How Coronavirus Kills: Acute Respiratory Distress Syndrome (ARDS) & COVID 19 Treatment
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- เผยแพร่เมื่อ 28 ก.ย. 2024
- How COVID-19 causes fatalities from acute respiratory distress syndrome (ARDS) by pulmonologist and critical care specialist Dr. Seheult of www.medcram.co...
This video illustrates how viruses such as the novel coronavirus SARS-CoV-2 can cause pneumonia or widespread lung inflammation resulting in ARDS.
Includes evidenced-based ARDS treatment breakthrough strategies: Low tidal volume ventilation, paralysis, and prone positioning.
Note: this video was recorded on January 28, 2020, with the best information available. Acute respiratory distress is, of course, not the ONLY way COVID 19 causes fatalities (other causes include heart failure, thrombosis (stroke), etc.)
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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.
Video produced by Kyle Allred
MedCram = More understanding in less time
Topics from our COVID-19 pandemic series include: coronavirus spread, How Hospitals & Clinics Can Prepare for COVID-19, The ACE-2 Receptor - The Doorway to COVID-19 (ACE Inhibitors & ARBs), Flatten The COVID-19 Curve, Social Distancing, New Outbreaks & Travel Restrictions, Possible COVID-19 Treatments, Italy Lockdown, Global Testing Remains Limited, Coronavirus Epidemic Update 32: Data from South Korea, Can Zinc Help Prevent corona virus? Mortality Rate, Cleaning Products, A More/Less Severe Virus Strain? More Global COVID-19 Outbreaks, Vitamin D May Aid Prevention, Acute respiratory distress syndrome (ARDS), Rapid antigen tests, mutations, COVID-19 in Iran & more.
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#coronavirus #COVID19 #ARDS
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MedCram - Medical Lectures Explained CLEARLY ... well that got ya a sub.👍 God Bless from Australia bud
Are there other medications added in order to hasten the healing process?
@@offgridjohn871 Thanks!
Medcram - Brilliant explanation and thank you for explaining the processes via visual drawings .. I understood you perfectly !!! Let's pray that this insidious virus goes as quickly as it's arrived.
You simplified how the lung works very well I definitely have a better understanding I’ve started watching your videos and have subscribed I also have a thought and was wondering if anyone has tried something like it So I’m looking at this from a mechanic point of view just curious if you could tap into a artery run the blood through a artificial oxygenation taking some of the work off of the lungs long enough for the swelling to go away I understand it’s invasive but if it’s a last ditch effort or maybe becomes as easy as dialysis I would like to see feed back from the medical community on this idea
I was in ICU from having covid. I had covid pneumonia and ARDS. I felt like I was dying continously. It was a horrible experience. I still need oxygen now and I still have severe breathing problems. I was also left with pulmonary embolisms. It's going to be a long recovery but I'm glad to be alive.
Who ever reading this - I pray for you and your family's good health.
You can’t be an actual doctor due to your outstanding penmanship
Jason Jo well at least its in computer not on an actual paper
@@francisruizyamba6149 but he's drawing lmao..
Hahaha 😂😂🤣🤣
He is an actual Dr. He works at the same one I am at.
thuy nguyen i think you missed the joke!
My dad died exactly this way. Lost him Friday, April 16, 2021. After escaping it all year, both my parents caught it at my acoustic show in Lakehills, TX on March 6, just over a month earlier. I watched it kill him like a diseased animal. Stole him right from our lives. Nurses played his machines like a video game, just watched & countered his problems with whatever they knew. It was a race between his heart & lungs. Which will give first? I watched my dad die slowly on a bipap machine with a nonrebreather instead of a ventilator. If he survived intubation, he wouldn’t survive extubation. So we watched his oxygen level drop until his color instantly changed to yellow and he was just suddenly gone. I will have PTSD from this forever.
It’s so hard to watch for anyone. Even though I’ve seen it many times it is something that a loved one will never forget. My condolences!
I feel the urge to take a deep breath just watching this.
Mel yesss
Mel I took ah thousands breaths. Oh that sounds like a song!🙂
Me to
Exactly! If you can breathe and breathe on your own, you have a lot to be thankful for.
Try wim hof
Im a nurse and passed this information to my family, friends and coworkers.
Thank you for your support!
Me too. Trauma. Masters. 19 Countries and I’ve never seen anything like this and I was out there in the trenches for SARS. He’s spot on and I tell EVERYONE to follow him. I can’t explain it this well and you know we aren’t dummies! You go Sister♥️
Great explanation of ARDS....best I’ve ever seen in 12 years of critical care nursing! Well done!
I always knew you'd be a nurse
@@ritzbitz1905 yep, as he was talking about over breathing the vent with the low tidal volume i was like, okay so paralyze them...then he goes...so we paralyze them...and then we he got to the PRONING part i was all giddy! this is EXACTLY how our team trouble shoots. like he said, you want a STRONG ancillary team -and you wanna pull in your novice youngin's and teach them how a strong team functions
I just lost both of my parente because of this if someone could pray for me and my siblings for strenght I would really appreciate it please people be carerul out there
Finally a good medical explanation without strange words and letters popping out. Thank you very much!
And he cites ALL his sources!
Yes and this is thoroughly enjoyable
What a great explanatiom
contact Dr Sebi herbal store for private help view E-mail: drsebiherbalstore@gmail.com
..
Respiratory Therapist here: Thank you for these well and easy explained lectures for people that don't understand this stuff.
ARDS can be be fatal but a lot of cases are not and if not recognized and it can be mistaken for pulmonary edema. Majority of ARDS patients will be in distress meaning they will be experiencing increased work of breathing, using their upper respiratory muscles to breathe and at that point that is not really efficient breathing plus the patient is not getting adequate gas exchange.
Hell yeah bro I'm in RT school right now
@@billysledgehammer Good luck man! I am applying for PA programs soon 🤘
@@Outdoor_MED hell yeah that's awesome. How long were you RT before you decided to go PA?
@@billysledgehammer Going on my 7th year
@@billysledgehammer my ex-wife was an RT. I paid for her undergraduate school and also her four-year degree in medical school, plus cars and houses. Then she decided to abandon me and divorce r@pe me.... Ho's will be ho's. 🤷🏻♂️ Go MGTOW4LIFE
Anyone else take a deep breath while he was explaining lung anatomy?
It’s amazing how complex our bodies are
Kinda makes evolution seem impossible
@Pb&j Astronaut Amen !
@@amandawilliams2266 Not Impossible, Just took an extremely long time for homo sapians to morph Into ''Modern humans'' and to evolve the way we evolved
@@sammytheusername6818 according to Darwin, you're no more complix that a simple bacteria, I bet you agree with that too,
, even better, read a book called Darwinian fairy tales by Henry Gee.
Andrew Ryan:
And your mind too, lol!
i hope Qoronavirus leave us alone whoever see this comment i wish you,your family and the ones you love a healthy life i hope God save all of us.
I am a doctor turned personal trainer and you have explained ARDS very well in layman's terms. Well done you!
He does not know anything about Ventilator Care, please read my post on why he is wrong
For some reason , it calms me down to know how this virus affects.
Fear comes from the unknown
Thonb mc fear doesn’t exist
@@_the_low_gold_gamer_2501 if fear doesn't exist , then emotions don't exist and this is "The Sims."
so wait a bit, those who were infected with this coronavirus and have survived already have immunity, right?
Divad Ignawm yeah unless it mutates which means they will have partial immunity kind of like a flu shot kind of how it’s kind of a guess for each strain
Thank you for calm, reasoned approach. Good teaching! No matter what happens in the next few months to years, panicking is not the answer.
We need some of our old folks remendy They knew all kinds of remendy that would get you well in weeks🙏🙏
I think you just explained for me how my mom actually "died" of lung cancer. I knew that her body couldn't get the oxygen, but I didn't know how that translated to her organs shutting down, especially since the tumor was just in one spot and oxygen was supplied through a ventilator. Now I get that the lungs were likely inflamed in response to the invader, and that what you show above is what was actually going on. It's little pictures like this, and the understanding it brings, that calm the mind a bit. It doesn't change that she died, or what she went through, but I appreciate having the detailed understanding of what was actually happening in her body. I don't know why, but it makes a difference. Thank you. You are so right, knowledge is power.
Your mom sounds like the kind of person to have nice teeth.
I feel you. My mom also died of lung cancer and this video made me understand what she was going through when she had difficulty in breathing. :(
Understanding what happened helps with closure.
Speechless, I wish teachers taught like this.
Meh too bruh🙂🙂🙂
Teaching and learning is a two way street. While he explained well, it's the viewers (aka students) that clicked due to an interest/curiosity in the topic (students engaged). So one can conclude, just like mentioned above, teaching and learning is a two way street.
some do. I had a great one for A and P in nursing school. I love when they can explain it so concisely and no waste of words; we get what we need explained clearly and no complications.
@@ritadeniston8986 Still waiting for you to cite your sources and he's not a teacher he is a medical doctor.
@@ritadeniston8986 You don't care what his credentials are but you're boasting your own? I'm not asking for logical reasons, I'm asking for cited sources not just your own personal experience.
have to say this....this Doc is MY Doc and he's WONDERFUL! he's BRILLIANT. Lucky to have him!.....
Yes, you are very fortunate !
patti watanabe Good to know! Thank you.
@@josegarcia6158 there is no cure right now
@@josegarcia6158 The "cure" for it is surviving it (only the worst cases such as very young and very old with debilitating conditions need ventilators) and by doing so your body produces antibodies against it. However, down the road if the virus mutates as they often do, return to the beginning of the cycle.
YOUR A BOT CHANNEL
the explanation made me consciously breathing under some anxiety 😂
Same 😭
For real made me overly self aware of my breathing lol
silshasubando 🥴 let's just relax.
silshasubando same here! Wow, very scary!
It also made me conscious of my breathe and how precious it is
I am a 76 year old Australian practising internist ( we call them physicians) turned addiction medicine specialist so my ICU and hospital days are long behind me. That was the best, clearest and most succinct information in aspects of ventilator procedures that I have ever heard. And my background was when the Bird 7 was the techno leader, long before the variations in tidal volume and inspiratory/expiratory pressures were available. While this is not information I will ever have need of, I thank you very much for such a lucid explanation and like one of your commentators, surely you had someone else do the graphics? You couldn't write that well?
My daughter died at the end of October. She was 46 y/o and morbidly obese. I am a retired critical care nurse. Some things were hard for me to understand and to reconcile as I gave permission for various aspects of her care, long distance via phone. This video has explained much and has put my mind and my heart at ease because of the descriptions of various studies done since my retirement. The entire process makes sense to me now. I very heartily thank you for your education!
That is the best explanation I’ve heard. I remember years ago when I nursed neonatal infants on a ventilator. They did much better nursed on their tummy, but some one came up with an idea that they did better on their back. I never 👎 believed that their was enough research to prove it. I specialised in intensive neonatal care and i found the opposite. Thank you for sharing. X
Good coverage about lung functions. I was a deep-sea diver in my past and we used to spend a lot of time thinking about spontaneous pneumothorax or air embolisms and I am glad to see that everybody's got a handle on that.
Wow- my mother had ARDS back in 1992 ! They suggested we take her off of the ventilator, not much was known about ARDS back then. We told them we wanted to try to save her. We had her sent to Drake Rehab center in Cincinnati OH for months. She lived and was actually on the news because of her miraculous recovery. I had no idea that the Corona Virus is causing ARDS ! She was in the ICU for over a month and her whole body blew up like a balloon. It was so scary , but thank God , she made it through .
Thanks God. Used medical science and humans for the save. Using technology for the communication.
ARDS is well known to Respiratory Therapist, it is not something new, please read my comment about his lecture being wrong
@@ritadeniston8986 Thank you, I am well aware that it is not new. 1992 was a looong time ago ( when she contracted the virus) Not much known about how to properly treat until about 2000. The virus caused, pneumonia, then attacked her lungs with an overly aggressive immune system response. Covid -19 is absolutely causing acute Respiratory Distress. This is how people are dying. Patient eventually can end up with tears in lungs , which turn into scarring, in turn - rendering the lungs like leather and useless. Eventually there is no hope. All Corona-19 is, is a new group/strain of viruses, it's not the disease itself. My mother contracted a corona virus which could not be treated. Acute respiratory distress is just that - acute distress and damage to respiratory system, namely, the lungs- which is exactly what is causing death. Sorry I couldn't find the "response" that you mentioned you had posted regarding this video. You could copy and paste in a reply to this comment, I'd love to see it.
@@newcarpet10
Rita Deniston
1 day ago
Your lecture is so outdated, and just wrong. I am a Registered Respiratory Therapist for over 40 years.
I have worked at Level 1 hospitals and trauma centers for all of my career.
1. We do not use Low Tidal Volumes, we assess the pt and try to give him his normal tidal volume.
We do use low levels of PEEP (Positive End-Expiratory Pressure) YES Peep keeps the alveoli open, It is easier to ventilate an open alveoli. It also causes less trauma to the lungs.
You want to maintain the lungs and other body systemsand parts, heart kidneys etc as normal as possible.
You do not want to cause an abnormal shifts to the body. Ex.(if you are in kidney failure and your body is normally acidic, you do not want to rapidly try to make the body alkiline.)
2. You try to never paralyze the patient unless absolutely necessary. With Low tidal volumes and paralysis
you are not properly ventilating the patient, Causing atelectasis (under inflated lungs) and a acid base shift with low O2 levels and high Co2 levels, which could kill the pt. paralysis causes all kind of problems besides respiratory issues.
3. The PRONE POSITION: REALLY YOU HAVE LOST YOUR MIND
yes the prone position has been tried. the only benefit was keeping a fat belly from pushing up on the diaphram. You are not able to see the pt and assess them, check your ventilator tubing, besides it is very uncomfortable to have straps fight gravity pushing on your body.
I am retired, I am thinking of helping during the COv19 crisis, I would love to explain things to you. But what you are saying is GARBAGE
Acute Respiratory Distress Syndrome, is kind of a generic term, Acute means sudden, and respiratory distress is just that your lungs have been damaged for what ever reason. The one thing we try to do is maintain the breathing to give the medications and other things time to fix whatever had made the patient ill. When a virus like this one hits your body, there are multiple things going on, it is not just secretions in your lungs that kill you. A lot of it is all the stress put on all your bodies organs. It can be come a cascading effect.
If your kidneys are damaged it causes your heart to work harder because the kidneys aren't able to get rid of all the excess fluid, that builds up in your blood stream, making your heart work harder to circulate the excess fluid, in turn the excess fluid can back up into your lungs, (the path of least resistance) causing pulmonary edema, which blocks your alveoli and makes it difficult to get oxygen into your blood stream and your organs,
So it isn't just the effects on the lungs, it is the combination of stresses.
I hope I am able to explain it so that you can have some understanding from the Respiratory Therapist point of view. Rita Deniston RRT RDMS, CHT
@@ritadeniston8986 It would help if you cite resources instead of referring to your own personal viewpoint. Uptodate is pretty much the gold standard for clinical decision support. Rather than criticize "REALLY YOU HAVE LOST YOUR MIND". (besides being rude), why don't you counter with a peer reviewed (not anecdotal report) of your claims.
My father passed away March 2021from covid-19 and now my friend is fighting for his life due to the same. I hope and pray that the Medical Breakthroughs from great Doctors and Grace will save him.
Thank you Doctor for your contribution .
As a former medic who worked in the trenches at UCLA Medical Center back in the day, and has experienced SARS,MERS, etc ... I found your video very informative and well put together. Keep up the great work! Sub earned! 😷 BTW ... I just shared this with a local news station in hopes they air it for public education.
Wow. Really helpful man, my Dad is in the ICU and this just clears my questions. He's doing better but just again thanks for the information!
My mum actually passed away from covid 19 unfortunately so im here on this video to see how it kills people because my mum had breathing problems and it happened so gradually. She couldn't go on the ventilator because we thought that it wasnt an emergency and the hospitals were filling up :( The worst experience of my life.
As a respiratory therapist, nurse, physician and pathological, I agree
so basically: death by suffocation
I spent 4 months in hospital with ARDS. 2 months in a coma. I was the only one of 5 people who went in with it to come out alive. Mine started with H1N1, which leads to double pneumonia, which leads to ARDS.
Sandra Burleson . Wow. May you stay healthy & strong! God bless!
Having cared for multiple ARDS patients in an ICU setting as described in this video, let me congratulate you on your recovery. There are a lot of patients who develop ARDS and simply never make it out. Sounds like you had excellent medical care and an outstanding will to live! :)
Same thing happened to my Mom and she passed 2 years ago.
@Kelly Ray so sorey for your loss jt still hurts my Mom passed 2 years ago and my Aunt passed last month.
My dad had exactly the same (2 month induced coma, influenca and MRSA), barely survived. And the influx on hospitals back then was massive too.
I was 2 minutes into the video and it was already the most interesting video I’ve seen this year!! So much knowledge.
it is a CROCK, please read my post about just how wrong he is
@@ritadeniston8986 is he wrong about everything or is it just the fact about prone position??
@@hashansenadhipathi6461 He did a great explanation of how the alveoli work, and how secrections inhibit oxygen getting into the blood stream. ARDS is Acute (sudden) Respiratory Distress Syndrome. Any insult to your lungs could cause ARDS, ex. pneumonia (bacteria in the lungs) all the WBC's, bacteria fighting agents all go to the same spot, causing swelling, debris as the bacteria die, mucous trying to keep the lungs moist. A baseball hitting your chest. Etc.
You want to maintain all the body systems as normal as possible, based on the pt's height and (normal) body size, You set a Tidal Volume that will adequately ventilate the pt , (getting the O2 in and getting the CO2 out) If a normal TV for a 6 ft 180 lb male is 800, and you have a male 6 ft and 300 lbs he would still require a TV of 800, The lungs are still the same size. If you don't fully inflate the lungs small areas start to close up (atelectasis) which causes areas to be unable to exchange O2 and CO2. You want to use as little of PEEP (Positive End Expiratory Pressure, to keep the smallest airways open, so they don't collapse, too much peep or TV and you can blow a hole in the lung, (pneumothorax)." Do No Harm "
Paralysis: You want the patient to be as alert as possible while lessening any pain they may be having, If they can't move, pressure sores can occur. they can't cough to clear their airway, It can cause confusion which causes stress for everyone, stress causes increased BP, Heart rate, etc. Again, try to maintain as normal as you can.
Prone position: The patients just could not tolerate it. Imagine being suspended in mid air with a strap on your forehead, upper chest, hips, thighs and ankles, gravity is pulling you down, You have a tube in your throat, breathing for you. (gravity trying to pull it out) IV's , Blood pressure cuffs all pulling down on you. The nursing staff can't see if an IV or your endotracheal tube have become misplaced. if they don't have a clear picture of you, how can they correct a problem before it is too late. imagine you are upside down
and in trouble your Blood Pressure is dropping rapidly, you are bleeding internally, they have to flip the bed over, which could take some precious time. If you had been upright, you could have been attended to sooner.
I hope you find this helpful, I know I can go into great detail. Sincerely Rita
@@ritadeniston8986 Thanks a lot. That was a very good explanation.
@@ritadeniston8986 - I think you should make videos on this, you're very good in details, probably many would like to see it, including me; and it seems you have a lot of knowledge! What is your profession, if you don't mind; I saw you share a lot of videos about art?
You are, sir, a great teacher ! I wish everyone taught like this.
“Knowledge is power.” Amen to that!
News: stay away from large groups and public transport.
My anxiety: told you, dude.
Stephen Lawlor exactly
Best comment!
It's like a nightmare for people who work in downtown and have to ride trains and busses in rush hours. damn.
Stephen Lawlor 😭😭 mee
Stephen Lawlor 😂
I have severe asthma, I've had severe attacks they suck & I had the flu last march...
So do I actually, did he make comments on asthma in the video at all?
@@robcole1629 didnt notice but he might not have had the time. I know what feels like have an attack so bad you black out, cant hardly talk have to be put on ventilator. That literally happen to me & the doctor said I would have been dead b4 I got to the hospital if hadn't come to the hospital earlier in the night. ..
@@ClarissaPacker you need to watch out then with the virus going on right now you most likely won't make it... it's killing those with weak imune system's those who have diabetes, asthma and the old age one's....
White Star His point is, this virus would kill him.
@@John14-6- I know thats why I got a mask & goggles i hope to get other things like gloves & Lysol. Its also winter & I dont go out in the winter if I can avoid it I hate snow dont mind the cold but I hate snow.
Hey I am a covid 19 patient.
I am suffocating badly and breathing is really uncomfortable and painful.
No doctor or hospital is treating the normal patients other than VIP or political persons. Please pray for my recovery. I dont want to suffer anymore.
I am so glad I found this channel . I have COPD - STAGE 4 and I find the #3 -Prone Positioning very interesting because I find that sleeping on belly helps me breathe better . If I lay flat it is really hard for me and I flip myself over . I never realize why i did that until i watched this videos .
Especially being female as we have extra tissue on our chests.
@@lloydgilliam162thanks for the info but there is NO cure for COPD . I have done extensive research on this disease and so called cures and have done extensive research on this colloidal silver that was recommended to me by a friend and I will pass , to many bad side effects.
I AM GLAD TO TELL YOU THAT NEBULIZING 20 PPM OF CS WILL HELP ALL TYPES OF LUNG PROBLEMS
. I HAVE SPOTS ON MY LUNGS FROM A JOB THAT I HAD FROM 1969 TO 76 .. I HAVE TO BREATHE CS WEEKLY TO HELP WITH MY COUGH.. AND YES IT MAY NOT CURE COPD BUT IT WILL GIVE YOU YOUR LIFE BACK. ALSO YOU CAN NOT OD ON CS IT ONLY KILLS THE BAD BACTERIA.. YOU CAN USE A COOL MIST HUMIDIFIER FROM CVS . OT IS A WHITE TOWER LOOKING THING.. PLEASE DONT HESITATE TO GET YOUR OWN CS GENERATOR FROM SILVER SOLUTION .. GO TO STEVE BARWICKS SILVER SITE AND READ THE BLOGS. AND YES OUR FRIEND WITH COPD HAD ONLY 20% OF HIS LUNG CAP WHEN HE STARTED HIS CS PROGRAM HE NOW HAS OVER 50% .. HE DRINKS IT AND BREATHES IT DAILY, AS I ALSO DO..
copd is a combination of deseases. . look up dr christoper, natural healing . important to rid your lungs and body of the extra accumulation of muscus. work at expelling the crap. castor oil packs loosen and lobelia done right will help expel as well. please work at getting better so you can breathe well again. big big salads everyday and a meal of fruit. eat healthy get better. dr john bergman will explain copd
@@susandoerr3896 I have been dealing with this disease since 96 and I know all there is to know about it , what exercises to do , what to eat and what I need to do to loosening up the mucus in my lungs ... water , drinking plenty of water and has done very well for me . What works for one does not always work for another . Thank you but I will stick to what works for me .
I had ARDS in 1994.I was heavily sedated and in ICU on ventilator for 3 weeks. I was on my back. It hit quicklt. I was teaching one day on a ventilator the next day. Thankfully none of my students became ill. I was given a 40% chance of survival.
Jane Adams, I'm glad you're enjoying your life. 💖
That’s crazy. Glad you survived. Be thankful for life! And thanks for this comment! Although the moment might be brief, I appreciate life and being alive right now a little more because of you 😬
A miracle
Thank you for your comments.
I survived ARDS in 2015. I was in a coma for 8 days while on a ventilator and in a rotoprone bed. It actually spins you around like a rotisserie. It is used to keep your upper lobe from filling up with fluids. I have no memory of any of it. They initially told my wife I would not make it. Thank God for the wonders of modern medicine.
I had the pleasure of having him as my doctor. He was one of the best doctors I have ever had. I had something going on with my lungs and he fixed me right up.
Knowledge is power, how true.
So long as we are getting the correct knowledge and not "spin" from authorities.
Thank you for this!👍
great info on prone positioning towards the end! I'm a nurse, definitely saving your video!!
Mary Fertig, just remember that prone positioning will work only as long as the anterior alveoli are and remain in healthier condition. Usually they eventually become inflamed too and then it does nothing more for ventilation.The reasoning behind ventilating in prone position works at all is because ventilation is gravity dependent, but then so is the pooling of secretions (like the infected mucus). So don't rush to start using prone positioning just because you heard something or read something, but also don't wait until it is a last resort before death. By holding off a little while you're saving the healthier alveoli as an ace up your sleeve for a good boost of effective ventilation when the patient needs it most. When you place the patient into the prone position the infected secretions are now pooling in the healthiest part of the lungs casing them to become inflamed. Using an inline MDI - bronchodilator to "puff" them up is a great way to gain lung recruitment. Always space a few minutes between puffs and auscultate frequently to listen for maximum efficacy of the drug as it is being administered. It's always best to keep up any lung recruitment gained by making sure bronchodilators and steroids don't get overly delayed or even missed! Use the steroids after the bronchodilator is at it's peak. There is a whole rationale for doing it this way. When you breathe a bronchodilator into a tight lung it only goes so far and that's it. If you wait until the medication begins to work the next delivered dose goes deeper into the lung tissue, and each successive puff also goes deeper than the previous one as long as there is time for the previous puff to work. Steroids given last after the last of the bronchodilator increases it's effectiveness too. Inline nebulizer treatments also deliver the medication over time and that can increase efficacy of the drugs. Steroids and bronchodilators can be mixed together for an inline nebulizer treatment because of the time involved in delivery and the drugs do not interact with one another. Most therapists want to use MDIs because they think it is quicker, and it can be if you dump every puff in at the same time, it's just not the most effective use of the medication. Avoiding delayed meds can be extremely hard to do when staff are overwhelmed with the excessive numbers of patients and with staff also getting sick too. Therapists not only have a full patient load they also must attend every code and do blood gases and run equipment as well. They can get overwhelmed with just influenza and RSV season. So what is it going to be like for all healthcare workers? It's important to not over do the PEEP setting (overly distends alveoli and injures them) or under do it either (increases atelectasis). Peep is essential to lung recruitment too. While this doctor is saying prone positioning is something relatively new and fabulous, it really isn't all that new because we were doing it for our ARDS patients way back before I retired and I think that was in 2002 or 2003. Always keep moving your patients around for best SaO2 readings. Sometimes that may mean pillow support a little on one side or the other to make the healthier portion of the lungs placed in the gravity dependent area for increased ventilation... and the healthiest portion isn't always necessarily always the prone position, even though it most often is. You'll know by the patients SaO2's; and chest Xrays can also lead you to knowing which lung or lobe is the healthiest. Oh BTW we found it was almost easier , especially with obese patients to disconnect them from the vent and have the therapist use the ambu bag to breathe for them as they were placed in prone position because they can stabilize the endotracheal tube as they are moved...but when lung recruitment is most important disconnecting them for even a short few seconds loses the effects of the PEEP, and it takes a long time to gain it back. But sometimes there is no other safe way about it because extubating the patient from inadvertently yanking on their tubes, will wind up doing the same thing only their airway also become traumatized (and most likely swollen from that awful experience). It's best to use good judgement, what is safest and works for the best patient outcome.
@@jeannes4153 Thank you wise lady. Voices of experience and accuracy are what is needed at a time like this. Copy and paste this on every site that is appropriate. You may be retired, but you can get your knowledge and experience spread far and wide through the Internet to reach the young ones who are on the front lines now.
@@jeannes4153 Thank you so much for this information. The general presentation was excellent but I was curious as to the physiological reasons that the prone position was beneficial. You explained this so clearly and thoroughly. I would imagine, however, that if a patient is compromised by any number of other conditions it's a whole new game. Thanks again.
I survived ARDS in 2015. I was in a coma for 8 days while on a ventilator and in a rotoprone bed. It actually spins you around like a rotisserie. It is used to keep your upper lobe from filling up with fluids. I have no memory of any of it. They initially told my wife I would not make it. Thank God for the wonders of modern medicine.
@@ronaldmuir2721 Wow, you are very fortunate that this type bed was available. I hope hospitals will invest in more of these type beds as there will probably be more of these type outbreaks in the future, unfortunately.
this could be a life saver,I did the prone position it helped with my breathlessness. THANKS
do it for 17 hours suspended 2 feet over your bed
I got that with swine flu - admitted in Acute Respiratory Failure. Terrifying.
Amy Kelly Thank God you’re still with us. 🙏🏼
Swine flu was aweful for me too. But my insomnia was almost gone during these two weeks :P
@@taylormade4393 Amen! God is good!
@meaturama Haha! The most common way for a human to catch swine flu is by contact with a pig, so maybe!
@Ultra Fast wdym? I almost shut down my elementary school because I told my principal about my swine flu
For some reason, This video shutdown my automatic breathing mode..
Wow... this was explained in such a way that just blows my mind! Thank u.
Really appreciate the style and clarity of these videos for us non-medics. Thanks.
This is the second video I have seen from you regarding how the corona works and complications related to it, and I find them very VERY easy to understand. So easy, actually, that I used them to explain my daughter how the corona virus spreads too. Keep it up! I love knowledge of any kind, so this is right up my alley.
Fortunate is the student who has a professor like you.
thannkyou! after nearly 20 years I now understand why I woke up paralysed after an acute athsma attack landed me in icu!
What this video explains is Respiratory Failure type 1,
But what you had was probably Respiratory Failure type 2, in type 1 failure the alveoli are filled with fluid thus preventing gaseous exchange while in your case the airways were closed shut due to spasm of smooth muscles in your airways, thus your body was unable to get in fresh oxygen rich air or get rid of Carbon Dioxide rich air. What you probably had is called status asthmaticus
Finally. Someone who can explain.
My brother literally just died from covid so on 09/10/21. I wish I would have known how bad this was going to get and told him to get vaccinated or do his research. His whole family got sick, 4 kids and wife but he was the only one who ended up hospitalized 😢
As a Respiratory Therapist of 33 years, We also used etoh as a bronchial dilator which also broke the surfactent level of the mucus bearer That made it possible to sucking the fluid out every 2 -3 hours. We called it or nick named it as a COPD Cocktail. Today the use of Peep and negative pressure on the newer Ventilators is simply outstanding. There is another form of life saving measures being carried out , and , that is Hyperbaric ventilation. Used , for a wide variety of traumas to the lung.
okay but this is literally helping me revise for my biology exam
I watched this video in January when you first aired it. Today in September my Mom is on a vent with COVID. Thanks for the clear explanation.
Thank you for a very clear explanation. From a 45 year registered nurse.
Really? this is basic patho. Where have you been?
One can only hope that every doctor in the world who treats Corona patients knows about "prone positioning".
Fz Agree. Need more info
It's common in curriculum for nurses and doctors. The problem comes in actual care for a patient who is face down with many lines and drains going into them. It complicates every task except maybe wiping there butt...
It is a well-known and practiced treatment strategy. The problem is that it takes a bunch of people to prone a patient and ICUs were already short-staffed prior to covid-19.
In Europe and China, the news was reporting on prone positioning to treat COVID-19 as if it were a novel approach.
Prone position is a CROCK, what are you going to do? Crawl on the floor under the pt to check an IV, or endotracheal tube, GRAVITY, not good
Basically, if the ICU gets overwhelmed, tough luck...
Yes, tuff luck!
It is called life!!!
There are NO guarantees! To anything!!! You must know that!!!
Life is as much about luck as anything else!
Going to Harvard medical does not guarantee against being hit by a car while walking o
n a sidewalk. Or from being hit by stray bullets. It just doesn't!
Even if you get ICU you can be s#!t out of luck.😞 My father died of ARDS a couple weeks ago.
@@paulortiz8063 Paul is one of the reasons human societies and technology doesn't advance as fast as it could. Doesn't believe things could be better and doesn't give a damn about anybody else. We have to struggle against his type in the political sphere to advance at all rather than go backwards.
Little Red Hen sorry to hear about your father, stay strong, many many hugs and much love 💫♥️
THEY WONT.
Was waiting for the notification. Ty for these amazing videos.
Thank you for subscribing and having new video alerts on!
My father died this way. November 26, 2020. Rip, Dad. I got a call at 4 am and was able to say goodbye through the window.
Who else has asthma and is scared for dear life? Everyone keeps saying, "oh dont worry it only hurts people with underlying conditions like asthma etcs." Great. Thanks. Good to know I could die and everyone else is safe 😑
Sseraphim my 9 year old does and am scared to death for him
I was born with asthma and I have five other illnesses with three of them being debilitating, while also causing breathing problems.
My son has asthma also 😭😭😭 this is so scary
My mother had asthma for years and then it disappeared. My nephew had asthma and he was told to eat alfalfa on his salads and sandwiches instead of lettuce and take organic alfalfa capsules and after months, he began to improve and eventually he didn't suffer from it any longer. Don't know - but an FYI as well as prayer.
@@heatherc3488 apparently children are less likely to get Ards as their immune response isn't as developed
Thankyou for teaching in a way i can understand. !
In December 2019, my grandma woke up unable tp breath. She stopped breathing in ER, they intubated her. They eventually put her on dialysis and her line clotted several times. The meds given to her for flu didnt help her at all. She died. The attending physician asked for a sample be sent to the cdc. It came back unidentifiable.
Thank you for information! If we are looking at what we can do in order to reduse the risk of ARDS, do you recommend:1. sleeping on your belly at home? 2. doing EFT beath technique to stretch lungs (deep breathing essentually, like yoga)?3. humidify the air (how much)? 4. walk in the woods (fresh air)?5. sitting in the sun?
Unfortunately for me I’m probably double the risk as I only have one lung and I’m elderly. I’m doing everything that is being suggested except hoarding toilet paper.😂😂😂. Gotta keep my sense of humor or I’d go nuts😂😂😂😂😂.
Stay safe and good luck to all
Make a mask out of toilet paper. You'll be invincible.
good luck to you Nelson....
Good luck comrade
You will be fine, mate! I'll pray for you too.
You stay safe also, as much as possible.
I also have medical issues that make my immune system low.
(Fibromyalgia, Lupus (SLE, through out my body, even my skin)
Muscle & bone disease, high cholesterol, Thyroid problem, arthritis, other things, ect..
Also an elderly widow woman.
I have plenty of toilet paper..lol..but not hoarded, I just keep supply all the time.
I like how this man explains things in a simple way . He makes it easy to understand. 👏 his videos are very interesting
I had ards June 26 2019 in a medical induced coma 62 days 3 doctors said I wouldn’t make but thank goodness I survived I’m thankful everyday for the doctors,nurses and my family so now I’m staying at home going nowhere today 10 cases was in the county i live in I’m scared
How it kills is scary, hope they can come up with something to kill this virus quick.
hmm, maybe some sort of forward leaning chair you can sleep on? like a recliner, but a forward one?
david tunnicliff 😂
At least 16-18 months
im having problems breathing just watching this.
Puertecitos68 yes
👍🏿👍🏾
🤣 me too
Stressing u up I feel the same , we don’t like a nigative
Great, I’ve had asthma all my life! I catch everything that has to do with your lungs!! 😥
Same here I'm well worried about this virus are we one of the underlying medical conditions? No one seems to say
Big bobo face my ARNP said any respiratory illnesses could be at risk! But we’ve survived SARS and MERS but I work in a hospital so wash wash your hands sterilize your phone credit/debit card ect!! Stay healthy friend!!
@@autumnskye5882 than you and you stay safe too
Think I'm jus gonna hibernate to things blow over and only leave for essentials
Big bobo face I hear ya wish I could too but got to make a livin! Take care!!!
@@autumnskye5882Sorry I didn't mean that in a bad way I'm literally jus living on savings right now as my boss is ill and doesn't want to risk us going to work as we fit refrigeration units in supermarkets so it's pretty high risk coz of all the people
Love your videos ! I’m a RN who lost my brother in law to COVID delta variant . I believe that the priority should be early intervention , it was to late for him . I find it interesting that you didn’t refer to the peep . His was so high that he had a pneumothorax . What a journey !
I didn’t hear any mention of anti-inflammatories as the first line of treatment. I hope more medical professionals know about the prone position because that should’ve been done from the very beginning.
Not always warranted, can cause infection, worsening of condition.
Excellent illustration and explanation for laypersons to understand.
please read my post on why he is wrong about ventilator care, he did explain the anatomy and alveoli well
Jesus, where were you when i was in pre-med?? This is explained in a fantastic way!! Great refresher!!
he is totally wrong about ventilator care and the prone postion, Please read my post on why he is wrong
Finally, I got my question answered ! Thank you Doctor.
Wooow such a perfect way of explaining concepts like these to the lay man
I feel hesitant about any advice from MedCram when it comes to irregularity .
On today's episode of " Is it my asthma or do I have the plague? "
Featuring our new guest... WebMD!
WebMD: it's a cancer
Lmao
@@lawlicht8092 ksrjhgaklrjelhg LOL!
Or is it the weed lmaoo my lungs are fucked up from smoking evreyfay
Beat the flu 4 weeks ago.. still have a lingering cough and now I’m extremely paranoid...
damnnnn 😳 i hardly even worry about flu but i have done a little research into viruses and how to prepare, protect and treat such things 😁 whats up girl ? lookin good
If you have no fever and a headache you should be OK.
Why would you be paranoid?
Having a virus, and beating it means your body has built immunity to it. Go live your life.
I’ll give you two options:
Live life being scared and paranoid... and dying afraid.
Or live every day happy to the fullest, being kind, and with a smile....and then dying.
Can’t avoid death, the only thing you can change is what you do with the life you have!
Prolly advice I should follow myself more often it’s hard. Good luck
@@videostop7564 amen.. I think the same! How amazing is the immune system
Cough. I’ve been mixing aloe Vera juice with my drinks and cough drops. Improvement. Almost stopped. Doctor prescribed antibiotics and Flonase. She said I had acute upper respiratory infection. Bronchitis. People been vomiting 🤮 I am scared. I’ve improved and got my energy but this is still scary.
It strikes me that, as well as trying to increase survival rates of people with Covid-19 that develop ARDS, we should be concentrating on delaying or eliminating the onset of ARDS, even amongst people that have only just caught the disease. For example, if prone positioning is so important in improving the outcome for people that have developed ARDS, is it possible that adopting the same prone positioning early on could reduce the likelihood of developing ARDS?
Chris Mowatt well I have the coronavirus I’m on the fourth day since symptoms began I have fever cough and burning in my lungs, I have been lying in the prone position all day and once I got up I definitely noticed a huge improvement in my lungs. I could talk again and breath almost properly.
I have shared info about prone position on Instagram and I encourage everyone to do the same. The doctors never told me to do this!
Every time I've begun to have any sort of sickness symptoms I've been using prone position and in the last 3 years I have not had any symptoms escalate to a full on sickness since. Symptoms haven't lasted more than a day when doing so. It works for far more than just this it seem.
for me Walking helps loosen stuff in lungs
psychiatry is eugenics yeah but that’s not a feasible option for coronavirus. Honestly I have been diagnosed and I’m quite mild and when I went outside I almost fainted i was coughing my lungs up while they were trying to suck oxygen in, eugh cant describe how horrible it is.
My brother in law is currently in ICU from having Covid. Even though Covid is out his system his oxygen got down to 62 and was placed in the hospital before Christmas. Now they just sent him to ICU because his fever wouldn't break, had double pneumonia on his lungs, and an infection. Please doctor is there anything anyone can suggest that he needs or I wonder is it something they are not giving him. He is 43 years old. Retired Air Force and was in great health. Please is anyone can tell me what he can take will help us. They are not letting my sister in the hospital because the Covid numbers have went back up. I am praying so hard they don't put him on the ventilator 🙏 I'm praying so hard for him and my sister & their child.
I've had something similar that where my lungs almost stopped taking oxygen to my blood and my blood gases flipped flopped on me. Started with a cold that led to it. However I've learned that when I am sick and lungs begin filling with fluid and coughing isn't producing phlegm to where I can breathe I can allow gravity to help me bending over while coughing and it helps expel the phlegm out much easier. Now I'm not saying you can just sit back and ride it out cause this is what led me to almost dying multiple times but to not help aggravate my bronchial tubes and allow it to worsen by coughing over and over again without clearing the fluid it helped me to bend over and also lay on my tummy. So yeah it's helpful in a moment where you absolutely can't get any air that matters and need help fast while an ambulance is on its way is to have someone help you by cupping their hand and hitting you on your back to allow vibration to help turn lose phlegm and gravity to get it out till someone can get you in the ER where there is medical professionals and medicine to take you from deaths doors to back to good health. Just a tip from someone that has had upper respiratory infections and the weird asthma that seems to come from no where and takes you down fast.
Would antihistamines help dry it out?
BamaDixieDelight LucyQ good advise thanks. Have you had experience using propolis prophylactically not allowing virus get pass the throat?
maybe som however y'all can - hang feet on back of couch with head near floor OR over side of bed OR on stairsteps with feet up high ++ Id had bronchitus bad when younger - not bad now - will that devastate/cripple me ?
omg where were you and this video which would have been amazing while trying to teach! I'm a seasoned (old) nurse who graduated in 1967!!!! I had MUCH on the job training. When starting to teach MA's (yep, why they needed to know this depth of info I don't know) this would be perfect. Enjoyed it VERY much!!
I love this explanation ❤️
I'm taking my NCLEX BOARD Exam it helps a lot. Thank you so much for sharing this video with us.
My dad died of coronavirus over the weekend. This video gave me a lot of insight and a little closure
I'm so sorry sweetheart. :'{
Thank you for the great job you've done in explaining how this virus affects our body!!!💕💯
Knowledge is Power. Easily explained and to understand.
knowledge that is wrong is dangerous, he did explain the alveoli well, he does not know about ventilator care. please read my post on why he is wrong
COULD THE TREATMENT USED ON HOW TO PUT THE PATIENTS IN DIFFERENT POSITIONS DEPEND ON JUST HOW BAD THE PATIENT IS? BEING THAT WE ARE ALL DIFFERENT AS FAR AS FAR AS HEALTH ISSUES GO AND A POSITION MAY WORK WONDERS FOR ONE PATIENT AND BE HARMFUL TO ONOTHER?
You're keeping me sane here in isolation. Thank you.
1.5k dislike ???? what? why? Dr Seheult explains everything as clearly as possible, even people who are not in the medical field can understand. I stop watching the main stream media on the virus, they are just repeating the information in every shows with different guest
Thanks for all these coronavirus educated videos. Who knows what will happen in a couple weeks in the world but hopefully it doesn’t kill alot of people
Loving how you’re blending geometry, physics, chemistry and well... medicine 😂
I kinda lost it at the right stem bronchus. But seriously ty for breaking this down to layman- terms.
I recently lost a loved 50 year old Co worker, and a young brother of a good friend.
I was going to take a job driving a transit bus, not now...I'll stick to delivery drywall so as not to be around as many people. Maybe I'm being paranoid, maybe not.
You are just being "cautious"...and that is smart.
Thank you. Our bodies are amazing...
MedCram: Knowledge is power
Cersei: POWER IS POWER
This content is seriously a PURE GOLD!
Explaining it like a third - grader could understand ! Thank you !
What about artificial lungs? I know the ventilator has been the traditional staple, but in the event that lung function declines it won't save a person. Wouldn't the recently perfected artificial lung restore blood oxygen saturation enough to give a critical person more time to heal?
Great lecture ! Thanks for explaining how Corona virus affects the respiratory system .
Omg. The tree explanation is brilliant, esp. with alveoli. That’s why we ask patients to deep breath and hold breath.