What Is Shock? | Shock Pathophysiology | Shock (Part 1)

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  • เผยแพร่เมื่อ 4 ส.ค. 2024
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    In this first lesson on shock we answer the question, what is shock? We cover all the basics that you need to have a good understanding of what this medical conditionally really is.
    In addition to that we take a deep dive in to the shock pathophysiology rabbit hole! We provide a very detailed and thought out explanation of the physiological processes that our body experiences as we find ourselves in a state of shock. While this is quite detailed and complex, we do our best to make this as simple as possible.
    Finally, we cover the signs that you would expect to see in a patient who is in shock. These are very important things to recognize in your patient as they can mean the difference between life and death.
    Our biggest hope for you to takeaway from these lessons is to understand that shock is a LIFE THREATENING situation for your patients and that quick recognition and intervention can mean the difference between life and death.
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    Please if you enjoyed this video or found it useful, hit the like button as this greatly helps our channel out!
    Also make sure and subscribe and hit the bell notification to stay up to date on our latest videos!
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    For the next lesson in this series covering hypovolemic shock, click here: • What Is Shock? | Shock...
    You can also check out the playlist for this series of lesson on shock here: • What Is Shock? | Shock...
    Also check out our other popular series of lessons on Hemodynamic Principals: • Cardiovascular System ...

ความคิดเห็น • 136

  • @ICUAdvantage
    @ICUAdvantage  5 ปีที่แล้ว +34

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    Thank you for checking out this first lesson in this series on shock! I hope in some way that you find it informative and helpful!
    If you enjoyed the video or found it useful, please hit the like button as it really goes to help our channel stand out. Also we would love to hear your comments on the video or any questions that you might have. And as always, subscribe to our channel and hit the bell notification to ensure you stay up to date with our latest videos. We have 7 more coming just in this series alone! :)
    **NOTE: I realized that I mentioned about the Chemoreceptors, but didn't talk any more about them! Essentially, the chemoreceptors are specialized receptor cells that can detect chemical changes in the blood. In the shock state, these chemoreceptors would detect a decreased pH, a decreased supply of oxygen, as well as an elevated level of CO2. This would trigger the respiratory system to increase the rate and volume of respirations in order to try and compensate for these changes.

  • @flowaagurl1396
    @flowaagurl1396 2 หลายเดือนก่อน +1

    Favorite part of the video is how u included not only the physiology and signs but also lab values !! Thank u!

  • @joseignacioperezcarvajal5600
    @joseignacioperezcarvajal5600 3 ปีที่แล้ว +29

    This was amazing, and extremely helpful. First time I’m able to integrate all of this information so easily. Thank you so much!

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +2

      Awesome to hear Jose! Glad you liked it!

  • @jeannotmafutamingi8140
    @jeannotmafutamingi8140 3 ปีที่แล้ว +5

    Learnt about this more than 10 years ago and never went back to it in the way you have explained. Thanks a lot!

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +1

      You are very welcome! Glad you liked it!

  • @amplo3776
    @amplo3776 3 ปีที่แล้ว +2

    That's gold, thank you for the time and the delivery of the information. Much appreciated and grateful for that!

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Awesome to hear this! Happy to be able to help!

  • @7generationsprepper
    @7generationsprepper 5 ปีที่แล้ว +5

    from the EMS world, hello and thank you. Very nice review. I often use your videos to augment my own teaching. Very grateful to you sir.
    Rob, Critical Care Paramedic

    • @ICUAdvantage
      @ICUAdvantage  5 ปีที่แล้ว

      Awesome! And thanks for reaching out. You are the first line in taking care of these patients and we have a lot of respect for you guys! Glad that these videos are finding their way to be useful for you as well!

  • @cs8169
    @cs8169 3 ปีที่แล้ว +1

    Eddie, this is such a great video! I'm now in my second year as a MICU nurse and I can't find better video than this!

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Wow! Thank you so much! Glad to hear you enjoyed the video!

  • @MrBanzoid
    @MrBanzoid 3 ปีที่แล้ว +1

    Thanks for these vids Eddie. I'm not in the medical profession but I'm an advanced first aider and vids like this help me get a handle on what's happening to the person I may be treating at the time.

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Truly my pleasure! Glad you found it informative.

  • @ohha3474
    @ohha3474 2 ปีที่แล้ว

    This is awesome, very detailedly explained! It's really a studying material adding up onto regular lecture from my professor.

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      Great! Sometimes it is helpful to have various different explanations to get a complete picture and understanding! 😊

  • @rajohnstudios1289
    @rajohnstudios1289 2 ปีที่แล้ว

    Really I've got no words for ur teaching skill and experience, with crystal clear concept also with clarity ! Frm 2022💯💕💥

  • @candaceyoung3104
    @candaceyoung3104 ปีที่แล้ว

    Thank you so much for creating and posting these helpful videos! It really helps me understand the content better!

    • @ICUAdvantage
      @ICUAdvantage  ปีที่แล้ว

      Truly my pleasure Candace! Glad you enjoy them!

  • @wyattb3138
    @wyattb3138 ปีที่แล้ว

    Randomly looked this up and I learned so much thank you.

  • @carlyanderson8919
    @carlyanderson8919 ปีที่แล้ว

    This is amazing! Thank you!

  • @ivanbudnik342
    @ivanbudnik342 2 ปีที่แล้ว +13

    Thank you for your great lecture! Just one note: renin is not produced in the adrenal glands, it is produced in the kidneys.

    • @medryder
      @medryder 6 หลายเดือนก่อน

      In JGA more accurately

  • @kamala3428
    @kamala3428 2 ปีที่แล้ว +8

    Hi Eddie, I love your lessons and learning from your channel. I am wondering if it’s possible to have the lessons on the slides or pdf as well. So that I could print and read when I do not have access to online lessons. You are doing such an amazing job helping out the new ICU nurses. Thank you so so much!

    • @perfectDOE
      @perfectDOE ปีที่แล้ว

      His notes are for sale on the site.

  • @sophieeva1156
    @sophieeva1156 3 ปีที่แล้ว

    Thank you for the videos. We have to train many nurses newcomers to ICU knowledge and your videos are helping me with this.

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      You are so welcome! Glad to help!

  • @HoangNguyen-nu8ih
    @HoangNguyen-nu8ih 5 ปีที่แล้ว +2

    Thank You for posting!! Love this and will recommend your channel to all my nurse friends!

    • @ICUAdvantage
      @ICUAdvantage  5 ปีที่แล้ว

      Thank you!! Glad you enjoyed it!

  • @vidyabijo6925
    @vidyabijo6925 4 ปีที่แล้ว +2

    Finally, somebody made it clear!!!!!!... Where even standard textbooks failed... Thanks a lot

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว +2

      Awesome to hear! Glad this video was what you needed!

  • @rilvanicavalcantegoncalves5905
    @rilvanicavalcantegoncalves5905 4 ปีที่แล้ว

    Impressive his didactic and synthetic capacity; makes simple and complete essential concepts for review in physiology and therapeutics; thank you so much for your channel; Congratulations and lots of success. continues...

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว

      Awesome! Thank you so much! Glad that you liked the video and the channel.

  • @prateekstephen8472
    @prateekstephen8472 3 ปีที่แล้ว

    Thank you . . . It was informative and helped me understand the basic physiology . .. keep up the good work . . .

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Fabulous to hear this! Thank you and will do!

  • @edissalihovic6819
    @edissalihovic6819 ปีที่แล้ว +1

    You are a BRAD (Brain Assist Device) to our ICU segments in brain. Great work!

  • @darshanmishra1666
    @darshanmishra1666 10 หลายเดือนก่อน

    Thank you for this Awesome Lecture

  • @brig8608
    @brig8608 4 ปีที่แล้ว +5

    Hey hey! This video was so good. I'm busy doing an assignment on septic shock and this helped me understand the concept.
    If you could be so kind as to provide a reference list - I would like to research further and reference the information - particularly the increased HR pathway.
    Thank you so much!

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว +3

      I'm glad that you enjoy it. As for references, I use various critical care books as well as a combo of personal experience when I do these videos. AACN Essentials of Critical Care has a lot of great info if you are looking for just 1.

  • @hajarayelwa6863
    @hajarayelwa6863 4 ปีที่แล้ว

    Thank you so much for this ! 💯

  • @pineapplenews
    @pineapplenews 5 ปีที่แล้ว +2

    Daaaaaaamn Eddie! Nice work!

  • @nurseo5952
    @nurseo5952 ปีที่แล้ว +3

    Why couldn't my nursing school explained it like this?! So easy to understand!!! Thank you!!

    • @ICUAdvantage
      @ICUAdvantage  ปีที่แล้ว

      Right on! Really glad I was able to explain it well.

    • @nurseo5952
      @nurseo5952 ปีที่แล้ว

      @@ICUAdvantage

  • @dgmnhn2098
    @dgmnhn2098 ปีที่แล้ว

    Thanks !

  • @studybuddies6578
    @studybuddies6578 3 ปีที่แล้ว

    this was extremely helpful, Thank you

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Awesome to hear! You are welcome!

  • @bells_2149
    @bells_2149 2 ปีที่แล้ว

    Really wish you had a podcast or audio of these awesome videos so I can listen during roadtrips..

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      One of the benefits I offer to one of the Patreon membership levels is audio of the lessons.

  • @mortenholm9878
    @mortenholm9878 ปีที่แล้ว

    your the best!

  • @marjanmathilda1475
    @marjanmathilda1475 ปีที่แล้ว

    Awesome 👏

  • @lisamorrison1283
    @lisamorrison1283 3 ปีที่แล้ว

    Very informative, thank you

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      You are very welcome Lisa! Glad that you liked it 😊

  • @oreskoul
    @oreskoul 6 หลายเดือนก่อน

    thank you

  • @auliasmith2042
    @auliasmith2042 4 ปีที่แล้ว

    Thank you so much for the lesson... so much

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว

      You are so welcome Aulia!

  • @sarahmina1442
    @sarahmina1442 2 ปีที่แล้ว +1

    Thank you 🎖I like the physio review!

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      I really think the physio helps cement the understanding! Glad you liked it!

  • @r_awanne
    @r_awanne 4 ปีที่แล้ว

    Thank you so much.

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว

      You're welcome! Glad you liked the video!

  • @nik8423
    @nik8423 3 ปีที่แล้ว +4

    Very informative video buddy. I want to point out towards a line stating renin is secreated by adrenals. This I think you said by mistake if my ears are fine 😁. Renin is secreated from kidneys btw.

  • @moedrikas6597
    @moedrikas6597 2 ปีที่แล้ว +1

    I really like these types of videos with the animated tutorial

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว +1

      Awesome! Glad you liked it!

  • @muhammedhassan5945
    @muhammedhassan5945 2 ปีที่แล้ว +1

    thats an extremely helpful explanation of a complex subject.. I really appreciate your job ..
    note : at 16:35 you mention that renin is released by the adrenal gland .. we know it released by the kidney ..

    • @futurernari5901
      @futurernari5901 ปีที่แล้ว +1

      Good catch! The Juxtaglomerular cells in the renal glomerulus primarily store and release renin, related to the afferent arteriole pressure

  • @rapid2move
    @rapid2move 5 ปีที่แล้ว

    Great explanation!

    • @ICUAdvantage
      @ICUAdvantage  5 ปีที่แล้ว

      Thank you! Glad you liked it!

    • @speech2375
      @speech2375 4 ปีที่แล้ว

      Great videos, can you explain the external pacer box that you use to pace patients after surgery. Thank you looking forward..

  • @iba423
    @iba423 3 ปีที่แล้ว

    Thanks a lotttttt

  • @henriquelopes9596
    @henriquelopes9596 3 ปีที่แล้ว

    Wonderful.

  • @flowaagurl1396
    @flowaagurl1396 2 หลายเดือนก่อน

    So very excellent for preparing for my class thank you 🤍

  • @pillmatik4239
    @pillmatik4239 2 ปีที่แล้ว

    Watching all of your videos as I apply for ICU jobs with my fingers crossed 🤞

  • @therunningmonk6428
    @therunningmonk6428 3 ปีที่แล้ว

    Wonderful educational video ..very informative ..thanku from india ..I am a runner and more opwerful reason to train aerobically and imbibing high fat diet ..I hope I can associate this knowledge in my training and nutrtion to the peolle whom I train and to myself..thank you once more ..gratitude

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Glad to hear you liked it!

  • @jaypeejj
    @jaypeejj ปีที่แล้ว

    Thank you for this

  • @mohamedelmoghazy2981
    @mohamedelmoghazy2981 3 ปีที่แล้ว +1

    Thank you for this very informative easy detailed video.
    I have a question, why there is ST elevation in shock state and how can I know if there is ongoing AMI with shock or just this is shock signs?

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      12-lead is going to be your friend. Some ST elevation can occur as a result of decreased perfusion from the shock state.

  • @MauiXoXo
    @MauiXoXo ปีที่แล้ว

    Great playlist! New subscriber here! Thank you!

    • @ICUAdvantage
      @ICUAdvantage  ปีที่แล้ว

      Thank you and welcome aboard!

  • @tungtracy9052
    @tungtracy9052 4 ปีที่แล้ว

    Like this a lot

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว +1

      Awesome! Thank you! I was really happy with how this one came out.

  • @stuartshiff7201
    @stuartshiff7201 4 ปีที่แล้ว

    Which videos of yours are absolute musts for a new-grad RN going straight to ICU? As in, what should I watch just before day 1? Thanks!

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว +1

      Hmmmm.. really good question. I will preface to say that watching these before you begin will be a good exposure to something that you don't quite fully grasp. It would also be very beneficial to rewatch after some time and you've had some direct experience with some of it.
      That said, I'd probably go with these playlists: ECG/EKG Interpretation, Ventilators, ICU drips, and then probably ABG Interpretation. If you are going CVICU, then Hemodynamics as well, although that is a good one for anyone a little bit later, along with the Shock series.
      Let me know what you think and best of luck on the new adventure!

  • @iilikecereal
    @iilikecereal ปีที่แล้ว

    I'm never going to do anything with this information ever over the course of my life, but it's really cool that this is available for free online. I don't think knowledge should be kept behind paywalls and restricted to people born into wealth (people who can afford college).

  • @ivansantos3639
    @ivansantos3639 4 ปีที่แล้ว +1

    Hello ICU advantage, will you do anything from neuro?

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว +2

      Hey Ivan, I actually have a couple lessons coming soon in the pipeline that are neuro related topics. I do also have a video on the Glasgow Coma Scale already. Anything in particular you are hoping to see, or just the overall specialty in general?

  • @freak8510
    @freak8510 4 ปีที่แล้ว +1

    Nice explanation👍🏻👍🏻. Pls use a pointer coz its difficult to identify where is the new line is start. 😋

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว +2

      Thank you! The method that I do the writing and recording doesn't allow me to use a point. Its a bummer as I wish I had that available.

  • @racuriannapurna4307
    @racuriannapurna4307 3 ปีที่แล้ว

    TQ sir

  • @Deron8564
    @Deron8564 3 ปีที่แล้ว +3

    16:23 . I think the kidneys make renin. Not sure if the adrenal gland does.

  • @ilive2heal555
    @ilive2heal555 ปีที่แล้ว

    Thanks! This one’s a keeper.

    • @ICUAdvantage
      @ICUAdvantage  ปีที่แล้ว

      Thank you so much for this!

  • @ME-xh5zq
    @ME-xh5zq 3 ปีที่แล้ว +1

    Can you do a vid on Arrhythmias?

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      I actually have a whole playlist on these! ECG/EKG Rhythm Interpretation!

    • @ME-xh5zq
      @ME-xh5zq 3 ปีที่แล้ว

      @@ICUAdvantage Awesome! Thank you.

  • @liminup4131
    @liminup4131 4 ปีที่แล้ว

    👌👌

  • @alexlessandro6896
    @alexlessandro6896 3 ปีที่แล้ว +1

    My father suffers from the septic shock almost 3 months now 🙏🙏🙏
    thank you for work sir

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +1

      I'm wishing for the best for your father! Take care.

    • @alexlessandro6896
      @alexlessandro6896 3 ปีที่แล้ว

      @@ICUAdvantage thank you I appreciated it 🙏

  • @venkybly
    @venkybly 4 ปีที่แล้ว

    Tq

  • @Multi000zzz
    @Multi000zzz 4 ปีที่แล้ว

    pls can you share the reference for you lecture.

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว

      I use many different reference sources along with my own knowledge over the years. I put these lessons together myself based on all of that.

  • @sujathasistla4622
    @sujathasistla4622 3 ปีที่แล้ว

    your video mentions that renin is produced from adrenal gland which is an error. It comes from kidney

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Yes, it was a mistake on my part

  • @davidmalpass5075
    @davidmalpass5075 2 ปีที่แล้ว

    Renin is released by the kidney (juxtaglomerular cells), not the adrenal gland

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      Correct. Wish I had a way to edit once uploaded.

  • @Bejulik
    @Bejulik 3 หลายเดือนก่อน

    Nice video but renin is produced in kidney and not adrenal gland and ADH does not cause reabsorption of sodium in kidney, only water

  • @jazminnew3757
    @jazminnew3757 3 ปีที่แล้ว

    I was stuck like this for 8moths. To 1.yr and a half

  • @futuristictechGuru
    @futuristictechGuru 4 ปีที่แล้ว +2

    Treatment?

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว +1

      There are videos for each type of shock in the series, that look at treatments for each.

  • @dawnandersen3575
    @dawnandersen3575 ปีที่แล้ว

    What happened if it goes to the heart

  • @C4beattz
    @C4beattz 4 ปีที่แล้ว

    is fainting a sign of shock

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว

      Not really. Unconsciousness yes, but thats different.

  • @ThePrsBee
    @ThePrsBee 2 ปีที่แล้ว

    i swear to God all those professors in the Uni were sh*t.... we should just teach each other....its all about illustration, simplicity and clarity man .... great stuff

    • @sarahmina1442
      @sarahmina1442 2 ปีที่แล้ว

      University to get the degree. TH-cam is for true learning 🧠 ICU advantages!

  • @Zizuthecreatorlamarwest
    @Zizuthecreatorlamarwest ปีที่แล้ว

    Summary on what shock is: Shock is caused when oxygen is not getting to cells, leading to organ damage, and anaerobic metabolism, which causes lactic acid to build up, leading to acidosis, and prolonged shock can cause death.

  • @memebroundy878
    @memebroundy878 ปีที่แล้ว

    I want arabic transulation

  • @arpitpartil7568
    @arpitpartil7568 4 ปีที่แล้ว

    Please use more light colour so we can see easily

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว +1

      Thank you for the feedback. I have switched that more contrasting colors in my newer videos.

  • @footmonster-ts1ry
    @footmonster-ts1ry หลายเดือนก่อน

    bazinga

  • @pathwaymedic6278
    @pathwaymedic6278 4 ปีที่แล้ว

    Very confusing

    • @ICUAdvantage
      @ICUAdvantage  4 ปีที่แล้ว +1

      Sorry to hear this. What part was confusing?