Good discussion Dr. Gireesh Kumar sir and team.👍 Use of LABAs causes tolerance due to downregulation of β2-adrenoceptors. Therefore the use of LABAs alone is contraindicated.Always give combination with inhaled corticosteroids. Indications for intubation in Asthma patients : -If continued threat of airway obstruction despite first line and second line treatment. -If PCO2 normalizes or elevated (patient should be hyperventilating leading to low PCO2, if the patient becomes fatigued, PCO2 will begin to increase)
Yeah most of the time unit chiefs are like ... "stupid fellow , useless fellow, don't know anything, u don't know the mechanism of steroids also, how did u pass mbbs, u idiot!!"
Sir you are a legend. Indian doctors are best doctors in the world. I m a fan of indian doctors.. sir Allah will bless you long healthy life.. love from Pakistan
Awesome informative video Sir ,,you(all aetcm physicians/consultants) are my guru ,n I m ur shisya,,soon from all over the world there will be a n number of shisyass/followers........🙏........
Can you guys do more cardiac cases like ccf with renal failure or pulmonary edema and how to give fluid, Arythmia in emd. I think lcardiac disease have more complications that needs to be discussed
Thank you so much for this informative and amazing video o have a question in regard of using hydrocortisone in diabetic patient who is not controlled would that be of an adverse effect and might cause complication?
Doctor's were prescribing me antibiotics every time I had asthma in childhood and even in adolescence age . I lost my stomach health because of it. I have much problem because of acidity. Plz avoid unnecessary meds.
Sir, thank you for posting video on acute asthma.just a question to clarify myself patient is having fever, mucopurelent sputum, should not we do X-ray first to rule out following conditions as well ? pneumonia Tuberculosis Lung abscess
sir you skipped aminophyline and antihistamines , do they dont have any role in acute phase of asthma? plz do also tell if incentive spiromters play any role in improving pateint with acute or extrinsic asthamas?
Good discussion Dr. Gireesh Kumar sir and team.👍
Use of LABAs causes tolerance due to downregulation of β2-adrenoceptors. Therefore the use of LABAs alone is contraindicated.Always give combination with inhaled corticosteroids.
Indications for intubation in Asthma patients :
-If continued threat of airway obstruction despite first line and second line treatment.
-If PCO2 normalizes or elevated (patient should be hyperventilating leading to low PCO2, if the patient becomes fatigued, PCO2 will begin to increase)
I like the approach of senior Dr with junior Dr , hope all junior Dr get this kind of mentor who keep sharing their knowledge.
True 👍
Yeah most of the time unit chiefs are like ... "stupid fellow , useless fellow, don't know anything, u don't know the mechanism of steroids also, how did u pass mbbs, u idiot!!"
Scripted rehta bro🤧🙌
Beautifully taught.crisp.concise.main points to take in consideration in emergency room.
Sir you are a legend. Indian doctors are best doctors in the world. I m a fan of indian doctors.. sir Allah will bless you long healthy life.. love from Pakistan
Awesome informative video Sir ,,you(all aetcm physicians/consultants) are my guru ,n I m ur shisya,,soon from all over the world there will be a n number of shisyass/followers........🙏........
you sharing such a great job , really to much knowledge I will apply in my life Thank you sir 🙏🏻
These videos are so helpful...Thank you so much!
Excellent concept to learn better ! This makes visualise what we read
Namaste sir Dr G kumar.you are always excellent discussion
Very useful & Superb discussion session.. I gained some additional knowledge about BA👏👏
Informative video
Thank you doctor
With each video, I learn new information... I appreciate your efforts with thanks👌👍🙏
Really very informative.. Thanks a lot😊
Very nice doctor👨⚕ and team andi like your speak English doctor nice nice
Very informative session.... thank you Dr.Girish sir🙏
It was very informative..Thank you for the session Sir..🙏
Your are really Great sir...i wach your videos
This clip was shorter and very informative. Please do more respiratory cases , thank you so much
Try to make videos on patient in wards their complications and how to treat them.
Respect from Pakistan for AETCM team, specially Dr. Gireesh ❤
Nice Presentaion .... Good Information.
Dr.Gireesh Sir is the best. 🙏🙏🙏🙏🙏.
The presentation looks great.... But the examination part should be elaborated more.....
Very helpful sir🙏🏻
Indebted to every team members of AETCM🧡
Every video is superb...
Very informative video docs.. Thanks for uploading ❤️
Thank you so much for sharing your skills and knowledge. 🙏🙏🙏
Very Nice Explaination Sir 😊 Your Videos are Helping me alot🙏😊
Can you guys do more cardiac cases like ccf with renal failure or pulmonary edema and how to give fluid, Arythmia in emd. I think lcardiac disease have more complications that needs to be discussed
It's very useful 🙏💕..really appreciate the conversation..
Effective session , from choosing ideal drug therapy 😀
Wow this is amazing lesson
Sup sir Tqq explained detail pls more videos upload 🙏🙏🙏👌
Very useful discussion Sir ❤❤❤❤❤❤
Very helpful 👍, thank you Sir
Thank you, please continue the classes.
Excellent presentation Sir 👍🙏
Very useful, thank you Dr🌟
Very helpful..Thank you 👍
Excellent discussion sir
Pls do bed side cases it is more informative..
So much appreciated.
Excellent presentation 🥰
Awesome video!
Very useful...thank you Sir 🙏😃
4:21 treatment
Great initiative.....
2:04 Examination
Great work
Continuing the learning .... 😊
Very nice
Thanku sir
Very informative session
Organize more cases on DKA
Thank you so much for this informative and amazing video
o have a question in regard of using hydrocortisone in diabetic patient who is not controlled would that be of an adverse effect and might cause complication?
Risk vs benefit titrate with insulin if hydrocortisone indicated
Thku sir yu r a great teacher
😍
Dr. Girish sir, 👌& 🙏
Isn't ipratropium act on large airways as more number of muscarinic receptors present on large airways instead of small bronchioles?
Thank you very much sir
Have in one Query ?. In case of industrical area one Victim get H2s chemical inhataion. What are the sudden emergency cares .
Nice thanks 🙏🏻🙏🏻
Thank you
Awesome sir🙏
Love it ☺️
Thank you so much sir 😊
Thank you team
please what is the dose of sulbutamol mg/ salin ml
Great 🖤
It was indeed a good session
Which one is good salbutamol + sterile water or salbutamol+ saline
Sir what about Deriphyllin , can we use it in an acute presentation?
V gud
great
Thank you sir 🙏
Mst tha.
It's all worked for me...thank you doctor,but patient is very week... not able to walk...can we start IV fluids age is 62yr with 40kg weight
Doctor's were prescribing me antibiotics every time I had asthma in childhood and even in adolescence age . I lost my stomach health because of it. I have much problem because of acidity. Plz avoid unnecessary meds.
Thank you sir
thaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaanks
Sir, thank you for posting video on acute asthma.just a question to clarify myself patient is having fever, mucopurelent sputum, should not we do X-ray first to rule out following conditions as well ?
pneumonia
Tuberculosis
Lung abscess
Chest X-ray is needed
Legend sir
sir you skipped aminophyline and antihistamines , do they dont have any role in acute phase of asthma? plz do also tell if incentive spiromters play any role in improving pateint with acute or extrinsic asthamas?
No role in acute
Please mention the dose of Magnessium Sulphate
2g
Low dose steroid like wysolone on discharge. Kindly enlighten.
Regards.
Aryan
Keep it up❤
Great , what about epinephrine ?!
Not first line agent
YOU CAN GIVE TOW TO THREE TIMES NEUTRALIZATION BUT FORGET TO MENTION DURATION ?
You can administer 20 min apart
Kindly tell how to differentiate & diagnosis copd vd asthma
Watch the video on COPD
@@AETCMEmergencyMedicine thanks boss
What is the Diagnosis method of acute asthma sir ?
Watch tomorrows video
@@AETCMEmergencyMedicine thank you sir
🙏🙏🙏
Sir can u explain what all breathing exercises should be advised for the patient
Incentive spirometry is the best
@@AETCMEmergencyMedicine Thanku sir
Inhalation with Adrenaline works too
So is it ideal to give if other drugs fail??
Not first line
Hi. Can we nebulize with ipratopium and beclomethasone together?
No
This kind of case will gonna come in future NEXT part 2 exam 😊
🧡
How much oxygen in literes in needed
How not to overdose with oxygen therapy
Use of steroids in setting of ongoing lrti?? Thoughts sir?
Depends on pt status.. Yes /no depends on that
If they use mic 🎤 then it will be better
Pls check at your end
love from nepal
🙏🙏🙏🙏🙏🙏