Scorpion Sting

#scorpionsting#aetcm

[@criticalrebel6622]

Great scholarly lecture with full wisdom 🙏

[@ezekielmurimi6874]

Thanks alot for this amazing topic!

[@sameeryede9231]

World class teacher...plzz upload much videos as possible

[@vijayalakshmicmsunderaj595]

No better write-up. Thank you so much.

[@asenonagi1812]

I am also a victim of indian brown scorpion when i was a kid.but,now i only remember the heavy pain that made me soo restless during that time.

[@sayedmunaf5335]

Thank you for this lecture sir

[@healerforlife1295]

Excellent

[@gouravkurvari]

I have few important queries sir.
1.NS at a rate of 30ml/kg is too high even when the patient is in shock as it can exacerbate pulmonary edema due to pre-existing myocardial dysfunction.A 5 to 10ml/kg in 20 min should be appropriate.
2.Regarding the inotropes,rather than dopamine and noradrenaline,Dobutamine is the vasopressor of choice as it is physiologically suitable (in improving myocardial contractility)..Notable exception is hypotensive shock with bradycardia where adrenaline is the choice...
3.I want to know your experience with ASV as it is effective only in initial 30minutes to 60minutes.What is the cost of that?and given the high success rate of prazosin and narrow treatment window and high cost of ASV .. Do you still recommend ASV to patients?

[@AETCMEmergencyMedicine]

1. Recommendations for shock management is 30 ml/kg fluid bolus
Use you probe and look for ivc and myocardial contractility
If there is evidence of heart failure start with 10 ml/kg
2. Dobutamine is an inotrope, its not the preferred agent if BP is less than 90/60 as it can worsen Hypotension
3.Anti Snake Venom(ASV) has no role, but Scorpion antivenom availability is low and it has no additional benefit as comapred to prazosin

[@gouravkurvari]

@@AETCMEmergencyMedicine I meant anti scorpion venom sir. Availability is an issue in my place here.Thanks for the clarification.

[@Anandkumar-wl4mn]

Thank you, Very Informative content.....

[@kaushallata7329]

wonderful sir 👍🏻

[@babubhaipanchal1096]

excellent ,Sir

[@giftymariam3890]

Useful lecture Sir!! Thank you so so much

[@kerthushanmugam980]

For all patient,should we give prazosin?or nly symptomatic..I saw the patient who had hypertension 140/90 and tachycardia..no other complaints..should we start prazosin in this condition?

[@AETCMEmergencyMedicine]

No

[@anuradhavb5814]

Thank Q very much sir

[@mangalaselvipalanisamy2488]

Thank you sir..... really nice.... thank you

[@durgas2104]

Good afternoon sir,
Can we give dexamethasone for scorpion sting patient???

[@AETCMEmergencyMedicine]

For anaphylaxis you can use

[@gouravkurvari]

Steroids are contraindicated in scorpion 🦂 envenomation as it can worsen the myocardial injury due to pre-existing hypercatecholaminemia.

[@dr.deveshrigosavi3798]

Nice sir

[@wellwisher332]

Lignocaine + adrenaline injection should be avoided??
When the bite site is not available, as sometimes in children , how to manage pain??

[@Abhishekyadav-gf9dx]

How can I give,180mcg/dose ( suppose wt patient is 60 kg) if tablet is of 1mg dose??

[@drdudirakesh]

give 1.5mg

[@hareshvaghasiya9360]

Thank you sir

[@bakhtyartalash7801]

Sir when we use prazocin????

[@ramalingamkc2153]

thanks

[@dr.chandraprakash1706]

Great excellent

[@divyalalwani104]

Thanku 💯

[@theboss3228]

Love you sir ❤️

[@sebingeorgethomasthomas6868]

Any bed side test for scorpion

[@drpiscesian9379]

sir, how much vial should be used initially and is there any criteria to repeat the anti scorpion venom

[@AETCMEmergencyMedicine]

Anti scorpion venom not needed..availability is less,
Prazosin is enough

[@drpiscesian9379]

@@AETCMEmergencyMedicine sir, Initially how much vials should we use in adults and pediatric cases

[@AETCMEmergencyMedicine]

1 vial initially, further depending upon signs of envenomation

[@laxmannakandoli8262]

Sir, shall we try opioids in pain management of scorpion sting?

[@AETCMEmergencyMedicine]

Should be avoided because the opioid receptor agonists inhibit noradrenaline reuptake, which may potentiate their effects

[@gujjubhaithegreat4929]

Can u provide pdf for all videos please

[@rajeshnaidu1377]

Plese discuss Drowning case sir

[@AETCMEmergencyMedicine]

Whenever a case comes we will discuss

[@rajeshnaidu1377]

Thanku sir

[@ramalingamkc2153]

Thanks sir

[@harishmahajan279]

Tnx tnx you sir great

[@gokulm338]

Sir please discuss dka case

[@AETCMEmergencyMedicine]

Already available please check dka in our videos

[@ygg5476]

Alpha receptors in d heart causing increased heart rate and alpha receptors in the blood vessels causing increased heart rate also? Hmmmmm!!!

[@mcocdocgaming7747]

alpha on bv stimulation causes increased vasoconstriction

[@indrajeetmalamalasi2406]

Prazosin dispersible tablets are not easily available

[@jagdeeshshiyal3508]

appreciative work.. Doctor !! thank you.
opinion: if you make it as a case presentation... we can get good idea of management...
like i saw a video of pediatric cardiac arrest on this channel.
that was best.

[@AETCMEmergencyMedicine]

We need to get a case tondo as a presentation. Once it's available we will upload

[@naveenkumar-iu1vo]

Elaborate, educational but boring sytle of teaching

[@srinivasaraosirasapalli5104]

Excellent

[@yogendrakushwaha476]

Thank you sir

[@venkatesh2992]

Thank you sir

[@PrasannaKumar-od2wr]

Thank you sir

[@dasdr4594]

Thank you sir