Management playlist: th-cam.com/play/PL2oVjKTYocdOKRCJ0QmkHF_-yOse8JrgB.html
      Nothing on extubation yet, but is on the todo list.

  • @shannondurham7510
    @shannondurham7510 ปีที่แล้ว +2

    I so wish that you would consider venturing outside critical care and covering general nursing school topics. I have gotten so much out of your lessons. I am understanding topics that were incomprehensible during my classes. Watching these videos, I am connecting dots. Best nursing channel on TH-cam-by far!!

  • @angelb17
    @angelb17 3 ปีที่แล้ว +2

    Great Video. You can make it better by using SI units to capture audiences outside the USA.

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว +1

      Thanks for the suggestion. I'll keep that in mind for the future, but often times I don't even know when different units are even used...

  • @schuylerwednesday4679
    @schuylerwednesday4679 3 ปีที่แล้ว

    Hope in almost every topic you'll include some common problems encountered and troubleshooting techniques based on experience and other stuff connected with that.please.think it would be most helpful.keep up the good work on this channel.thanks!
    Please include the duration of transfusion of each blood product and the corresponding administration set.

  • @farhanqadeer82
    @farhanqadeer82 3 ปีที่แล้ว

    I think you should talk about blood product/transfusion reaction, also you should talk about EVDmanagement and how to wean EVD

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว +2

      Thanks for the suggestions! I did cover the products/reactions in the video that came after this one.

  • @maricardonor6165
    @maricardonor6165 ปีที่แล้ว

    Hi Eddie! I was wondering if you can do a breakdown of the transfusion rates these blood products are normally set at or at what rate you normally start

    • @ICUAdvantage
      @ICUAdvantage  ปีที่แล้ว +1

      So the rates really vary situationally and can go all the way to as fast as you possibly can get it in. Let me stew on this and see if theres something I could do.

    • @gretchenanderson4728
      @gretchenanderson4728 ปีที่แล้ว

      I recently cared for a pt who was hypotensive & needed 2u prbc & 1u plts. I gave the procucts over 2.5 -3hrs. Could I have given them faster?

  • @Olivia.
    @Olivia. 3 ปีที่แล้ว

    Love this

  • @KimberKids
    @KimberKids 3 ปีที่แล้ว +1

    Looking forward to MTP video 👍

  • @hamidmohammad4420
    @hamidmohammad4420 2 ปีที่แล้ว

    Amazing❤

  • @aden1337
    @aden1337 3 ปีที่แล้ว +1

    really great video as I'm a first year university student in England. Thank you.

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Thank you so much and best of luck to you on your educational journey!

  • @ahmad_nurse4048
    @ahmad_nurse4048 2 ปีที่แล้ว

    Helpful ..I need to know to save life's

  • @shonimarajan472
    @shonimarajan472 6 หลายเดือนก่อน

    Can I give plasma and platelet in blood transfusions set?

  • @Laz_Jime
    @Laz_Jime 9 หลายเดือนก่อน

    In vet med we use EDTA as the additive for our pRBCs. Is there a reason why it's not used in human medicine?

  • @knowledgeworld8696
    @knowledgeworld8696 3 ปีที่แล้ว +1

    Bro pls make a lac. On croos match or cross blood transfusion ...

  • @robynneRN
    @robynneRN ปีที่แล้ว

    I know it was mentioned that there are no antibodies in Prothrombin Complex Concentrate (PCC), but I just want to ask, does this mean that NO BLOOD TYPE/CROSSMATCH is needed for administering PCC? Thank you!

  • @kittypewpew
    @kittypewpew 2 ปีที่แล้ว

    About the platelets, shouldn't they also be given in like 20 mins, so that they "activate" properly?

  • @claudiastimpson3208
    @claudiastimpson3208 2 ปีที่แล้ว

    Elemental my dear Watson!

  • @alaskayoung3413
    @alaskayoung3413 2 ปีที่แล้ว

    Man I've been in healthcare for a long time and I come to refresh on certain things or if I'm going to have student's or something. These videos make me realize how much I forget and just how much there is to know. Kinda freaks me out. So you newbies don't sweat it.

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      One of the things I love about making these videos is all the stuff that gets refreshed while making them!

  • @billyborton5136
    @billyborton5136 2 ปีที่แล้ว +1

    Also been hearing that TXA is extremely useful for stopping bleeding in trauma, would cyro or TXA be more effective? If one is better than the other why?

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว +4

      Yeah, TXA can certainly have a benefit in trauma. As for which is more beneficial, it really depends what is happening. They both have their advantages, and they certainly aren't a one or the other choice. I do have a good video on TXA that I'll link here for you: th-cam.com/video/1GQLjWY6u68/w-d-xo.html

  • @avantikadogra850
    @avantikadogra850 3 ปีที่แล้ว

    Thanku ❤️

  • @lamyaazeyada554
    @lamyaazeyada554 3 ปีที่แล้ว

    Plz I just want 2 know when 2 use albumin 5 percent,, and 25 percent,, which is volume xpander
    When we add albumin 25 percent to saline or glucose,
    If this happened,, does it mean that it's converted to 5 percent

  • @sribalaji2590
    @sribalaji2590 3 ปีที่แล้ว +1

    Which graphic pen tablet do u use for writing on ur computer

  • @ramissleh-cr2xl
    @ramissleh-cr2xl ปีที่แล้ว +2

    Thanks
    But one unit of platelets will rise the count about 5000

    • @ICUAdvantage
      @ICUAdvantage  ปีที่แล้ว +1

      I was referring to a 6 pack, which is typically what is given. The numbers vary based on source, but increase is close to 50,000 for the whole 6 pack.

  • @Natalie-mj3de
    @Natalie-mj3de 10 หลายเดือนก่อน

    how does hanging platelets by gravity work?

  • @bayedelnessa1117
    @bayedelnessa1117 11 หลายเดือนก่อน

    nice

  • @wyldcherry
    @wyldcherry 3 ปีที่แล้ว +2

    I’ve seen platelets free hang but we can run it in a pump.

    • @cherilynnilles6877
      @cherilynnilles6877 3 ปีที่แล้ว +1

      I also have seen both. We are not supposed to use platelets in the rapid transfuser, but I thought iv pumps were ok.

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว +1

      Honestly I've heard both pump is ok and not ok. Definitely no for rapid transfuser. I've always just defaulted to free hanging as there shouldn't be an issue.

  • @billyborton5136
    @billyborton5136 2 ปีที่แล้ว +1

    So I been wondering in the context of trauma what's the point of giving plasma, PRBC's ect when you can give fresh whole blood with a combination of all of these? Doesn't whole blood just contain everything your body normally needs to clot and keep your body alive?

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว +1

      Really a great question. In fact, the military will often use whole blood, as well as some places do in trauma. In cases of massive bleeding, we are essentially giving whole blood in parts. I think it's just used in far less situations and has a greater risk of being wasted, where as the different parts are used all the time. That's my best guess.

  • @zainabh.4491
    @zainabh.4491 11 หลายเดือนก่อน

    wow... n here in developing countries we usually use WHOLE BLOOD most of the time

    • @ICUAdvantage
      @ICUAdvantage  11 หลายเดือนก่อน

      Oh that's interesting! I've never personally actually seen it used outside of the military.

  • @apleman777
    @apleman777 3 ปีที่แล้ว +1

    cool Educational Videos , as a float Nurse , do encounter a large variety of patients , just had a patient ( 22 year old male ) that lost his left arm in a traffic accident & MD orders administer four units of PRBC . Work in the ICU & MST & much enjoy lots of learning , Ronald J.RN .

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      Thank you so much Ronald. Sounds like you get to see quite a bit which can be such great learning opportunities! Glad you are finding these videos helpful for you!

  • @sangeethas949
    @sangeethas949 ปีที่แล้ว

    Nice ,but you could have explain expiry date ,it would be better still ,👍

  • @chazhendricks4478
    @chazhendricks4478 3 ปีที่แล้ว

    Would love a lesson about the use of TXA.

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +1

      Yes it’s actually coming very soon

  • @daltonchristopher134
    @daltonchristopher134 ปีที่แล้ว

    Genius, how can I download the video without WiFi

  • @stephenjames2159
    @stephenjames2159 2 ปีที่แล้ว

    So it's a good video and I appreciate this knowledge but 56% + 4% % 41% is 101% and I just can't unsee that.

  • @loayalnasser2472
    @loayalnasser2472 2 ปีที่แล้ว

    Great doctor but we want a video about trauma

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      What about trauma? Thats a wide topic

  • @lisanefertiti
    @lisanefertiti 2 ปีที่แล้ว

    Why does stored human blood not clot?

  • @brendan678
    @brendan678 3 ปีที่แล้ว

    Checked out the quiz on your website, a good idea to reinforce learning.
    But I was disappointed that name and email address are being harvested prior to being able to see quiz results. This makes it seem like your motivations are a lot less about teaching and a lot more about something else. I hope you transition to a less coercive and more opt-in practice in the future.

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +8

      I’m sorry you feel this way. I do think it’s very reasonable to ask for this info. I put a lot of time and energy into this channel and the hope is that as I build out more in the future that I’d like to communicate with those who have interacted with my content. I could very well put everything up behind a paywall like others, but that’s not my intention.
      I also do giveaways for those who complete the quizzes so I would be unable to contact someone. As for the placement, the software that comes with the platform I use doesn’t allow me to change how it asks for someone’s email, so I can’t have it ask upfront as I would have preferred.

    • @brendan678
      @brendan678 3 ปีที่แล้ว +1

      @@ICUAdvantage Thanks for the explanation.

  • @sleepycamel4565
    @sleepycamel4565 3 ปีที่แล้ว +1

    Too many ads....

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +2

      I'm sorry you feel this way. I try to be fair and what I manually place is much less than TH-cam automatically places. The ads are what keep this channel going. Believe it or not, these videos take a lot of time and effort, and I still work full time.

    • @sleepycamel4565
      @sleepycamel4565 3 ปีที่แล้ว

      @@ICUAdvantage ok, I get it... you got a new subscriber here...🤜🤛🏻

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      @@sleepycamel4565 Thanks for your understanding and welcome aboard!

    • @sherrihicks6743
      @sherrihicks6743 2 ปีที่แล้ว

      Pay for TH-cam premium. I never have ads.

  • @brittanytyson3533
    @brittanytyson3533 ปีที่แล้ว +1

    Brittany Tyson may699

  • @maricardonor6165
    @maricardonor6165 2 ปีที่แล้ว

    Thanks!

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      Thank you so much Maricar!

  • @daltonchristopher134
    @daltonchristopher134 ปีที่แล้ว

    Genius, how can I download the video without WiFi