Excellent lecture as always! DDX Shock= Septic, spinal,, deHydration/hemorrhage,, Obstructive tamponade, tension Pneumthx, Compartment synd, cardiogenic,, K=endoKrine, anaphylaKtic. Hypotenisve pt--May add pressors (Norepi) if fluids not enough by 30 min. ( mortatlity/infarction increases 5% /hr if hypoTensive). be more liberal with cardioversion/shock. If pressure drops with fluid, think PE. Raising legs is like giving a bolus of 250--to see if fluids need to be given. Calculate shock index,, hr/sbp0.8. DO NOT intubate.
This gentleman/doctor is SPOT ON when he talks about hypotension and tissue infarction. Every minute a patient is hypotensive tissue is dying and much of this organ injury is completely irreversible. Even if a patient is non-toxic appearing do not let them sit with suboptimal perfusion. Great lecture. His K was a bit of a stretch though haha!
Sir...... if only I had seen this in the early days of my medic career!! Those HypoK+ strips... I had so many of those in the field. Was taught "prolonged QT with inversion". Even a couple ED docs didn't recognize it. Shaking my head! And fascinating info on the Shock Index!! I love this field! I love how there is always more to learn! 23 years in and STILL learning!! Thank you for doing the vids, sir!
We live 2 parts of our lives in diastole! Genius! I used to have a problem explaining that to surgeons that I have worked with, during the part of my career working in Cardiac Surgery ICU. They just love SBP below 120 mmHg no matter what the MAP value is.
Brother I want to make a whatsapp group and I want to add doctors in it so that knowledge is shared and all of us learn please be a part of my group - chat.whatsapp.com/Eji8SQbPUEhA3yxzmS10Lh
Great sir. Thank you. Lots of new learning. Shock index, DBP importance, Pressors right away in PE- all life altering . Both for physicians and PATIENTS
What happens when you give 1L of fluids in patients with low hb (5g/dl) and low bp 90/35mmHg? Are we treating the shock or worsening with hemodilution?
Triangle of death - hemodilution ,acidosis and hypothetmia is killer so if u have low hb in go warm blood and blood products ,giving fluids is a bad idea
Excellent lecture as always! DDX Shock= Septic, spinal,, deHydration/hemorrhage,, Obstructive tamponade, tension Pneumthx, Compartment synd, cardiogenic,, K=endoKrine, anaphylaKtic. Hypotenisve pt--May add pressors (Norepi) if fluids not enough by 30 min. ( mortatlity/infarction increases 5% /hr if hypoTensive). be more liberal with cardioversion/shock. If pressure drops with fluid, think PE. Raising legs is like giving a bolus of 250--to see if fluids need to be given. Calculate shock index,, hr/sbp0.8. DO NOT intubate.
A
As a new paramedic this guy is teaching me so much more than any textbook could
Yes because EMS education assumes youre retarted and teaches you EM as if you were a monkey....... - Current paramedic about to start medical school
Freaking love this guy
Right? He’s incredibly easy to listen to. Funny, and so smart. He keeps it simple.
This gentleman/doctor is SPOT ON when he talks about hypotension and tissue infarction. Every minute a patient is hypotensive tissue is dying and much of this organ injury is completely irreversible. Even if a patient is non-toxic appearing do not let them sit with suboptimal perfusion. Great lecture. His K was a bit of a stretch though haha!
Excellent presentation, thank you!
Sir...... if only I had seen this in the early days of my medic career!! Those HypoK+ strips... I had so many of those in the field. Was taught "prolonged QT with inversion". Even a couple ED docs didn't recognize it. Shaking my head! And fascinating info on the Shock Index!!
I love this field! I love how there is always more to learn! 23 years in and STILL learning!! Thank you for doing the vids, sir!
Amazing medical educator...wish more were like Dr. Mattu...
We live 2 parts of our lives in diastole! Genius! I used to have a problem explaining that to surgeons that I have worked with, during the part of my career working in Cardiac Surgery ICU. They just love SBP below 120 mmHg no matter what the MAP value is.
Such a high caliber of useful information! Amazing!
Brother I want to make a whatsapp group and I want to add doctors in it so that knowledge is shared and all of us learn please be a part of my group - chat.whatsapp.com/Eji8SQbPUEhA3yxzmS10Lh
He’s absolutely brilliant he is! Highly highly intelligent and marvellous to watch
This stuff is gold!
Great little lecture. Great delivery. A little comment here tho; please do NOT wait for an X-ray to pick up tension ptx as mentioned here 2:20
Awesome lecture. Will be using your information in my TNCC shock lecture. love it!
Wonderful job Dr Mattu,
Thanks
ER Physician From Pakistan
Wonderful explanation 👏
I appreciate your effort
May Allah bless you
Thanks
Very nice
GREAT TEACHER
I just love this guy and his ecg weekly.
Great sir. Thank you. Lots of new learning. Shock index, DBP importance, Pressors right away in PE- all life altering . Both for physicians and PATIENTS
Amal is a great EM physician
Very good teaching 👏
Greetings from Egypt
You are great & my god of cardiology!!! It's a pleasure to hear & see you & your presantations!! *Please weekly* :)) !!! Greetings from Gemany
I adore Amal
Nice
Excellent!
Thanks. Very helpful and practical
Excellent lecture Sir! Greetings from Poland!
Wao what a teaching.v impressive
4:58 I theoretically knew this but now #MINDBLOWN
Gracias !
Very very relavent and high quality education
Succinct and packed with great info! Great job!
This pneumonic - isn’t easier. Learn the categories and understand their sub groups. BUT the talk was great and some great advice.
excellent
Simple and clear
amazing presentation! such useful info for practice. thank you:)
Amazing presentation Sir! Thank you so much for this valuable information!
Great! I come from Vietnam.
Is this conference still going on?
Thank you from Italia
Genious!
Amazing
Hail You Professor ! 😎
thank you very much! thanhhoa 22/9/2019
legend
Awsem and great
Thanks a lot ^^
Thankyou from Viet nam
What happens when you give 1L of fluids in patients with low hb (5g/dl) and low bp 90/35mmHg?
Are we treating the shock or worsening with hemodilution?
Triangle of death - hemodilution ,acidosis and hypothetmia is killer so if u have low hb in go warm blood and blood products ,giving fluids is a bad idea
What classes is he talking about with antiarrhythmics? If it's the Vaughan Williams classification he's got it totally wrong...
Xcellency of xcelleny
Acute adrenal insufficiency!!!
Hat off my hat before dear colleague!
Dr amal makes me look like an idiot.
Cavallo vero
excellent