COVID-19 Ventilator Course: Learn or Review Mechanical Ventilation (Free at MedCram.com)
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- เผยแพร่เมื่อ 5 ต.ค. 2024
- Critical care specialist Roger Seheult, MD illustrates a concise review of the essential skills of mechanical ventilation. We've made this video series free at www.medcram.co...
As communities across the world are facing or preparing for increasing numbers of patients in respiratory distress from COVID-19, MedCram has packaged this video series for clinicians and hospitals on the frontlines.
We understand that medical professionals (and students) that don't have significant experience with mechanical ventilation may be called upon to help ventilator management teams in critical care settings. And clinicians with extensive ventilator experience may want a refresher or a tool to aid in teaching mechanical ventilation strategies to other clinicians.
This video series is a collection of previously recorded MedCram videos on mechanical ventilation with the addition of some COVID-19 specific videos.
This course will remain free, please share it with anyone you think may be interested. We hope you find it helpful, and we welcome feedback.
We appreciate you - medical professionals, students, and volunteers around the world. We are in this fight together.
Speaker: Roger Seheult, MD
Co-Founder of MedCram.com
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
Produced by Kyle Allred, PA
Media Contact: Hayley@MedCram.com
Please Note: MedCram 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.
Visit our Website! www.medcram.co...
Facebook: / medcram
#COVID19 #mechanicalventilation #coronavirus
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This video series on mechanical ventilation was produced for medical professionals, and free for all to view: www.medcram.com/courses/COVID19-ventilator-mechanical-ventilation
Your information are very clean and easy to understand. could you please comment on DIY masks that are around the internet please? will that mask help? if so, what is the proper material we can use? please help with this.
What if this whole Covid19 disappears by mid April?
BIG thanks from Bolivia. Since our hospitals are poorly prepared logistically for an imminent surge in the cases of infected by the covid-19, a lot of people here is seriously considering the idea of, somehow, buying a ventilator(which is actually possible) in, the very likely, case, that, one of their relatives falls severally illed and there's no room in the hospital. What they surely are not aware is of all the variables this machines has. I will share your very helpful video with as many as I can. 🙏🙏👍👍
I hope you keep posting the rest of the vent course here. Interesting stuff
Thank you!!
Thank you for being a source without sensationalism. I appreciate that.
You are doing an amazing job. Playing your role in helping several thousands of newly inducted medical staff. hats off to your efforts. I hope this helps everyone who is new in this field.
Why is KOA here????
*Over the last half decade, this is the EIGHTH video you've offered on mechanical ventilation concepts, and just like the other 7, this is quality instruction. Crucial for this year as well. Thank you.*
You guys have always been like 2 months ahead of the news cycle. Stuff that I hear on the MSM today, was already explained more thoroughly in early February.
Yws, the pros knew, this was coming or it is a possibility.
I think it's because they are out in the field going through the crisis in live time.
Thank You so much- I've been vent trained since the start of my career. Any instructional videos are desperately needed. You are one of our healthcare heroes- You and Dr. John Campbell have been spot on.
Working with these COVID patients in NYC now. I’ve intubated two. Scary, no reserve. This is a great channel for helping those learn more. Thanks for educating the masses. Now back to work in the ICU.
This is why we love Pulmonologists. We are so busy on the floor and we get hit with refresh with added info. We need crash course fast track on Restrictive ventilation on the spot when MD says here you go do your thing and leaves. Initial settings for restrictive base off ht. Thank you!
Thank you you to the entire medical community for all they are and will do.
Heroes.
The world needs more doctors like you, thank you 🙏
Registered Respiratory Therapist here. Thank you for your videos spreading knowledge
Thank you for your support, we love RRTs!
Thank YOU for the work that you do, especially now ( ◡‿◡ *)
Thank you for your life saving skills!!
Thank you for ALL your efforts. All your years of study and training is helping us all to this day. Blessings.
Just a student respiratory therapist trying to comprehend ventilation and perfusion. Thank you Doc!
I have followed your channel since COVID19 outbreak in China. one word RESPECT 🙏
Thank you for helping our friends battling this outbreak day after day and helping everyone who is ill that may be in need of this level of medical assistance in the future but doesn't know it as of yet. I am so glad we have someone reaching out to help the way you have. It means the world to us, and it really does mean the world to us!
I work in a neuro Icu where we don'tsee too many ARDS patient but I think that is going to change quickly. Great video to brush up on the knowlege! I will share with my fellow nurses!
Good to hear, thank you for sharing
I remember seeing my deceased dad, while he was on a ventilator. It was a freaky site. I hope I do not die, while using one.
Hometheaterguy now that I think about dying I don’t see an easy way . I guess we came in with our mothers screaming of pain and we exist the same way
You are stronger, no more talk about dying, you'll make it, no other options exist!
@@whiteangel7777777 yes, good point Lynda. I just do not want to suffer.
@@NonPremiumID you wont; I understand fear well enough to tell that it only exist in your head, focus on why you should be prepared, fear is good its your best friend, too much fear is not, you are always stronger than yesterday if you aknowledge this fact
I'm sorry about your father; but we all perish, the question should always be "how", not "when", strip yourself from life but don't give up on it; you owe it to yourself
I remembered watching this video when I was a new RT student. Your videos really help me understand the mechanical ventilation concepts. Thank you!
You’re the best! Thank you so much for the most informative videos. I know these are a tremendous amount of work! May God bless you and keep you, Dr. Seheult!
I don't work in the medical field, but as someone with asthma who may, with poor luck, need a ventilator during this crisis, I appreciate the clear explanations here. It makes things a little less scary.
I'm an older at risk person to COVID-19 and I hope if have to be ventilated I'll be kept heavily sedated for the duration. Doing all I can to self-isolate in the meanwhile and feeling a little anxiety.
Ventilators are the key resource to saving lives in the fight against the coronavirus , but they are useless without physicians, respiratory therapists and nurses. Thank you !
Thank you for being purely scientific and zero amount political.
Thank you for helping us who are concerned about the proper use of this important tool !!
As an anesthesiologist, I greatly appreciate what you are doing! Well done!
and we appreciate your work too!!
not sure if you noticed that everyone on youtube become a Doctor or for reviews to make expensive online classes, its nothing wrong with that, but people start to lose trusts with these websites, but what I like about your videos, that you show your passion of spreading acknowledge, and you simplified for everyone, and I like that, so thanks for all these videos, I definitely learned a lot and hope someday I can help others and save lives, Keep the good work. ,,,,and I know I mean what I say cause I never typed three lines comment before lol.
I’ve been following you since the beginning of Cov 2. Just wanted to say thanks for keeping us educated and up to date. Be safe!
You're doing great job sir❤. May God bless you. Love from Bangladesh.
I have been watching these videos for over a year, when I stumbled across the series accidentally. I love the information. I am reminded of things forgotten and introduced on levels I hadn't experienced yet. Love this.
Doc your doing amazing work. The people that really need this information will surely appreciate you.
Thank you for this and all that you do. We never covered this in PA school unless we had an elective ICU rotation.
I'm sure you never went to a PA school. I learned about this in pre-med college courses.
Antti Kokko let me guess: you’re still pre-med?
First! Love you Medcram! Please do video on Germany and why their mortality rate so low? What is their preferred treatment method?
Yes!
This is what our government should be doing! Getting knowledgeable volunteers ready to help! Thanks, MedCram!!
In MedCram We Trust
P.S. I was worried that you didn't upload for awhile
Team MedCram usually takes the weekends off :)
He doesnt upload on Sat/Sun
Better trust God.
Truth! And i hope the good Doctor gets his rest like he deserves. :)
I'm not even a doctor but this was so enjoyable to watch. Neat, understandable and straight to the point, no sophistication. Keep up the good work, work that may save lives indirectly!
Your the best teacher I have ever had. I understand molecular biology because of you!
I've done 4 things to greatly improve my lung function and overall wellness. My sleep, energy, and life outlook are greatly improved:
1. I started using the BreatheEasy Lung Exerciser about 5 years ago and still use it,
2. I stopped mouth breathing unless absolutely necessary, even when exercising, nose breathing is part of the immune system,
3. I did light mouth taping at night in order to ensure nose breathing all night,
4. I do a simple exercise to reset my CO2 levels for triggering breathing so I don't breathe so much. See Patrick McKeown's work for more about this. Voila!
I am becoming hooked n these videos. I worked in Healthcare for 20 years but on the Administrative side. It's great to finally understand what all the technical and mechanical terms mean. I knew in a generalized way but this takes it to a whole new level. Information is presented in a clear, concise way which makes it easy to understand. So glad I found this channel.
You illustrations are awesome doctor! Even a lay person like myself can understand your simple instructions. Thank you!
This channel is amazing! This should be broadcast to the public.
Greetings from ARGENTINA. I always watch your videos. Always with the right data and clear. Thank you for your time and work on this.
Thank you, your instruction is so clear and so beneficial. You and your team are amazing.
Man, after the pandemic ends, i want to hug Roger, i was starting to worry on why he wasnt uploading the COVID-19 update #42
me too
I've been following his COVID-19 updates. He only uploads the updates during week days. These videos are extras.
Thx for the lesson. Can't wait to listen to the rest of the videos. It's been a long time since I practiced as a Respiratory Therapist (30 years).
Dont you think the auto makers should start producing the old bellows type machines with no computerized components so we can have them Now, as to buy time until we can get the modern type?
I posted your old video to all my friends 3 days ago.. Thanks for the new update!
Thanks for this video. If I am unlucky enough to get intubated I will now be less scared, since I know more about what's going on.
Ni An That's why I am watching....my sister, her 2 sons, and husband all in Los Angeles, started showing symptoms 2 days ago. I figure learning what to expect, helps me explain this to others.
@@patpierce4854 Yeah, same. I want to know what happens if worst come to worst. Good luck to you and your family. Don't forget to share the video. We all need to know these things now.
Thankyou again, Dr.! Please keep the videos coming. We really appreciate what youdo. I can see for years you have been doing this and finally you have our undivided attention. You are getting the views and attention too, that you deserve from us after all of your efforts in making the good videos. I hope the hundreds of thousands of viewers will multiply for you more than even this horrible virus affecting us.... you are a hero to many of us who wish to learn about this virus rather than waste our time making horrible jokes and memes. Thankyou, again, for guidance and proper knowledge. *huggles*
Wow, this is so great to learn from . I am an optometrist and my mother is now on a vent from COVID19 in Michigan right now. I feel that I have a far greater understanding of what is going on now.
Just finished watching all the videos! Also love the integrated quizzes!
Thank you all for the prayers and the wonderful messages,my heart is full..thank u Dr Seheult for your lectures, i am grateful.
Thank you very much. Keep doing this. it is alway a pleasure to refresh and learn new things
In Denmark other healfcare personal has been trained how to operate ventilators, if we become short in critical personal
We have 20.000 extra previous healfcare personal in reserves... personal who previously worked as doctors, nurses etc. if needed...
M4. This is EXACTLY what I was hoping for from this channel. Thank you 🙏🏼 🙏🏼
Good to hear, thank you
Ex icu nurse going back now to help with crises ! Thank you for refresher course xxx much appreciated !
God bless you guys! I am an RN without vent experience but I want to help - excited to learn ASAP
Hi Sydney, im an RN too. Are you working with vent patients yet? If so, how have you found the ease of which to operate machines, and deliver care to these complex patients? Thanks, I'm wanting to help as well, I just submitted app to volunteer in NYC. Thanks in advance!
Very well explained, not even a med student and understood everything.
Thank you for all your videos, Covid and beyond. You have been a source of reliable, easily understood information in the midst of chaos. This ED doc is very glad you are taking the time to put out these videos
Thank you for this! Can't wait for the next course!
Also, the Tidal Volume (Tv) only helps to remove CO2 from the lungs, you oxygenate the pt by increasing FiO2, increasing PEEP, or increasing MAP. You oxygenate pt by increasing MAP as a last resort, although oxygenation and prevention of respiratory distress (which will lead to respiratory failure) are the primary goal, try to not use 100% O2 unless necessary to prevent passive atelectasis, PEEP is good for keeping the lung open to allow oxygenation. I am rusty on knowledge of MV myself, great video, so many more variables not mentioned.
What I find so amazing is that plastic tube is able to carry all those parameters back to the vent in order for it to perform the way it is programmed.
always concise, relevant, and much needed.
Heading to NY to a setting where I may need to be assisting in more vent management than what I am typically used to. Thank you for this.
Love it. Great job for fellow medics and nursing staff across globe.
After this, I’ll be able to do it. Kidding.
Critical care is unbelievably complex. I just started to feel comfortable doing it and then I retired. LOL.
Thank you for sharing your knowledge so perfectly doctor! I'm in with this series as well! :)
Love that formula one in the business of making them now. God bless.
thank you for these videos. am in icu and each day we are getting more and more covid patients, in ards and vented. this is a helpful review esp since i started in icu less than a year ago! thanks!
Your information are very clean and easy to understand. could you please comment on DIY masks that are around the internet please? will that mask help? if so, what is the proper material we can use? please help with this.
Thank you for your time and forward thinking without any political or personal gains.
God bless you!
In Taiwan, the government assembled a national machinery team to have 92 production lines to make medical equipment and gear since January because they know they cannot depend on Chinese shipments.. They are ramping up production to make 15 million masks per day. How many months does the government need to figure this out? How many months do these health professional need to get themselves prepared?
Thanks for your fantastic job! I appreciate that.
I’m so bummed. I just finished RT school and I have to wait to take my board exam because of the virus. I wish I could be in the hospitals helping. Thanks for this video.
As a non-medical person, I got to say thinks for the education.very interesting and plan to keep watching. hope that I or those I love never need to use this device. I am 65, and can still hold my breath for 4 mins, so I suppose I have a compliant lung, and also take way less than 12 breaths a min. so might be a pain in the butt to get me going on this machine. cheers
Thank you. This is wonderful
Thank you for making these videos. You shine a light for the people who are trapped in their own mind and feed into the distractions that society use to help numb the morbid reality of this world’s state. The human population has to persevere and be motivated to innovate medical technology (look into medications but using alternative methods of consumption like if an addicted vaping patient is physically conditioned to hit his e-cig, finding cure while using a similar form factor or similar action (I.e inhaler, juul), I think a ventilator that can simulate the act of smoking can help the truly in need. Additionally to help combat addiction and relapse, VR and AR can help as a way to virtually “smoke” to help alleviate cravings. It haunts me to see my medical history, my developing symptoms and lung limits nowadays. The word “EVALI” 😔, praying for the great respiratory doctors of the world to come together and save the diminishing youth.
Thank you for putting out these videos.
Thanks. It has been 30 years since I ran a ventilator as a RRT. As a PA since, in Nephrology, I just glance at the vent while I head to the Dialysis machine. The hospital tells me I may need to dust off old skills.
So clearly explained...I like your other videos as well.
Thank you for all you do!!!! This is much needed to many nurses!!!
i am not a medical professional I just watched it to send you some youtube cents to support your good cause.
Thank you for your relavant, factual rational info. It really helps me understand better amidst the crazy talk.
First❤️❤️❤️ thank you med cram your fan from Philippines
Keep up the excellent work, Doctor!
God bless you Dr. Seheult
Thanks for another great video! Awesome content, per usual!
Maybe this could be a good aid!? "Loperamide demonstrated anti-MERS-CoV, anti-SARS, and anti-HCoV229E activity in an in vitro screen of approved drugs [36], although the mechanism of action is unknown. Interestingly, loperamide was suggested for limiting gastrointestinal fluid and electrolyte losses in patients with Ebola virus disease (EVD) [37]."
John 38
@@mrjohny2993 ?
@@magnus8296 Barnabus 36/37
So grateful for your work. thank you
Doctor, can you show an actual ventilator, possibly several examples of it and how it operates? I have sleep apnea and my main worry is that if I, or someone with a similar respiratory condition contract Coronavirus, it may be a death sentence. I am also contemplating purchasing a cpap machine.
great idea! God bless you and your family.
How is the patients panic response controlled? Are they conscious, twilight or our cold? I am speaking as a 60 year old lifelong asthmatic with anxiety and panic disorder and I am sure you deal with people like myself when the need to intubate arises, One of the most alarming aspects I have read is diaphragmatic paralyzation I could not imagine not being in control of my own breath without the panic running rampant although the physical o2|co2 exchanges would be met and proven by oximetry or blood gas if the fight or flight response kicks in doesn’t the heart rate elevate and respiration increase even to the point of hyperventilation? Or is one being pumped full of benzo’s and beta blockers to let the body fight it out with the cortisol and adrenaline?
Thanks for all your work both at your hospital and here in TH-cam land we are all Lucky to have you.
Responses from anyone reading with experienced medical insight would be most welcome, thanks
That's nicely explained.
Thanks Doc! Great info for those out there kicking Corona's Ass and saving lives!
Hey Doc, don’t you find it fascinating to view the macro scale of human response to biological crises and the micro scale of the actual antigens themselves. The human response is to mount a defense and surround, isolate and eliminate the antigen from society; just as the body’s immunological response is to do this on a smaller scale. Everything large is a reflection of the successes and failures of everything small.
Case in point, when the system - on the macro level, the societal structure (healthcare for example) is overwhelmed, the structure is more prone to collapse during a response. This is just like the micro scale of biological threats on our systems on a micro level.
The exponential scale of biological life and worldly / universal structure is so amazingly intertwined!
Doc you are the best
" . . . it goes into their mouth, passed their vocal cords specifically, and down into the trachea . . ."
. . . unless it goes into their stomach, but that's another lecture.
we immediately check ET placement with a CO2 indicator (exhaled CO2 from the stomach?) and auscultating breath sounds while bagging prior to connecting to the vent.
past, not passed
Hi Nnmi Hiseddeo U look so pretty , pray for your Good health .
Thanks Doc. Very timely update.
I will jump on for sure!
I’m a Registered Respiratory therapist looking to help but can’t find a site to sign up
I have no idea where you are, but San Francisco General Hospital was fast tracking the hiring of nurses recently, eliminating some of the normal steps and criteria
try emailing a local hospital
Somewhere in your state there should be a hospital at full capacity they may need help. Try calling the human resource department at that hospital. I know New York definitely need some help. The drs and nurses are tiring themselves out over there.
New York needs help
@@sarahstone608 give me a number to call
Please post a video about chloroquine if you've any further info on the clinical trials .
Been waiting for it since 3 days :/
Thank you a lot doctor
The patient has to be sedated before you intubate them right?
It is for those who are unconscious and can't depend on their own regular breathing even with okay lungs.
@@mrjohny2993 not necessarily, the patient may be alert and struggling to breath, so you have to sedate them and place the tube in for ventilation
@@loverelationshiptalk3503 yes of course not having enough oxygen is another scenario. And world needs alot of venteez
Would you use a ventilator built in a closed down chevrolet plant?
Thank you Dr. Roger Seheult😊